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Archived - Pediatric Advanced Life Support (PALS) 2020 > 3 - Pharmacology - Dosages (Multiple Choice) > Flashcards

3 - Pharmacology - Dosages (Multiple Choice) Flashcards

1
Q

Adenosine (Child) - SVT, VT (with Pulses)

A. 0.2 mg/kg IV/IO (max 6 mg); second dose 0.3 mg/kg (max 12 mg)
B. 0.3 mg/kg IV/IO (max 6 mg); second dose 0.6 mg/kg (max 12 mg)
C. 0.1 mg/kg IV/IO (max 6 mg); second dose 0.2 mg/kg (max 12 mg)
D. 0.1 mg/kg IV/IO (max 6 mg); second dose 0.3 mg/kg (max 12 mg)

A

C. 0.1 mg/kg IV/IO (max 6 mg); second dose 0.2 mg/kg (max 12 mg)

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2
Q

Albuterol - Anaphylaxis, Hyperkalemia, Asthma 44 lbs

A. 250-500 mcg inhaled, q20m PRN x 3
B. 2.5 mg/dose nebulized, q20m PRN
C. 5 mg/dose nebulized, q20m PRN
D. 0.5 mg/kg/hr via inhalation (max 20 mg/hr)

A

B. 2.5 mg/dose nebulized

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3
Q

Albuterol - Anaphylaxis, Hyperkalemia, Asthma 46 lbs

A. 250-500 mcg inhaled, q20m PRN x 3
B. 2.5 mg/dose nebulized, q20m PRN
C. 5 mg/dose nebulized, q20m PRN
D. 0.5 mg/kg/hr via inhalation (max 20 mg/hr)

A

C. 5 mg/dose nebulized

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4
Q

Albuterol - Continous nebulizer

A. 250-500 mcg inhaled, q20m PRN x 3
B. 2.5 mg/dose nebulized, q20m PRN
C. 5 mg/dose nebulized, q20m PRN
D. 0.5 mg/kg/hr via inhalation (max 20 mg/hr)

A

C. 5 mg/dose nebulized

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5
Q

Amiodarone - SVT, VT c pulses

A. 5 mg/kg IV/IO over 20-60 minutes (max 300 mg); q to daily max 15 mg/kg
B. 2.5 mg/dose nebulized (< 20 kg)
C. 5 mg/dose nebulized (< 20 kg)
D. 5 mg/kg IV/IO bolus (max 300 mg); q to daily max 15 mg/kg

A

A. 5 mg/kg IV/IO over 20-60 minutes (max 300 mg); q to daily max 15 mg/kg

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6
Q

Amiodarone - Pulseless Arrest (VF, VT)

A. 5 mg/kg IV/IO over 20-60 minutes (max 300 mg); q to daily max 15 mg/kg
B. 2.5 mg/dose nebulized (< 20 kg)
C. 5 mg/dose nebulized (< 20 kg)
D. 5 mg/kg IV/IO bolus (max 300 mg); q to daily max 15 mg/kg

A

D. 5 mg/kg IV/IO bolus (max 300 mg); q to daily max 15 mg/kg

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7
Q

Atropine Sulfate - Bradycardia (symptomatic) Child

A. 0.02 mg/kg IV/IO (min 0.1 mg, max 0.5 mg), q5m (max dose 3 mg)
B. 0.04-0.06 mg/kg IV/IO, q5m (max dose 3 mg)
C. 0.02 mg/kg IV/IO (min 0.1 mg, max 0.5 mg), q5m (max dose 1 mg)
D. 0.04-0.06 mg/kg IV/IO, q5m (max dose 1 mg)

A

C. 0.02 mg/kg IV/IO (min 0.1 mg, max 0.5 mg), q5m (max dose 1 mg)

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8
Q

Atropine Sulfate - Bradycardia (symptomatic) Adolescent

A. 0.02 mg/kg IV/IO (min 0.1 mg, max 0.5 mg), q5m (max dose 3 mg)
B. 0.04-0.06 mg/kg IV/IO, q5m (max dose 3 mg)
C. 0.02 mg/kg IV/IO (min 0.1 mg, max 0.5 mg), q5m (max dose 1 mg)
D. 0.04-0.06 mg/kg IV/IO, q5m (max dose 1 mg)

A

A. 0.02 mg/kg IV/IO (min 0.1 mg, max 0.5 mg), q5m (max dose 3 mg)

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9
Q

Atropine Sulfate - Toxins OD (12 y/o or younger)

