PALS Quiz 16Questions with Complete Solutions, A+

Shock Energy for Defibrillation - ️️First shock 2J/kg, second shock 4 J/kg, subsequent shocks /=4 J/kg, maximum 10 J/kg or adult dose Epinephrine dosage for pulseless arrest and bradycardia - ️️0.01 mg/kg IV/IO (0.1 ml/kg of 1:10,000 concentration). Repeat every 3-5 mins. If no IV/IO access, may give ET dosage: 0.1 mg/kg (0.1 mL/kg of 1:1000 concentration). Amiodarone adminstration for SVT and VT with pulses - ️️5 mg/kg IV/IO load over 20-60 mins (max 300 mg), repeat to daily max of 15 mg/kg (2.2 g in adolescents) Amiodarone administration for pulseless arrest - ️️5 mg/kg IV/IO BOLUS (max 300 mg), repeat to daily max of 15 mg/kg (2.2 g in adolescents) Atropine administration for Symptomatic bradycardia - ️️0.02 mg/kg IV/IO (min dose of 0.1 mg, max single dose child 0.5 mg, max single dose adolescent 1 mg), may repeat dose once, max total dose child 1 mg, max total dose adolescent 3 mg. 0.04 to 0.06 mg/kg ET Reversible causes "H's and T's" - ️️Hypovolemia Hypoxia Hydrogen Ion (acidosis) Hypoglycemia Hypo-/Hyperkalemia Hypothermia Tension Pneumothorax Tamponade, Cardiac Toxins Thrombosis, pulmonary Thrombosis, coronary Synchronized cardioversion Joules - ️️Begin with 0.5-1 J/kg; if not effective, increase to 2 J/kg. Sedate if needed, but don't delay cardioversion.