Pediatric cardiac arrest Flashcards
What volume should fluid boluses be In pediatric cardiac arrest? How many of these boluses can be given?
10-20 mL per kg
3 total boluses
How many joules per kilogram are used for defibrillation in pediatric cardiac arrest?
What is the maximum number of joules per kilogram?
2 to 4 J per kilogram for the first shock, all subsequent shocks should be 4 J per kilogram
Maximum number of joules per kilogram is 10 J per kilogram or whatever the manufacturer recommends.
What are the Epinephrine doses for pediatric cardiac arrest for all routes?
IV/I/O – .01 mg per kilogram of 1–10,000 concentration every 3 to 5 minutes
ET tube – .1 mg per kilogram of 1–1000 concentration every 3 to 5 minutes
What is the pediatric dose for amiodarone? What arrhythmias is Amiodarone used to treat in pediatric cardiac arrest?
Dose for amiodarone outside of cardiac arrest? And what does it treat?
5 mg/kilograms
Repeat up to 15 mg/kilograms up to a max dose of 300 mg
Amiodarone treats ventricular fibrillation and pulseless ventricular tachycardia.
In a case of ventricular tachycardia with a pulse, amiodarone can be used.
Dose: 5 mg per kilogram over 20 to 60 minutes. This can be achieved by placing 150 mg of amiodarone in a 10 mL syringe, then removing the necessary amount to have the correct number of milligrams. Add that into a buretrol, Attach a 60 drops that, and calculate the number of drops per second necessary to achieve the required dose.
What is lidocaine used to treat in pediatric cardiac arrest? What are the doses?
Lidocaine can treat VF, VT, and refractory torsades. 
Dose: 1-3 mg/kilogram IV/IO every 3-5 minutes.
2 mg/kg ET diluted in normal saline
What is sodium bicarbonate used for in pediatric cardiac arrest? And what are the doses?
Sodium bicarbonate is used for acidosis, tricyclic antidepressant overdose, known hyperkalemia, and diabetic keto acidosis.
Dose: 1 meq /kg repeat in 10 minutes at .5 meq/kg
Follow diabetic ketoacidosis and tricyclic antidepressant protocols if such are suspected.
 What is the dose for Narcan?
.1 mg/KG to a max of 2 mg. Repeat as needed.
What are the doses for dextrose?
Birth to three months: D10 10ml/kg slow IV push
Greater than three months: D25 4 ml/kg slow IV push
