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28 Cards in this Set
- Front
- Back
SVT
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1st dose
Adenosine 0.1 mg/kg x 1 max 6mg 2nd dose adenosine 0.2 mg/kg x 1 max 12 mg |
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Shock, trauma, burns
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Albumin
0.5 -1 g/kg (10-20ml/kg of 5%) |
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Asthma, anaphylaxis (bronchospasms),
hyperkalemia |
albuterol
MDI 4-8 puffs q 20 min prn neb wt<20kg 2.5 mg/dose q20min wt> 20kg 5mg/dose q 20 min severe cont neb. 0.5mg/kg/hr max 20mg/hr MDI 4-8 puffs q 20 |
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Ductal-dependent congenital heart disease (PDA)
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Alprostadil (PGE1)
load 0.05-0.1 mcg/kg/min maintenance 0.01-0.05 |
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SVT
VT (with pulses) Pulseless Arrest (VF / pulsless VT) |
5mg/kg load over 20-60 min
max 15 mg/kg |
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Symptomatic Bradycardia
Toxins/overdose Rapid sequence intubation |
Bradycardia
0.02 mg/kg max dose 0.5 mg child. 1 mg adolescent may repeat x 1 only |
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Hypocalcemia
Hyperkalemia hypermagnesemia CCB overdose |
20 mg/kg (0.2ml/kg) slow iv push, or infuse slowly of 30-60 min
|
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Croup (mild to severe)
Asthma (mild to moderate) Vasogenic cerebral edema |
Croup (0.6mg/kg x once) max 16mg
Asthma (0.6mg/kg q 24h) VCE (1-2mg/kg load then 1-1.5 mg/kg divided 4-6 hr |
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Hypoglycemia
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0.5-1 g/kg
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Anaphylatic Shock
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1-2 mg/kg q4-6h max 50mg
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Congestive Heart Failure
Cardiogenic Shock |
dobutamine
2-20 mcg/kg/min titrate to effect |
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Cardiogenic Shock
Distributive Shock |
dopamine
2-20 mcg/kg/min titrate to effect |
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Anaphylaxis
Asthma Bradycardia Croup Pulseless arrest Shock (hypotensive) Toxin/overdose |
Epinephrine
0.01 mg/kg (0.1 ml/kg)q3-5 min |
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Pulmonary Edema
Fluid overload |
Furosemide
1 mg/kg (max 20 mg) |
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Adrenal insufficiency
septic shock |
2 mg/kg max 100 mg
|
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Myocardial Dysfunction
Increased SVR/PVR |
Inamrinone
0.75-1 mg/kg over 5 min |
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Asthma
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Ipratropium Bromide
deb 250-500mcg q 20 min x 3 doses |
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VF/pulseless VT
Wide complex tach (with pulse) Rapid sequence intubation |
Lidocaine
1 mg/kg load 20-50 mcg/kg/min infusion |
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Asthma (refractory)
Torsades de pointes Hypomagnesemia |
Magnesium sulfate
25-50mg/kg Max 2 grams |
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Asthma
Anaphylactic shock |
methylprednisolone
2 mg/kg max 80 mg load 0.5 mg/kg iv q 6h or 1 mg/kg q12h max 120 mg /day |
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Narcotic Reversal (opiate)
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Naloxone
Total reversal 0.1 mg/kg q 2 min prn max 2 mg titrated reversal 1-5mcg/kg 0.002-0.16mg/kg/hr gtt |
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CHF
Cardiogenic shock |
Nitroglycerin
0.25-0.5 mcg/kg/min |
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Hypotensive shock
|
0.1-2 mcg/kg/min
|
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Hypoxia
RD, RF shock trauma, Cardiac arrest. cardiopulmonary failure RSI |
Oxygen
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SVT
Atrial Flutter VT with pulse |
Procainamide
15mg/kg over 30-60 min |
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Metabolic Acidosis (severe)
Hyperkalemia TCA overdose |
Sodium Bicarbonate
1 meQ/kg |
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Cardiogenic Shock
severe hypertension |
Sodium Nitroprusside
< 40kg 1-8 mcg/kg/min > 40 kg 0.1-5 mcg/kg/min |
|
Asthma
hyperkalemia |
Terbutaline
0.1-10 mcg/kg/min 10 mcg/kg SQ q10-15 min max 400 mcg |