PALS Flashcards
Breaths per minute
10-30
Compressions per minute
100
Interval for pulse check
2 minutes (after any drug or shock)
Compression:Ventilation
15:2 (2-person) - no need to coordinate if intubated
Epinephrine: Dose
0.01 mg/kg = 0.1 cc/kg of 1:10,000 dilution (max 1 mg)
Adenosine: Dose
0.1 mg/kg (max 6 mg), 2nd dose 0.2 mg/kg (max 12 mg)
Epinephrine: MOA
increases afterload to increase coronary artery perfusion
Adenosine: MOA
temporary AV nodal conduction block
Amiodarone: Dose
5 mg/kg
Atropine: Dose
0.02 mg/kg (min dose 0.1 mg, max dose 1 mg)
Calcium Chloride: Dose
10-20 mg/kg = 0.2 cc/kg of 10%
Glucose: Dose
0.5-1 g/kg = 5-10 cc/kg of D10, 2-4 cc/kg of D25, 1-2 cc/kg of D50
Lidocaine: Dose
1 mg/kg
Magnesium Sulfate: Dose
25-50 mg/kg (max 2 g)
Naloxone: Dose
0.1 mg/kg (max 2) - lower dose 0.001 mg/kg for respiratory depression
Sodium Bicarb: Dose
1-2 mEq/kg
Vasopressin: Dose
0.5 U/kg (max 40 units)
Adenosine: Indication
SVT
Amiodarone: Indication
SVT, VT and shock-resistant VF
Atropine: Indication
bradycardia
Lidocaine: Indication
ventricular arrhythmias
Magnesium Sulfate: Indication
Torsades de pointes VT
Vasopressin: Indication
refractory cardiogenic arrest (in place of repeat epinephrine)
Defibrillation: Shock Dose
2 J/kg (increase to 4 J/kg)
Epinephrine: Indications
VF/pulseless VT, PEA/asystole, bradycardia
H’s
hypoxia, hypovolemia, hypothermia, hypoglycemia, hyperkalemia, acidosis
T’s
toxins, tamponade, tension PTX, thrombosis, trauma
Synchronized Cardioversion: Shock Dose
0.5 - 1 J/kg (increase to 2 J/kg)
Synchronized Cardioversion: Indications
tachycardia with pulses and poor perfusion (1st line for wide complex tachycardia)
