PALS vital signs

Question 1

What dose of magnesium do we give for asthma exacerbation and over what period of time?

Answer 1

25-75mg/kg over 15-30 minutes

Question 2

What is the primary intervention for upper airway obstructions (other than oxygen)?

Answer 2

Nebulized epinephrine

Question 3

What are the standard interventions for anaphylaxis?

Answer 3

• IM epinephrine
• Corticosteroids
• Albuterol
• Diphenhydramine and ranitidine

Question 4

What is the standard dose for a pediatric fluid bolus?

Answer 4

20ml/kg

Question 5

How often can IM epinephrine be repeated for anaphylaxis?

Answer 5

10-15min

Question 6

What is the appropriate pediatric dose of epinephrine in a cardiac arrest?

Answer 6

0.01mg/kg

Question 7

At what point do we begin CPR?

Answer 7

Under 60 BPM

Question 8

What three things need to be avoided for patients experiencing increased ICP?

Answer 8

Hyperthermia, hypercarbia, and hypoxemia

Question 9

What is the initial dose of naloxone in pediatric patients? What is the repeat dose?

Answer 9

0.01mg/kg - 0.1mg/kg

Question 10

What are the ABC’s?

Answer 10

Appearance, work of breathing, circulation

Question 11

What is the recommended transfusion dose for blood in a shock scenario?

Answer 11

10ml/kg

Question 12

When do we give stress dose hydrocortisone?

Answer 12

When a patient has septic shock in order to prevent adrenal insufficency

Question 13

What is the drug of choice for fluid refractory hypotension?

Answer 13

Epinephrine

Question 14

What is the epinephrine infusion rate for septic shock?

Answer 14

Lower than 0.3mcg/kg/min

Question 15

What is the approprate dose of hydrocortisone for a patient that is experiencing adrenal insufficency secondary to shock?

Answer 15

1-2 mg/kg

Question 16

What is the drug of choice for refractory warm shock?

Answer 16

Norepinephrine

Question 17

What is the appropriate dose of adenosine for a pediatric patient experiencing SVT?

Answer 17

.01mg/kg, repeat .02