PALS: MEDICATIONS

Question 1

Epinephrine: indications

Answer 1

Vasoactive med of choice for Infants and Children with fluid refractory shock

Question 2

Epinephrine: Dosing fluid refractory shock

Answer 2

0.03-0.2 mcg/kg/min

Question 3

Epinephrine: Dosing normotensive shock

Answer 3

0.03-0.05 mcg/kg/min

Question 4

Epinephrine: Bradycardia Dosing

Answer 4

Epinephrine IV/IO:
0.01 mg/kg every 3-5 minutes.
(0.1 ml/kg of 0.1 mg/ml conc.)

Epinephrine per ET tube (no IV):
0.1 mg/kg
(0.1 ml/kg of 1 mg/ml)

Question 5

Norepinephrine: Dosing

Answer 5

0.03-0.5 mcg/kg/min

Question 6

Milrinone: Indications

Answer 6

normotensive shock in the presence of myocardial dysfunction when there is increased systemic vascular resistance

Question 7

Milrinone: Dosing

Answer 7

0.25–0.75 mcg/kg/min
loading bolus dose of 50 mcg/kg
given over 10–60 minutes.

Question 8

Atropine: Bradycardia Dosing

Answer 8

Atropine IV/IO:
0.02 mg/kg. May repeat x 1
Minimum dose 0.1 mg
Max. single dose 0.5mg

Question 9

Adenosine: dosing

Answer 9

0.1 mg / kg