Pals meds

Question 1

SVT

Answer 1

adenosine 0.1 mg/kg iv. second dose 0.2 mg/kg iv

Question 2

Asthma/anaphylaxis

Answer 2

Albuterol 4-8 puffs inhalation q 20 mins
Nebulizer 2.5 mg/dose < 20 kg 5 mg/dose if >20 kg
Continuous neb 0.5 mg/kg per hour
Ipatroprium bromide 250-500 mcgq20 mins prn x 3
Epinephrine 0.01 mg/kg subq q15

Question 3

Bradycardia and toxins

Answer 3

atropine 0.02 mg/kg iv repeat in 5 mins

for toxins give 0.05 mg/g iv then 2x dose every 5 mins

Question 4

hypocalcemia, hyperkalemia, hypermagenesium

Answer 4

Calcium chloride 20 mg/kg

Question 5

hypocalcemia, hyperkalemia, hypermagenesium (?gluc)

Answer 5

Calcium gluconate 60/mg/kg

Question 6

Croup

Answer 6

dexamethasone 0.6 mg/kg iv or po

2.25% racemic epinephrine 0.25-0.5 ml in 3 ml ns

Question 7

Hypoglycemia

Answer 7

Dextrose 0.5-1 g/kg D10W 5-10 ml/kg

Question 8

heart failure/cardiogenic shock (drug of choice kids)

Answer 8

dobutamine 2-20 mcg/kg/min

Question 9

heart failure/cardiogenic shock (for infants)

Answer 9

dopamine 2-20 mcg/kg/min

Question 10

pulses arrest, bradycardia, hypotensive shock, anaphylaxis, asthma, croup

Answer 10

epinephrine 0.01 mg/kg q 3-5 mins (pulseless arrest)
epinephrine 0.1-1 mcg/kg/min (hypotensive shock)
epinephrine .15mg im (anaphylaxis)

Question 11

rapid sequence intubation sedation

Answer 11

etomidate 0.2-0.4 mg/kg iv

Question 12

adrenal insufficiency

Answer 12

hydrocortisone 2 mg/kg iv bolus

Question 13

VF/pulsesless VT, wide complex tachycardia w pulse

Answer 13

Lidocaine 1 mg/kg

Question 14

Refractory status asthmaticus/torsades de pointes

Answer 14

magnesium sulfate 25-50 mg/kg iv bolus over 20 mins

Question 15

status asthmaticus and anaphylactic shock (steroid)

Answer 15

methylprednisolone 2 mg/kg loading dose then 0.5 mg/kg iv q6hours

Question 16

Myocardial dysfunction and increased svr

Answer 16

Milirinone 50 mcg/kg then 0.25 to 0.75 mcg/kg/min

Question 17

narcotic reversal

Answer 17

naloxone 0.1 mg/kg iv

Question 18

heart failure/cardiogenic shock

Answer 18

nitroglycerin 0.25-0.5 mcg/kg per minute

Question 19

cardiogenic shock associated with high svr. Severe htn

Answer 19

nitroprusside 0.3 to 1 mcg/kg/min

Question 20

hypotensive shock

Answer 20

norepinephrine 0.1 to 2 mcg/kg/min

Question 21

svt/atrial flutter/vt (with pulse)

Answer 21

procainamide 15 mg/kg over 30-60 mins

Question 22

ductal dependent congenital heart disease

Answer 22

prostaglandin 3 0.05 to 0.1 mcg/kg/min

Question 23

metabolic acidosis

Answer 23

sodium bicarb 1 mEq/kg iv

Question 24

status asthmaticus (muscle relaxer)

Answer 24

terbutaline 0.1 to 10 mcg/kg/min

Question 25

catecholamine resistant hypotension

Answer 25

vasopressin .0002 unit per kg/min