PALS drug doses

Question 1

Synched cardioversion dose? Initial and subsequent

Answer 1

initial 0.5-1 j/kg
subsequent 2j/kg

Question 2

Defibrillation dose? Initial and subsequent

Answer 2

Initial 2 j/kg
Subsequent 4j/kg

Question 3

Adenosine dose and maximum dose?

Answer 3

AD0.1
0.1 mg/kg (6mg MAX) initial
0.2 mg/kg (12 mg MAX) repeat

Question 4

Amiodarone push dose and max dose?

Answer 4

AM5

5mg/kg over 20-60 min.
(15mg/kg MAX in 24 hours, or 300 mg MAX)
May repeat

Question 5

Atropine
dose, min, max, ett dose , frequency

Answer 5

AT002

0.02mg/kg (0.1mg MIN)
(1 mg max in children, 3 mg max in adolescent as total cumulative max.)
Q 3-5 min. (0.5 MAX)
0.04-0.06 mg ETT (2-3 times IV dose)

Question 6

Epi dose for IV bolus
ETT
frequency
infusion

Answer 6

E0.01
0.01 mg/kg IV/IO of 0.1mg/ml concentration
0.1 mg/kg ETT
Q3-5 min
infusion 0.1-1 mcg/kg/min

Question 7

Lidocaine dose
bolus, and repeat dose
infusion
ETT

Answer 7

L1
1mg/kg
infusion 20-50 mcg/kg/min
repeat bolus if it has been greater than 15 min before infusion initiated

ETT 2-3 mg/kg

Question 8

Dopamine/dobutamine dose for infusion?

Answer 8

2-20 mcg/kg/min

Question 9

Norepi infusion rate

Answer 9

N0.01
0.01-2 mcg/kg/min

Question 10

Procainimide dose and infused over how long

Answer 10

P15
15mg/kg/min
over 30-60 minutes

Question 11

TXA dose and over what time frame?

Answer 11

15mg/kg over 10 min.

Question 12

“AmLiPro” acronymn

Answer 12

Amiodarone, Lidocaine, Procainamide are the three drugs dosed in whole number doses.

Question 13

narcan dose and max dose, route with frequency

Answer 13

0.1 mg/kg (MAX 2 mg) IV/IO/SC Q2 min

Question 14

Prostoglandin E

Answer 14

0.05 - 0.1 mcg/kg/min titrate up to 0.1 mcg/kg/min

Question 15

Calcium Chloride dose

Answer 15

20 g/kg of 10% solution

Question 16

Calcium Gluconate dose

Answer 16

60 mg/kg of 10% solution

Question 17

Romazicon dose

Answer 17

0.01 mg/kg (MAX 0.2mg)

Question 18

Ketamine pre-intubation

Answer 18

1-2 mg/kg IV

Question 19

Medication for shock refractory VF or pVT?

Answer 19

Lidocaine or Amiodarone. Lidocaine 1mg/kg bolus infusion of 20-50mcg/kg/min. Amiodarone 5mg/kg bolus (300mg MAX)

Question 20

What pressors are indicated for warm versus cold shock?

Answer 20

epi for cold shock levo for warm shock p. 185

Question 21

What pressor is preferred for neonates?

Answer 21

dopamine first, then epi if refractory to dopamine p. 185