Commonly Used Medications in PALS. Medication recommendations change quickly. It is highly recommended that a pharmacist be included on the resuscitation team to manage all drugs and dosages for pediatric patients.

• Epinephrine IV/IO dose: 0.01 mg/kg (0.1 mL/kg of the 0.1 mg/mL concentration). Max dose 1 mg. Repeat every 3-5 minutes. If no IV/IO access, may give endotracheal dose: 0.1 mg/kg (0.1 mL/kg of the 1 mg/mL concentration). • Amiodarone IV/IO dose: 5 mg/kg bolus during cardiac arrest. May repeat up to 3 total doses for refractory

Atropine: 0.02 mg/kg by IV or IO with a minimum single dose of 0.1mg and a maximum single dose of 0.5mg in a child (used for AV block and to increase vagal tone). Electrical therapy: Consider transcutaneous pacing

Repeat standard dose q 3-5 min with IV/IO. May administer high dose via ET tube until IV/IO established. Then begin with first IV dose. ET: 0.1 mg/kg (1:10,000) or 0.1 mL/kg (1:1,000)

Evaluate rhythm with 12-lead ECG or monitor. Cardiopulmonary compromise? Begin with 0.5-1 J/kg; if not effective, increase to 2 J/kg. Sedate if needed, but don’t delay cardioversion. QRS duration. Expert consultation is advised before additional drug therapies. Consider vagal maneuvers. adenosine.

EACH OF THE Pediatric Advanced Cardiac Life Support (PALS) algorithms utilizes commonly used drugs within the field of pediatrics. These primary drugs are a big part of understanding PALS, and the ability to recall PALS drug doses, actions, …

Table 9 also only describes pediatric routes of administration, indications, and doses for the most widely used PALS drugs. Although cited for reference, regular administration of drugs via an ET tube is discouraged; delivery through IO is preferred, as absorption from the ET tube route cannot always be predicted.

For treating pulseless VT, a bolus dose of 25–50 mg/kg IV/IO up to a maximum dose of 2 g may be given; the treatment should be over 10–20 minutes for VT with pulses; and for treating asthma, it should be carried out with a slow infusion over 15–30 minutes.

Here is a quick reference sheet that shows you everything you need to know about the medications that will appear on your PALS exam. Heart failure, cardiogenic shock Initiate at 0.25 to 0.5 mcg/kg per minute IV/IO infusion; titrate by 1 …

Doses should be administered and followed with a rapid flush as fast as possible. Adults ACLS: 1 st dose: Give 6mg IV/IO over 1-3 seconds, immediately followed by 20ml of NS by rapid IV/IO. 2 nd dose: If the patient still has an SVT rhythm 1-2 minutes later give 12mg IV/IO over 1-3 seconds, immediately followed by 20ml of NS by rapid IVP/IO.