A. 0.05 mg/kg IV/IO initially; then q5m x2 dose until s/s reverse
B. 1 mg/kg IV/IO initially; then q5m x2 dose until s/s reverse
C. 0.2 mg/kg IV/IO initially; then q5m x2 dose until s/s reverse
D. 0.5 mg/kg IV/IO initially; then q5m x2 dose until s/s reverse

A

A. 0.05 mg/kg IV/IO initially; then q5m x2 dose until s/s reverse

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10
Q

Atropine Sulfate - Toxins OD (13 y/o or older)

A. 0.05 mg/kg IV/IO initially; then q5m x2 dose until s/s reverse
B. 1 mg/kg IV/IO initially; then q5m x2 dose until s/s reverse
C. 0.2 mg/kg IV/IO initially; then q5m x2 dose until s/s reverse
D. 0.5 mg/kg IV/IO initially; then q5m x2 dose until s/s reverse

A

B. 1 mg/kg IV/IO initially; then q5m x2 dose until s/s reverse

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11
Q

Calcium Chloride 10% - Ca Channel Blocker OD, Hyperkalemia, hypermagnesemia, hypocalcemia

A. 20 mg/kg (0.2 mL/kg) IV/IO SIVP during arrest, q PRN
B. 0.6 mg/kg IV/IM/PO (max 16)
C. 60 mg/kg IV/IO SIVP; q PRN
D. 0.01 mg/kg IV/IO q3-5m

A

A. 20 mg/kg (0.2 mL/kg) IV/IO SIVP during arrest, q PRN

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12
Q

Calcium Gluconate

A. 20 mg/kg (0.2 mL/kg) IV/IO SIVP during arrest, q PRN
B. 0.6 mg/kg IV/IM/PO (max 16)
C. 60 mg/kg IV/IO SIVP; q prn during arrest
D. 0.01 mg/kg IV/IO q3-5m

A

C. 60 mg/kg IV/IO SIVP; q prn during arrest

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13
Q

Dexamethasone

A. 20 mg/kg (0.2 mL/kg) IV/IO SIVP during arrest, q PRN
B. 0.6 mg/kg IV/IM/PO (max 16)
C. 60 mg/kg IV/IO SIVP; q prn during arrest
D. 0.01 mg/kg IV/IO q3-5m

A

B. 0.6 mg/kg IV/IM/PO (max 16)

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14
Q

Dextrose

A. 0.2-0.4 mg/kg IV/IO infused 30 min (max 20 mg)
B. 2 mg/kg IV bolus (max 100 mg)
C. 0.5-1 g/kg IV/IO
D. 1 mg/kg bolus

A

C. 0.5-1 g/kg IV/IO

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15
Q

Etomidate

A. 0.2-0.4 mg/kg IV/IO infused 30 min (max 20 mg)
B. 2 mg/kg IV bolus (max 100 mg)
C. 0.5-1 g/kg IV/IO
D. 1 mg/kg bolus

A

A. 0.2-0.4 mg/kg IV/IO infused 30 min (max 20 mg)

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16
Q

Hydrocortisone

A. 0.2-0.4 mg/kg IV/IO infused 30 min (max 20 mg)
B. 2 mg/kg IV bolus (max 100 mg)
C. 0.5-1 g/kg IV/IO
D. 1 mg/kg bolus

A

B. 2 mg/kg IV bolus (max 100 mg)

17
Q

Ipratropium Bromide

A. 25-50 mg/kg IV/IO bolus (max 2 g)
B. 250-500 mcg via inhalation q 20 min PRN x3 doses
C. 0.5-1 g/kg IV/IO
D. 1 mg/kg bolus

A

B. 250-500 mcg via inhalation q 20 min PRN x3 doses

18
Q

Lidocaine

A. 25-50 mg/kg IV/IO bolus (max 2 g)
B. 250-500 mcg via inhalation q 20 min PRN x3 doses
C. 0.5-1 g/kg IV/IO
D. 1 mg/kg bolus IV/IO

A

D. 1 mg/kg bolus IV/IO

19
Q

Magnesium Sulfate - Asthma (refractory status asthmaticus), torsades de pointes, hypomagnesemia

A. 25-50 mg/kg IV/IO bolus (max 2 g)
B. 250-500 mcg via inhalation q 20 min PRN x3 doses
C. 0.5-1 g/kg IV/IO
D. 1 mg/kg bolus IV/IO

