Pediatric Crisis Flashcards
What is the first thing that should be done if anaphylaxis in the pediatric patient is suspected?
Provide 100% O2 and ensure the patient ventilation and oxygenation
Once the airway has been established, what is the second priority in treating anaphylaxis in the pediatric patient?
Obtain IV access
How much of a bolus dose of IVF should be given to a pediatric patient with suspected anaphylaxis?
10-30mL/kg to restore intravascular volume
What dose of epinephrine should be given to the pediatric patient with a suspected anaphylactic reaction?
1-10mcg/kg to restore BP and decrease mediator release
What is an appropriate epinephrine infusion rate for a pediatric patient with a suspected anaphylactic reaction?
0.02-0.2mcg/kg/min
If a bronchospasm occurs during an anaphylactic reaction what medication can be given?
Albuterol 4-10puffs
What steroid and dose can be given to decrease mediator response to the pediatric patient with an anaphylactic reaction?
Methylprednisolone 2mg/kg Max 100mg
What is the dose of benadryl that can be given for an anaphylactic reaction in the pediatric patient?
1mg/kg max 50mg
What H2 antagonists can be given for anaphylaxis and what is the dose for the pediatric patient?
Famotidine 0.25mg/kg
Ranitidine 1mg/kg
What is considered unstable bradycardia in a child less than one month old?
HR less than 100 with hypotension
What is considered unstable bradycardia in a child that is less than one year old but older than one month?
HR less than 80 with hypotension
What is considered unstable bradycardia in a child that is older than one year old?
HR less than 60 with hypotension
What is the most common cause of bradycardia in pediatric patients?
Hypoxia, give patient 100% O2
What dose of atropine should be given to the pediatric patient if vagal stimulation is thought to be the cause of bradycardia?
0.01-0.02mg/kg
What dose of epinephrine should be given to a pediatric patient experiencing unstable bradycardia?
2-10mcg/kg IV
