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14 Cards in this Set
- Front
- Back
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What are the blood pressures below which a child should be thought to be hypotensive?
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Neonate- <60
Infant to 1 year- <70 Child between 1 year and 10 years- <70 + (age X2) Child >10 years- <90 |
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Specific treatments for anaphylaxis, other than ABCs
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IVFs
Epinephrine 0.01 mg/kg of 1:1000 conc. Max dose 0.3mg/dose. Give q15 minutes Solumedrol H2 blocker (i.e. pepcid) |
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Magnesium dosing for asthma or pulseless VT
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25-50 mg/kg
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Terbutaline dosing for asthma
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0.1 to 10 mcg/kg per minute IV infusion. 10mcg/kg IV load over 5 minutes
May also load with subq terbutaline 10mcg/kg every 10 to 15 minutes until infustion is started (0.4mg max per dose) |
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How do you determine the ETT size for a child
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Uncuffed endotracheal tube size (mm ID) =(age in years/4) + 4
Cuffed endotracheal tube size (mm ID) = (age in years/4) + 3 |
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DOC for symptomatic bradycardia
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Epinephrine 0.01 mg/kg 1:10000 repeat every 3-5 minutes
May also consider epi infusion 0.1 to 0.3 mcg/kg/min |
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When is atropine preferred to epi for bradycardia
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-toxic ingestions (ie organophosphates)
-Complete AV block |
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Atropine dosing
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0.02 mg/kg (minimum 0.1 mg, maximum 0.3 mg)
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Synchronized cardioversion dosing
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0.5-1 J/kg. If not effective, shock with 2J/kg
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Adenosine dosing
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0.1 mg/kg (max 6mg). May give second dose of 0.2mg/kg (max 12mg)
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Amiodarone dosing
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5mg/kg
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What are the H's and T's?
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H-Hypoxia
H-Hypovolemia H-Hypoglycemia H- Hydrogen ion (acidosis) H-Hypothermia T-Thrombosis (cardiac, PE) T-Tension ptx T-Tamponade Toxins Trauma |
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Pediatric bradycardia algorithm
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Defibrillation dosing
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Initial is 2J/kg then 4 J/kg
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