PALS Med Doses

Question 1

Epi 1:10

Answer 1

0.01 mg/kg

Question 2

Epi 1:1

Answer 2

0.01 mg/kg (IM/SQ) with a max single dose of 0.3mg

Question 3

Amiodarone

Answer 3

5 mg/kg IVP cardiac arrest

5 mg/kg over 20 min with a pulse

Question 4

Lidocaine 2%

Answer 4

1 mg/kg for a dysrhythmia

0.5 mg/kg (max 40mg) for io anesthetic

Question 5

Lidocaine maintenance drip

Answer 5

20-50 mcg/kg/min for a dysrhythmia

Question 6

Mag sulfate

Answer 6

25-50 mg/kg for Torsades de Pointes

Question 7

Adenosine

Answer 7

0.1 mg/kg then 0.2 mg/kg (SVT)

Question 8

Atropine

Answer 8

0.02 mg/kg for Bradycardia

Question 9

Defibrillation

Answer 9

2 J/kg - 4 J/kg for lethal dysrhythmia

Question 10

Dopamine

Answer 10

10-20 mcg/kg/min (start at 10) - hypotension

Question 11

Albuterol

Answer 11

2.5 mg in 3 mL normal saline (nebulizer) - respiratory distress/ anaphylaxis

Question 12

Synchronized cardioversion

Answer 12

0. 5 J/kg - 1.0 J/kg - 2.0 J/kg

- Tachycardic dysrhythmia

Question 13

D10

Answer 13

5 mL/kg (max single dose 100 mL)

All hypoglycemic pediatric patients

Question 14

Narcan

Answer 14

0.1 mg/kg with a max dose of 2mg

Opioid overdose

Question 15

Normal saline

Answer 15

20 mL/kg

-hypotension

Question 16

Versed (midazolam)

Answer 16

0. 1 mg/kg

- procedural sedation/ seizures/ post intubation

Question 17

Benadryl (Diphenhydramine)

Answer 17

1 mg/kg

-respiratory distress/ anaphylaxis

Question 18

Calcium chloride

Answer 18

20 mg/kg

-hyperkalemia and TCA overdose

Question 19

Etomidate

Answer 19

0. 3 mg/kg - RSI/ Intubation

0. 1 mg/kg - procedural sedation/ post intubation

Question 20

Glucagon

Answer 20

0. 5 - 1 mg/kg

- hypoglycemia or beta blocker overdose

Question 21

Ketamine

Answer 21

2 mg/kg in a 50 mL bag with a 60 gtts wide open

• RSI/ Intubation

Question 22

Sodium Bicarb 8.4%

Patients > 1 month

Answer 22

1 meq/kg

-TCA OD and Hyperkalemia

Question 23

Valium (Diazepam)

Answer 23

0. 2 mg/kg or 0.5 mg/kg Rectal

- Seizures/ Sedation