PALS Drugs

Question 1

Adenosine Dose

Answer 1

1st push: 0.1 mg/kg, max of 6mg

2nd push: 0.2 mg/kg, max of 12mg

Adenosine works at the AV node (blocks it to prevent re-entry)

Question 2

Amiodarone Dose

Answer 2

5mg/kg, max of 300mg/kg

Slows down AV conduction and prolongs PR and QT intervals; Be careful in patients with already widened QT because you can throw them into Torsades. Can cause hypotension

Question 3

Atropine

Answer 3

0.02 mg/kg, max of 0.5 mg/kg; min dose of 0.1 mg (need min dose because lower than this an you can actually have a paradoxical effect where it’ll slow down the HR further)

Parasympathetic system responsible for pumping the breaks. Atropine takes foot off of the breaks so it removes the slowing allowing AV and SA nodes to speed up.

Question 4

Calcium

Answer 4

20mg/kg, max of 2g

Do not give unless there is a CCB overdose or you know they’re hyperkalemic or hyperMg

Calcium chloride (more ionized Ca, but more painful) and calcium gluconate (can give it in peripheral IV)

Question 5

Epinephrine

Answer 5

0.01 mg/kg IV/IO with max of 1mg

Question 6

Glucose

Answer 6

0.5-1mg/kg. But glucose comes in so many different solutions. In a kid give 1-2mL/kg of D50w

Kids get hypoglycemic very easily because they have high metabolic rates and small glycogen stores. If it’s less than 60 treat it in kids.

Question 7

Lidocaine

Answer 7

1mg/kg bolus

Question 8

Magnesium

Answer 8

25-50mg/kg over 20 minutes, max of 2mg

Given for Torsades (polymorphic V-tach)

Question 9

Diltiazem

Answer 9

0.25 mg/kg

Question 10

Sodium Bicarbonate

Answer 10

1 mEq/kg