Week 13 - Pedi Doses

Question 1

What are the indications for epinephrine?

Answer 1

Sympathomimetic

Alpha-1, beta-1, beta-2 stimulation in a dose related manner.

1st line V-Fib/Pulseless VTach
1st line PEA
1st line Asystole

Question 2

What is the pediatric dose for epinephrine 1:10000?

Answer 2

.01 mg/kg IV

.1 mg/kg ET 1:1000

Question 3

What are the contraindications of epinephrine?

Answer 3

Hypovolemic shock
Hypertension
Coronary insufficiency

Question 4

What are the side effects of epinephrine?

Answer 4

Hypertension
Tachycardia
Dysrhythmias

Question 5

What are the indications of naloxone?

Answer 5

Opiate antagonist
Coma of unknown origin
Opiate overdose

Question 6

What is the pediatric dose of naloxone?

Answer 6

0.1 mg/kg IV

Question 7

What are the contraindications of naloxone?

Answer 7

None

Question 8

What are the side effects of naloxone?

Answer 8

Nausea

Projectile Vomiting

Question 9

What are the indications of atropine?

Answer 9

Parasympatholytic
Enhances sinus automaticity and A/V conduction
2nd line for bradycardia
Organophosphate poisoning

Question 10

What is the pediatric dose of atropine?

Answer 10

.02 mg/kg IV/IO
Minimum dose:0.1 mg
Max dose: .04 mg/kg

Question 11

What are the contraindications of atropine?

Answer 11

Tachycardia

Narrow angle glaucoma

Question 12

What are the side effects/special notes of atropine?

Answer 12

Tachycardia
Dysrhythmias
Can cause reflex bradycardia if pushed too slow or in insufficient quantities.

Question 13

What are the indications of adenosine?

Answer 13

Antidysrhythmic
Interrupts reentry pathways, slows AV node conduction
1st line for SVT

Question 14

What is the pediatric dose for adenosine?

Answer 14

0.1 mg/kg IV
Repeat at
0.2 mg/kg IV

Question 15

What are the contraindications of adenosine?

Answer 15

SSS

Heart Blocks

Question 16

What are the side effects and special notes for adenosine?

Answer 16

Chest pain
Shortness of breath
Nausea
Transient period of asystole < 10 seconds