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39 Cards in this Set
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Adenosine
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Dose: 0.1 mg/kg IV/IO (1st dose)
0.2 mg/kg IV/IO (2nd) Max: 6mg/12mg respect. |
Indications:
- SVT (typically >220 in infants and >180 in children ECG with abnormally inverted p waves in II/III/aVF or absent altogether) |
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alprostadil (PGE1)
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Dose (bolus)
- .05 - .1 mcg/kg/min IV/IO Maint - .01 - .05mcg/kg/min can give through umbilical artery cath. |
indications
- Cyanotic lesions (transposition tricuspid atresia, tetrology) - Left heart or asc. aortic obstruction (hypoplastic left heart syndrome, critical aortic stenosis, coarctation, interrupted aortic arch) |
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Amiodarone
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SVT/VT (with pulses)
5mg/kg IV/IO load over 20 - 60min (max 300mg), repeat to max dose 15 mg/kg (2.2g in adolescents) Pulseless VT/VF 5mg/kg IV/IO bolus (max 300mg) can repeat to 15mg/kg (2.2 in adolescents) |
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Atropine (for bradycardia)
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Bradycardia
.02mg/kg IV/IO min dose is 0.1mg max single dose is 0.5mg for child and 1mg for adolescent may repeat x 1. (ETT dose is .04-.06mg/kg) |
indications: symptomatic brady, organophsophate OD, RSI in less than 1 year or 1-5 recieving Sux
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atropine for OD
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less than 12 years
- .02-.05 mg/kg IV/IO then repeat q20 to q30 min until reversal older than 12 - .05 mg/kg IV/IO initially then 1-2 mg IV/IO q20 to 30 min |
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atropine for RSI
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Dose
- .01 -.02 mg/kg IV/IO (min .1mg max is 1mg) - IM dose is .02 mg/kg |
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Calcium Chloride
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Dose (100mg/ml solution)
- 20mg/kg IV/IO slow push for cardiac arrest and over 30-60min for other indications preferred to use with central line |
indications: hypocalcemia, hyperkalemia, consider for hypermagnesia and for CCB OD
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Dexamethasone
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Croup/asthma
- 0.6 mg/kg IV/IM/PO (max 16mg) Vasogenic edema - 1-2 mg/kg IV/IO load |
indications
- croup - asthma - vasogenic cerebral edema |
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Dextrose
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Overall .05 - 1g/kg IV/IO
D10W - 1-2ml/kg D5W 10-20ml/kg D25W 2-4 ml/kg D50W 1-2 ml/kg Newborn D12.5W (0.125g/ml) |
Indications - Hypoglycemia
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Diphenyhydramine
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1-2 mg/kg IV/IO/IM (max 50mg)
can do q4-6 hours |
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Dobutamine
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2-20 mcg/kg/min IV/IO infusion
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indications:
- CHF, Cardiogenic shock |
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Dopamine
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2-20 mcg/kg/min IV/IO
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EPi for anaphylaxis
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IM - .01 mg/kg (.01ml/kg) 1:1000 Q15 min, max of 0.5mg
IV/IO - 0.01 mg/kg (0.1 ml/kg) 1:10,000 q 3 - 5 mins (max is 1 mg), cont. infusion at 0.1 to 1 mcg/kg/min |
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epi for asthma
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SQ .01 mg/kg (.01ml/kg) 1:1000 q 15 min (max dose 0.5;0.5ml)
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epi for bradycardia (symptomatic)
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.01mg/kg (.01ml/kg) 1:10,000 IV/IO q 3-5 min (max 1mg; 1ml)
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epi for croup (nebulizer)
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0.25ml of 2.25% mixed in 3ml NS (infants and young children) up to 0.5ml mixed in 3 ml NS for older children or one can do...
