Pediatric Cardiac Sops

Front 1

Steps for bradydysrythmias

Back 1

1) assess for other cause
2) ABCDE (if p <60 CPR)
3) hpyovolemia = .9 20ml/kg
4) EPI 1:1000 0.1mg ET OR
EPI 1:10,000 .01 mg/kg IV/IO (repeat q 3 as rythm hypoperfusion persist)
5) Atropine .02mg/kg rapid IV/IO or .03 mg/kg ET
6) Pacing = Contact Med control

Front 2

What do we do after pushing IV/IO/ET drugs?

Back 2

Flush w/ 5ml NS

Front 3

What drug do we give a Pediatric who is unstable and in SVT (Rate > 220)?

Back 3

1) Adenocard 0.1mg/kg rapid IV (use proximal IV/max initial dose is 6mg)
2) If no response in 2 mi, Adenocard .2mg/kg rapid IV (not to exceed 12mg)

Front 4

If pediatric in SVT and severly hypoperfused and Adenocard not working, what can we do?

Back 4

Cardioverion .5J/kg while ENROUTE. Can repeat 2j/kg

Front 5

What do we shock a Pediatric at if in v-fib/vtach?

Back 5

2 J/kg (mono or biphasic)then follow with CPR immediately following shock.

Front 6

After first shock and 2 minutes of CPR, then what?

Back 6

Shock at 4 j/kg then check then intubate and resume CPR

Front 7

What are the drug dosages and orders?

Back 7

EPI 1:10,000 .01mg/kg
Lidocaine 1mg/kg IV
repeat

Front 8

Between each drug, what do we do?

Back 8

CPR and shock at 4J/kg

Front 9

What is the Defib sequence?

Back 9

CPR-Rythm Check-CPR (defib charging or medication administration) - SHOCK

Front 10

What is the EPI dosages for Pediatric Aystolic Arrest/PEA?

Back 10

1:10,000 0.01 mg/kg IV/IO OR 1:1000 0.1 mg/kg (0.1ml/kg) ET
REPEAT q 3 minutes if asystole remains

Front 11

What is the Atropine dosages of Pediatric Aysstolic arrest/PEA?

Back 11

0.02 mg/kg rapid IV/IO or 0.03 mg/kg ER

Front 12

What is the minimum dose of Atropine for pediatric asystole?

Back 12

0.1mg

Front 13

What is the Maximum SINGLE IV/IO dose of Atropine in under 8 years old for pediatric asystole?

Back 13

0.5mg

1mg if greater than 8

Front 14

What is TOTAL IV/IO dose of Atropine for pediatric asystole?

Back 14

1mg if under 8
3mg if older than 8