A

A. 25-50 mg/kg IV/IO bolus (max 2 g)

20
Q

Methylprednisolone Sodium Succinate

A. 0.2-0.4 mg/kg IV/IO infused 30 min (max 20 mg)
B. 2 mg/kg IV bolus (max 60mg)
C. 1-5 mcg/kg IV/IO/IM/SubQ
D. 0.1 mg/kg bolus q 2 min PRN (max 2 mg)

A

B. 2 mg/kg IV bolus (max 60mg)

21
Q

Milrinone

A. 0.2-0.4 mg/kg IV/IO infused 30 min (max 20 mg)
B. 2 mg/kg IV bolus (max 60mg)
C. 50 mcg/kg IV/IO over 10-60 min
D. 0.1 mg/kg bolus q 2 min PRN (max 2 mg)

A

C. 50 mcg/kg IV/IO over 10-60 min

22
Q

Naloxone

A. 0.2-0.4 mg/kg IV/IO infused 30 min (max 20 mg)
B. 2 mg/kg IV bolus (max 60mg)
C. 50 mcg/kg IV/IO over 10-60 min
D. 0.1 mg/kg bolus q 2 min PRN (max 2 mg)

A

D. 0.1 mg/kg bolus q 2 min PRN (max 2 mg)

23
Q

Nitroglycerin

A. 0.1 mg/kg bolus q 2 min PRN (max 2 mg)
B. 0.05-0.5 µg/kg/min IV/IO
C. 0.3 - 1 µg/kg/min initial dose; and titrate up to 8 µg/kg/min PRN
D. 0.25 - 0.5 µg/kg/min IV/IO infusion; titrate by 1 µg/kg/min q 15-20 min

A

D. 0.25 - 0.5 µg/kg/min IV/IO infusion; titrate by 1 µg/kg/min q 15-20 min

24
Q

Nitroprusside

A. 0.1 mg/kg bolus q 2 min PRN (max 2 mg)
B. 0.05-0.5 µg/kg/min IV/IO
C. 0.3 - 1 µg/kg/min initial dose; and titrate up to 8 µg/kg/min PRN
D. 0.25 - 0.5 µg/kg/min IV/IO infusion; titrate by 1 µg/kg/min q 15-20 min

A

C. 0.3 - 1 µg/kg/min initial dose; and titrate up to 8 µg/kg/min PRN

25
Q

Norepinephrine

A. 0.1 mg/kg bolus q 2 min PRN (max 2 mg)
B. 0.05-0.5 µg/kg/min IV/IO
C. 0.3 - 1 µg/kg/min initial dose; and titrate up to 8 µg/kg/min PRN
D. 0.25 - 0.5 µg/kg/min IV/IO infusion; titrate by 1 µg/kg/min q 15-20 min

A

B. 0.05-0.5 µg/kg/min IV/IO

26
Q

Prostaglandin

A. 1 mEq/kg SIVP
B. 0.05-0.1 µg/kg/min IV/IO
C. 0.0002-0.002 unit/kg per min infusion
D. 1-2 mEq per kilogram IV/IO bolus until serum pH is >7.45

A

B. 0.05-0.1 µg/kg/min IV/IO

27
Q

Sodium Bicarbonate - hyperkalemia, metabolic acidosis

A. 1 mEq/kg SIVP
B. 0.05-0.1 µg/kg/min IV/IO
C. 0.0002-0.002 unit/kg per min infusion
D. 1-2 mEq per kilogram IV/IO bolus until serum pH is >7.45

A

A. 1 mEq/kg SIVP

28
Q

Sodium Bicarbonate - sodium channel blocker OD (eg Tricyclic antidepressant)

A. 1 mEq/kg SIVP
B. 0.05-0.1 µg/kg/min IV/IO
C. 0.0002-0.002 unit/kg per min infusion
D. 1-2 mEq per kilogram IV/IO bolus until serum pH is >7.45

A

D. 1-2 mEq per kilogram IV/IO bolus until serum pH is >7.45

29
Q

Vasopressin

A. 1 mEq/kg SIVP
B. 0.05-0.1 µg/kg/min IV/IO
C. 0.0002-0.002 unit/kg per min infusion
D. 1-2 mEq per kilogram IV/IO bolus until serum pH is >7.45

A

C. 0.0002-0.002 unit/kg per min infusion

Archived - Pediatric Advanced Life Support (PALS) 2020 (23 decks)

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