3ml of 1:1000 by inhaled neb (can mix with 3ml of NS) |
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epi for pulseless arrest
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IV/IO
- .01mg/kg (.1ml/kg) 1:10,000 q 3-5 (max dose 1mg( ET - .01mg/kg (.01ml/kg) 1:1000 q3-5 |
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epi for shock
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IV/IO infusion
- 0.1 to 1mcg/kg/min |
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epi for toxins or OD (Beta/CCB)
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IV/IO - .01 mg/kg (0.1ml/kg) of 1:10,000 (max 1mg) if no response consider higher doses up to 0.1mg/kg (o.1ml/kg) 1:1000
infuse at same dose as would for hypotension/shock |
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lasix
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1mg/kg IV/IM (max 20mg for patient not on loops chronically)
cant give IO |
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Hydrocortisone
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2mg/kg IV/IO bolus (max 100)
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indications: adrenal insufficency
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Inamrinone
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load .75 - 1mg/kg (max load is 3mg/kg) over 5 minutes
infuse 5-10 mcg/kg/min IV/IO loading dose may cause significant hypotension |
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Ipratropium bromide
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250 -500 mcg (inhaled q 20 minutes x 3 )
its a .02% solution (500mcg/2.5ml) |
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lidocaine RSI for ICP
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1-2mg/kg IV/IO
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lidocaine for VF/pulseless VT,
wide-complex tach (with pulses) |
1mg/kg IV/IO loading bolus
maint: 20-50 mcg/kg/min ETT: 2-3mg/kg |
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mag sulfate (asthma)
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25-50 mg/kg IV/IO slow infusion (15-30 minutes) max is 2g
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mag sulfate for pulseless VT with torsades
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25-50 mg/kg IV/IO bolus
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mag sulfate for VT with pulses associated with torsades/hypomag
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25-50 mg/kg IV/IO over 10-20 minutes
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contraindicated in renal failure
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methylprednisolone (solumed)
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Asthma/anaphylaxis
- load 2mg/kg IV/IO/IM (max 80mg and must use acetate salt IM) - for maint do 0.5 mg/kg IV q 6 hours or 1 mg/kg q 12 up to 120mg/day |
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milrinone (PDE inhibitor, inodilator)
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load
- 50-75 mcg/kg over 10-60 min can give IV/IO infuse - 0.5 - 0.75 mcg/kg/min |
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Naloxone
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total reversal: 0.1 mg/kg q 2 min
(max is 2mg) Total reversal not required - 1-5 mcg/kg IV/IO/IM/SQ Infusion: - .002 - 0.16 mg/kg / hour IV/IO |
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Nitroglycerin
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0.25 - 0.5 mcg/kg/min IV/IO infusion which one may increase q 3-5 min (max 10 mcg/kg/min)
in adolescents start 10-20 mcg/min and increase by 5-10 mcg q 5 -10 minutes to max of 200 mcg (the adolescent dose is not weight based) |
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levophed/norepi
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IV/IO 0.1 to 2 mcg/kg/min
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indications: hypotension (esp distributive shock)
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procainamide
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Dose:
- 15mg/kg IV/IO load over 30-60 min |
indications: SVT, A flutter, VT
consult when using, do not give with amio |
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TCA overdose Nabicarb
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1-2 mEq/kg IV/IO bolus until pH > 7.45 followed by IV infusion of 150 mEq/L solution
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forms
4% (.48mEq/ml) 4.2% (0.5 mEq/ml) 7.5% (.89 mEq/ml) 8.4% (1mEq/ml) premixed: 5% (0.6 mEq/ml) |
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Sodium bicarb for metabolic acidosis/hyperkalemia
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1 mEq/ml slow bolus
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terbutaline
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IV/IO 0.1 to 10 mcg/kg/min IV/IO
consider 10 mcg/kg load over 5 minutes SQ - 10 mcg/kg SQ q 10 - 15 minutes (max 0.4 mg) |
indications:
asthma, hyperk |
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what are the defibrillator steps and doses for pulseless VT/VF in a child
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initial dose is 2J/Kg (mono or bi)
then afterwards 4J/kg what are the doses for synchronized (i.e. with pulses) |
0.5J to 1J/Kg
if not effective increase to 2J/Kg |
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when does one use peds pads versus adult
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Peds pads
adult paddles for anyone over 1 (or > 10kg) |
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