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28 Cards in this Set

  • Front
  • Back
SVT
1st dose
Adenosine 0.1 mg/kg x 1
max 6mg
2nd dose
adenosine 0.2 mg/kg x 1
max 12 mg
Shock, trauma, burns
Albumin
0.5 -1 g/kg (10-20ml/kg of 5%)
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
Ductal-dependent congenital heart disease (PDA)
Alprostadil (PGE1)
load 0.05-0.1 mcg/kg/min
maintenance 0.01-0.05
SVT
VT (with pulses)
Pulseless Arrest (VF / pulsless VT)
5mg/kg load over 20-60 min
max 15 mg/kg
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
Hypocalcemia
Hyperkalemia
hypermagnesemia
CCB overdose
20 mg/kg (0.2ml/kg) slow iv push, or infuse slowly of 30-60 min
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
Hypoglycemia
0.5-1 g/kg
Anaphylatic Shock
1-2 mg/kg q4-6h max 50mg
Congestive Heart Failure
Cardiogenic Shock
dobutamine
2-20 mcg/kg/min titrate to effect
Cardiogenic Shock
Distributive Shock
dopamine
2-20 mcg/kg/min titrate to effect
Anaphylaxis
Asthma
Bradycardia
Croup
Pulseless arrest
Shock (hypotensive)
Toxin/overdose
Epinephrine
0.01 mg/kg (0.1 ml/kg)q3-5 min
Pulmonary Edema
Fluid overload
Furosemide
1 mg/kg (max 20 mg)
Adrenal insufficiency
septic shock
2 mg/kg max 100 mg
Myocardial Dysfunction
Increased SVR/PVR
Inamrinone
0.75-1 mg/kg over 5 min
Asthma
Ipratropium Bromide
deb 250-500mcg q 20 min x 3 doses
VF/pulseless VT
Wide complex tach (with pulse)
Rapid sequence intubation
Lidocaine
1 mg/kg load
20-50 mcg/kg/min infusion
Asthma (refractory)
Torsades de pointes
Hypomagnesemia
Magnesium sulfate
25-50mg/kg
Max 2 grams
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
Narcotic Reversal (opiate)
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
CHF
Cardiogenic shock
Nitroglycerin
0.25-0.5 mcg/kg/min
Hypotensive shock
0.1-2 mcg/kg/min
Hypoxia
RD, RF
shock
trauma, Cardiac arrest. cardiopulmonary failure
RSI
Oxygen
SVT
Atrial Flutter
VT with pulse
Procainamide
15mg/kg over 30-60 min
Metabolic Acidosis (severe)
Hyperkalemia
TCA overdose
Sodium Bicarbonate
1 meQ/kg
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