PALS

Question 1

PALS BRADY

Epinephrine .

Answer 1

0.01mg/kg IV/IO (0.1mL/kg of 1:10,000) q3-5mins (Tip 1cc of 1:10,000 epi for every 10kg)

Question 2

PALS BRADY

Atropine

Answer 2

0.02mg/kg/dose IV/IO; may repeat x1 (min dose 0.1mg, max single dose 0.5mg)
* atropine no longer primary. Use if increased vagal tone or AV block.

Question 3

PALS PULSELESS OR UNSTABLE VT/VF:

Defibrillate biphasic

Answer 3

2J/kg initially, then 4J/kg, up to max 10J/kg or adult dose

Question 4

PALS PULSELESS OR UNSTABLE VT/VF:

Epinephrine

Answer 4

0.01mg/kg IV/IO (0.1mL/kg of 1:10,000) q3-5mins (Tip 1cc of 1:10,000 epi for every 10kg)

Question 5

PALS PULSELESS OR UNSTABLE VT/VF:

Amiodarone

Answer 5

5mg/kg IV/IO may repeat x3

Question 6

PALS PULSELESS OR UNSTABLE VT/VF:

MgSO4

Answer 6

25-50 mg/kg/dose (max 2g)

Question 7

PALS SVT (WPW, AVNRT, AVRT)
Adenosine

Answer 7

0.1mg/kg rapid push, 2nd dose 0.2mg/kg

max 2nd dose 12mg

Question 8

PALS SVT (WPW, AVNRT, AVRT)
Cardioversion

Answer 8

0.5-1 J/kg then 2J/kg

Question 9

PALS SVT (WPW, AVNRT, AVRT)
Amio OR Procainamide (below)

Answer 9

Amiodarone 5mg/kg IV/IO over 20-60mins OR Procainamide 15mg/kg over 30-60mins
do not routinely give procainamide/amiodarone together

Question 10

PALS STABLE VT w PULSES

Cardioversion

Answer 10

0.5-1 J/kg then 2J/kg

Question 11

PALS STABLE VT w PULSES

Adenosine if rhythm regular and QRS monomorphic

Answer 11

0.1mg/kg rapid push, 2nd dose 0.2mg/kg

max 2nd dose 12mg

Question 12

PALS STABLE VT w PULSES

Amiodarone OR Procainamide

Answer 12

Amiodarone 5mg/kg IV/IO over 20-60mins OR Procainamide 15mg/kg over 30-60minsdo not routinely give procainamide/amiodarone together

Question 13

PALS PEA/ASYSTOLE:

Epinephrine

Answer 13

0.01mg/kg IV/IO (0.1mL/kg of 1:10,000) q3-5mins