Pharmacology

Question 1

Adenosine

Answer 1

SVT

1st: 0.1mg/kg IV/IO rapid push (max 6mg)
2nd: 0.2mg/kg IV/IO rapid push (max 12mg)

Question 2

Albuterol

Answer 2

Asthma, anaphylaxis (bronchospasm), hyperkalemia MDI: 4-8 puffs via inh q20min PRN w/ spacer
NEB: 2.5mg/dose (wt <20kg) or 5mg/dose (>20kg) via inh q20min PRN
CONT NEB: 0.5mg/kg/hr via inh (max 20mg/h)

Question 3

Amiodarone

Answer 3

SVT/VT (with pulse)

5mg/kg IV/IO load over 20-60min (max 300mg), repeat to daily max of 15mg/kg (2.2g in adolescents)

Question 4

Amiodarone

Answer 4

Pulseless Arrest (i.e. VF/pulseless VT)
5mg/kg IV/IO Bolus (max 300mg) repeat to daily max  15mg/kg (2.2g in adolescents)

Question 5

Atropine Sulfate

Answer 5

Bradycardia (Symptomatic)

• 0.2mg/kg IV/IO (max single dose 0.5mg) may repeat dose once in 3-5min, max total dose C-1mg A-3mg
• 0.04-0.06mg ET

Question 6

Atropine Sulfate

Answer 6

Toxins/ Overdose (organophosphate, carbamates)

• <12y: 0.05mg/kg IV/IO initially; then repeated and doubling the dose every 5 min until muscarinic symptoms reverse
• > 12y: 1mg IV/IO initially; then repeated and doubling the dose every 5 min until muscarinic symptoms reverse

Question 7

Calcium Chloride 10%

Answer 7

Hypocalcemia, hyperkalemia, hypermagnesemia, calcium channel blocker OD
-20mg/kg (O.2ml/kg) IV/IO SLOW push during arrest, repeat PRN

Question 8

Calcium Gluconate

Answer 8

Hypocalcemia, hyperkalemia, hypermagnesemia, calcium channel blocker OD
-60mg/kg (O.6ml/kg) IV/IO SLOW push during arrest, repeat PRN

Question 9

Dexamethasone

Answer 9

Croup

-0.6mg/kg per min IV/IO infusion; titrate to desired efffect

Question 10

Dextrose

Answer 10

Hypoglycemia

-0.5 to 1g/kg IV/IO (D25W 2-4ml/kg; D10W5-10ml/kg)

Question 11

Dobutamine

Answer 11

Heart Failure, cardiogenic shock

-2-20mcg/kg/min IV/IO infusion; titrate to desired effect

Question 12

Dopamine

Answer 12

Cardiogenic Shock, distributive shock

-2-20mcg/kg/min IV/IO infusion; titrate to desired effect