Week One Medications (Pediatric dosages)

Question 1

albuterol
(pediatric - mild to moderate asthma, anaphylaxis, and hyperkalemia)

Answer 1

Mild to moderate asthma, anaphylaxis, and hyperkalemia:
Via nebulizer:
weight < 20 kg: 2.5 mg/dose.
weight > 20 kg: 5 mg/dose
Repeat every 20 minutes

Question 2

albuterol
(pediatric - Respiratory distress with signs of bronchospasm)

Answer 2

Respiratory distress with signs of bronchospasm:
5 mg via nebulizer.
Repeat for continued respiratory distress
No maximum dose.

Question 3

epinephrine
(pediatric - anaphylaxis)

Answer 3

Anaphylaxis:
Weight less than 25 kg:
0.15 mg 1:1000 IM
Weight 25 kg or greater:
0.3 mg 1:1000 IM
Repeat dose every 5 - 15 minutes PRN.

Question 4

epinephrine
(pediatric – respiratory distress with wheezing, stridor (from anaphylaxis)

Answer 4

Respiratory distress with wheezing, stridor (from anaphylaxis):
5 mg (5 mL) of 1:1000 nebulized

Question 5

epinephrine
(pediatric – Cardiovascular collapse (from anaphylaxis)

Answer 5

Cardiovascular collapse from anaphylaxis:
0.5 mcg/kg/min of 1:1000 IV infusion,
despite repeated IM anaphylaxis doses
of (0.3 mg IM), AND 60 mL/kg isotonic
fluid boluses.

Question 6

naloxone
(pediatric)

Answer 6

Initial dose of 0.1 mg/kg IV/IO/IM/IN/ETT.
Max dose: 2 mg IV/IM/ETT or 4 mg IN

Question 7

glucose, oral
(pediatric)

Answer 7

0.5 - 1 g/kg PO.
Maximum dose: 25 g