Pediatric - Unstable Wide QRS

Question 1

For the pediatric unstable wide complex pediatric patient, what may be given for sedation prior to synchronized cardioversion?

Answer 1

Versed (0.1 mg/kg IV/IO/IN)

OR

Ketamine (1 mg/kg IV/IO)

Question 2

For the pediatric unstable wide complex pediatric patient, what are the doses for synchronized cardioversion?

Answer 2

1 J/kg initially, then 2 J/kg

Question 3

For the pediatric unstable wide complex pediatric patient, what is considered if synchronized cardioversion is unsuccessful?

Answer 3

Contact Med Control for amiodarone (5 mg/kg over 20 min)