Questions and Answers
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?
4 mg
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.
Signup and view all the answers
What dosage of Midazolam is initially administered for IV in pediatric emergency cases?
Signup and view all the answers
Which of the following medications is NOT a standard treatment for pediatric asthma exacerbation?
Signup and view all the answers
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.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
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.
