Pediatric Medications

Question 1

Pediatric Sedation RSI

Answer 1

Fentanyl 1mcg/kg
Fentanyl 1-3mcg/kg/hr

Etomidate 0.3mg/kg

Ketamine 1-2mg/kg

Midazolam (Versed) 0.1mg/kg
Midazolam (Versed) 0.1mg/kg/hr maintenance

Propofol 3mg/kg Induction
Propofol 125mcg/kg/min maintenance

Question 2

Pediatric Paralytic RSI

Answer 2

Rocuronium 1.2mg/kg

Succinylcholine 1.5mg/kg

Question 3

Pediatric Glucose

Answer 3

5ml/kg D10 (<2 months) neonate

2ml/kg D25 (2 mo < >8 yo)

1ml/kg D50 (>8 yo)

Question 4

Pediatric Hyponatremia

Answer 4

3ml/kg 3% hypertonic saline

Question 5

Neonatal Sepsis

Answer 5

Cefotaxime 50mg/kg
ampicillin 50mg/kg
gentamicin 2.5mg/kg
acyclovir 25mg/kg

Question 6

Pediatric Seizure

Answer 6

0.1mg/kg IV Lorazapam (Ativan)

0.2mg/kg IM Midazolam (Versed)

Leviteracetam (Keppra) 20-60mg/kg

Propofol 1-2mg/kg bolus 1.2mg/kg/hr

Question 7

Pediatric Defibrillation

Answer 7

2j/kg

4j/kg

Question 8

Pediatric Synchronous Cardioversion

Answer 8

1J/kg

Question 9

Pediatric Code Dose Epi

Answer 9

0.01mg/kg (1:10,000)

Question 10

Pediatric Adenosine (tachy)

Answer 10

Adenosine 0.1mg/kg
0.2mg/kg 2nd dose
(immediate flush)

Question 11

Pediatric Amiodarone (PALS)

Answer 11

Amiodarone 5mg/kg

Question 12

Pediatric Atropine (brady)

Answer 12

Atropine 0.02mg/kg

Question 13

Pediatric epinephrine (brady)

Answer 13

Epinephrine 0.01mg/kg (code dose 1:10,000)

Question 14

Pediatric anaphylaxis

Answer 14

0.01 mg/kg (1:1,000 solution) SC/IM x 1
repeat x3

Question 15

Pediatric Procedural Sedation

Answer 15

Ketamine
1-2 mg/kg IV
4-5 mg/kg IM
3-6 mg/kg IN

Propofol 1mg/kg repeat bolus q3-5min

Ketofol 0.5mg/kg 1:1 ratio (x2)

Versed IN 0.2-0.8 mg/kg

Question 16

Pediatric Hypocalcemia

Answer 16

50–100 mg/kg calcium gluconate
20 mg/kg calcium chloride IV

Question 17

Blood products
TXA dose

Answer 17

4ml x kg x hgb rise req
OR
Prbc 10ml/kg

FFP 10-20 ml/kg

Plt 10ml/kg

TXA 100mg/kg

Question 18

Lidocaine (pals cardiac arrest)

Answer 18

1mg/kg