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PALS Questions And Answers With Verified Solutions Already Passed!!!
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PALS Questions And Answers WithVerified Solutions Already Passed!!!
adenosine pediatric dosing - ANSWER✔✔ • 0.1 mg/kg (6 mg maximum dose) by
rapid IV/IO push followed by 5-mL NS flush
• If not effective after 1-2 min, 0.2 mg/ kg (12-mg maximum dose) by rapid IV/IO
push followed by 5-mL NS flush
• Has an extremely short half-life; administer over 1-2 s, at a site as close to the
heart as possible
albuterol pediatric dosing - ANSWER✔✔ • Initial dose: 0.15 mg/kg (maximum,
2.5 mg). This dose may be repeated up to 2 times every 20 minutes, if needed for
ongoing respiratory distress
• Thereafter, albuterol is administered at a dose of 0.15 to 0.3 mg/kg (maximum,
10 mg) every 1 to 4 hours
• Alternatively, in patients requiring frequent treatments, albuterol may be
administered continuously at a dose of 0.5 mg/kg/h
Amiodarone pediatric dosing - ANSWER✔✔ • 5 mg/kg over 20 to 60 minutes
IV/IO
• If not effective, 2 additional repeat doses allowed for a maximum cumulative
dose of 15 mg/kg
, atropine pediatric dosing - ANSWER✔✔ For unstable sinus bradycardia or
symptomatic AV block:
• 0.02 mg/kg via IV/IO • 0.04 to 0.06 mg/kg via ETT
• Minimum total IV/IO dose is 0.1 mg (except when used as premedication for
emergency intubation, in which case there is no minimum dose)
• May repeat dose once after 5 minutes
• Maximum total dose is 0.5 mg in children and 1 mg in adolescents
epinephrine pediatric dosing - ANSWER✔✔ For VF/pVT/PEA/asystole and
unstable bradycardia:
• 0.01 mg/kg (ie, 0.1 mL/kg of the 1:10,000 concentration) IV/IO, repeated every 3
to 5 minutes with no noted maximum dose
• 0.1 mg/kg (or 0.1 mL/kg of the 1:1000 concentration), diluted in 5 to 10 mL of
sterile water or NS directly into the ETT at the same times or sequence position as
indicated for the IV/IO route
For fluid-refractory, cold shock and post-cardiac arrest hypotensive shock:
• 0.1 mcg/kg/min to 1 mcg/kg/min IV/IO infusion, titrating to the desired effect
For anaphylaxis-related airway edema/ angioedema:
• 0.01 mg/kg (maximum 0.5 mg) (of the 1:1,000 concentration) IM every 5 to 15
minutes as needed to control symptoms.
For acute severe asthma exacerbation:
• Epinephrine 0.01 mg/kg [diluted 1:1000; maximum dose, 0.3-0.5 mg]
subcutaneously every 20 minutes for three doses, then every 2-6 hours as needed.
Note: 1:1000 concentration = 1.0 mg/mL; 1:10,000 concentration = 0.1 mg/mL
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