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Questions and Answers
During a pediatric resuscitation, a patient requires a repeat dose of intravenous epinephrine. If the initial dose was 0.01 mg/kg of a 1:10,000 solution, what is the most appropriate next step?
During a pediatric resuscitation, a patient requires a repeat dose of intravenous epinephrine. If the initial dose was 0.01 mg/kg of a 1:10,000 solution, what is the most appropriate next step?
- Administer 0.1 mg/kg of a 1:1000 epinephrine solution via endotracheal tube.
- Administer 0.02 mg/kg of a 1:10,000 epinephrine solution intravenously.
- Administer 0.01 mg/kg of a 1:10,000 epinephrine solution intravenously. (correct)
- Administer 0.02 mg/kg of a 1:1000 epinephrine solution via endotracheal tube.
A child in cardiac arrest weighs 25 kg. What is the maximum single dose of atropine that can be safely administered intravenously?
A child in cardiac arrest weighs 25 kg. What is the maximum single dose of atropine that can be safely administered intravenously?
- 0.5 mg (correct)
- 0.25 mg
- 1.25 mg
- 0.75 mg
A 10 kg infant requires fluid resuscitation. What is the maximum amount of normal saline (NS) that can be administered as a bolus, according to the guidelines?
A 10 kg infant requires fluid resuscitation. What is the maximum amount of normal saline (NS) that can be administered as a bolus, according to the guidelines?
- 600 ml (correct)
- 400 ml
- 800 ml
- 200 ml
During resuscitation, an unresponsive child receives the initial dose of atropine intravenously but shows no improvement. When can a second dose of atropine be administered?
During resuscitation, an unresponsive child receives the initial dose of atropine intravenously but shows no improvement. When can a second dose of atropine be administered?
A 15 kg child is in severe bradycardia. An IV line is not immediately available. Which route of epinephrine administration is most appropriate and at what dosage?
A 15 kg child is in severe bradycardia. An IV line is not immediately available. Which route of epinephrine administration is most appropriate and at what dosage?
Flashcards
What is a fluid bolus?
What is a fluid bolus?
Normal Saline (NS) or Lactated Ringer's (LR) solution given rapidly to increase fluid volume.
Fluid bolus dosage
Fluid bolus dosage
20 ml/kg; repeat up to 60 ml/kg
What is Epinephrine?
What is Epinephrine?
A medication used to treat severe allergic reactions (anaphylaxis), asthma attacks, and cardiac arrest. It works by constricting blood vessels and opening airways in the lungs.
Epinephrine dosage
Epinephrine dosage
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What is Atropine?
What is Atropine?
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Study Notes
- Administer NS or LR bolus at 20 ml/kg initially.
- Bolus may be repeated up to 60 ml/kg.
Epinephrine Administration
- Administer epinephrine 1:10,000 at 0.01 mg/kg IV/IO.
- Administer epinephrine 1:1000 at 0.1 mg/kg via ETT.
- Maximum dose is 1 mg.
- May repeat every 3-5 minutes.
Atropine Administration
- Administer atropine at 0.02 mg/kg IV/IO.
- Minimum dose is 0.1 mg, and maximum is 0.5 mg.
- May repeat every 5 minutes once.
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Description
Guidance on pediatric cardiopulmonary resuscitation including the administration of NS/LR bolus, epinephrine and atropine. Details of dosage, concentration and route of administration are discussed. Repetition and maximum doses are also covered.
