PALS Medications Exam Questions With Distinction Guarantee
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Course
PALS Medications
Institution
PALS Medications
Adenosine - CORRECT ANSWER-o Blocks AV node conduction and depresses sinus node automaticity
o Short acting, doesn't last long. Must give fast
o Indications: SVT
o Dose: 1st dose: 0.1mg/kg (max 6mg) rapid infusion; 2nd dose: 0.2mg/kg (max 12mg)
o Will see flat line on EKG
Albumin - CORRECT A...
o Indications: Asthma, anaphylaxis (bronchospasm), hyperkalemia
o Dose: Continuous nebulizer: 0.5mg/kg per hour (max 20mg/hr)
Alprostadil (Prostaglandin E, PGE1) - CORRECT ANSWER-o Vasodilator,
prostaglandin
o Indications: Maintain patentcy of ductus arteriosus for ductal dependent congenital
heart disease such as transposition of the great vessels, tricuspid atresia, tetralogy of
fallot, hypoplastic left hear, critical aortic stenosis, coarctation of aorta, interrupted aortic
arch
o Dose: Initial: 0.05 - 0.1mcg/kg per minute, maintainence: 0.01-0.05 mcg/kg per minute
Amiodarone - CORRECT ANSWER-o Slows conduction through AV node, refractory
period & ventricles (slows sinus rate)
o Faster you push the faster it causes hypotension
o Prolongs QT interval - can lead to Torsades de Pointes
, o Indications: SVT, VT (with pulses), VF/Pulseless VT
o Dose: 5mg/kg (max 300mg)
• SVT, VT (with pulses)
• Give over 20-60mminutes, may give up to 3 doses to maximum daily does of 15mg/kg
(2.2g in adolescents)
• Pulseless Arrest (VF/Pulseless VT)
• Rapid bolus, repeat to maximum daily dose of 15mg/kg (2.2g in adolescents)
Atropine - CORRECT ANSWER-o Anticholinergic
o Cause SA node to go fast, speeds up heart, blocks vagal stimulation
o Indications: Bradycardia cause by vagal stimulation or primary AV block,
toxins/overose, rapid sequence intubation
o Dose: 0.02mg/kg (dose min 0.1mg, max 0.5mg)
o Too little of dose causes paradoxical bradycardia
Calcium - CORRECT ANSWER-o Not recommended in pediatric arrests unless:
• Document hypocalcemia
• OD of calcium channel blocker
• When Mg or K are high
o Dose: 20mg/kg IV/IO (2ml/kg)
• Calcium chloride - More elemental Ca, burns going in - use in central line
• Calcium gluconate - give peripherally
Dexamethasone - CORRECT ANSWER-o Corticosteroid
o Indications: Croup, asthma
o Dose: Croup: 0.6mg/kg once (max dose 16mg), Asthma: 0.6mg/kg daily (max does
16mg)
Dextrose - CORRECT ANSWER-o Infants have high glucose requirement and low store
- easy to become hypoglycemic
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