Podcast
Questions and Answers
Epinephrine is administered at a dose of ___ for cardiac arrest in pediatric patients.
Epinephrine is administered at a dose of ___ for cardiac arrest in pediatric patients.
0.1 mg/kg
What is the maximum dose of Lorazepam for IV administration in pediatric patients?
What is the maximum dose of Lorazepam for IV administration in pediatric patients?
4 mg
What is the recommended dose of Amiodarone during a VT/VF arrest in pediatric patients?
What is the recommended dose of Amiodarone during a VT/VF arrest in pediatric patients?
The dose of Dextrose 50% for pediatric patients is 0.5 g/kg via IV.
The dose of Dextrose 50% for pediatric patients is 0.5 g/kg via IV.
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What dosage of Midazolam is initially administered for IV in pediatric emergency cases?
What dosage of Midazolam is initially administered for IV in pediatric emergency cases?
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Which of the following medications is NOT a standard treatment for pediatric asthma exacerbation?
Which of the following medications is NOT a standard treatment for pediatric asthma exacerbation?
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Study Notes
Pediatric Vital Signs and Equipment Sizes
- Blood pressure (SBP), heart rate (HR), respiratory rate (RR), and weight (kg) vary significantly by age group.
- Equipment sizes include endotracheal tube (ETT), blade size, chest compression cuff, nasogastric (NG) tube, foley catheter, and arterial line gauge.
- For newborns, the SBP can range from 65 mmHg with a HR of 150 bpm, requiring 3.0-3.5 ETT sizes.
Pediatric Emergency Drugs
- Epinephrine (0.1 mg/ml): Administered for cardiac arrest, bradycardia, or PEA; dosage is 0.01 mg/kg (0.1 mL/kg) IV or IO.
- Lorazepam: Dosage is 0.05-0.1 mg/kg (max 4 mg) IV; 0.1 mg/kg PR for seizures.
- Midazolam: Initiate with 0.15 mg/kg IV, followed by a continuous infusion of 50 mcg/kg/h.
- Diazepam: Dosage ranges from 0.05-0.3 mg/kg IV, with a maximum of 10 mg for patients older than 5 years.
- Phenobarbital: 10-20 mg/kg IV over 60 min, with a maximum of 800 mg.
- Phenytoin: Administered at 20 mg/kg IV over 20-60 min (max 1000 mg).
- Fosphenytoin: 20 mg PE/kg over 30 min (max 1000 mg PE); conversion factor included for dosing.
Newborn Resuscitation and Anaphylaxis Management
- Newborn resuscitation requires Epinephrine at a dose of 1 mg/ml (1:1000) IM for anaphylaxis: 0.01 mg/kg, repeated every 15 min as needed.
- Adenosine: For rapid heart rhythms, initial dose at 0.1 mg/kg IV, max of 6 mg; repeat with 0.2 mg/kg up to 12 mg.
Pediatric Bronchodilators for Asthma Exacerbation
- Epinephrine (1 mg/ml) dosage varies with weight: 0.5 mg/kg for < 5 kg and 2.5-5 mg/dose for > 5 kg.
- Hydrocortisone succinate: Administer 4-6 mg/kg IV every 4-6 hours for status asthmaticus.
- Ipratropium dosing: 250-500 mcg via nebulizer every 20 min, up to three times; inhaler doses vary from 4-8 puffs.
- Magnesium sulfate: Administered IV at 25-50 mg/kg over 10-20 min for severe cases.
Key Age-Specific Vital Sign Ranges
- Premature: SBP of 55-62 mmHg, weight < 3.5 kg.
- Newborns: SBP of 65 mmHg, weight 3.0-3.5 kg.
- 6 months: SBP of 95 mmHg, weight 7 kg.
- 1 year: SBP of 95 mmHg, weight 10 kg.
- 2-3 years: SBP of 100 mmHg, weight 12-14 kg.
- 4-6 years: SBP of 100 mmHg, weight 16-20 kg.
- 10-12 years: SBP of 115 mmHg, weight 30-40 kg.
- Adolescents (16 years): SBP of 115 mmHg, weight > 50 kg.
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Description
This quiz covers essential information regarding pediatric vital signs, equipment sizes, and emergency drugs used in pediatric care. It includes age-specific parameters for blood pressure, heart rate, respiratory rate, and information on anticonvulsants like Lorazepam. Test your knowledge on the protocols for pediatric emergencies and drug administration.
