Pediatric VT / VF arrest

Question 1

Pediatric VT / VF arrest - Defibrillation shock dose

Answer 1

2 J/kg prn q 2 min, dose increases by 2 J/kg until 10 J/kg or Adult energy level

Question 2

Pediatric VT / VF arrest - If unable to select exact joules on the monitor?

Answer 2

Round up to the next closest selection

Question 3

Pediatric VT / VF arrest - A flat EtCO2 tracing likely indicates?

Answer 3

misplaced or esophageal endotracheal tube

Question 4

Pediatric VT / VF arrest - If EtCO2 is consistently below 10 - 15 mmHg?

Answer 4

Focus efforts on improving the quality of CPR and avoiding excessive ventilation

Question 5

Pediatric VT / VF arrest - Epinephrine indication

Answer 5

VT / VF arrest

Question 6

Pediatric VT / VF arrest - Epinephrine dose

Answer 6

0.01 mg/kg IV/IO to a single max of 1 mg, q 3-5 prn

Question 7

Pediatric VT / VF arrest - Epinephrine EMS contraindications

Answer 7

None

Question 8

Pediatric VT / VF arrest - Amiodarone indications

Answer 8

Persistent VF / VT

Question 9

Pediatric VT / VF arrest - Amiodarone dose

Answer 9

5 mg/kg IV/IO to a single max of 300 mg q 5 minutes prn to a total max of 15 mg/kg or 450 mg(whichever is less

Question 10

Pediatric VT / VF arrest - Amiodarone EMS contraindications

Answer 10

None

Question 11

Pediatric VT / VF arrest - Amiodarone Precautions

Answer 11

Can be administered undiluted if followed by a 10 mL flush

Cannot be administered concurrently with sodium bicarbonate

Question 12

Pediatric VT / VF arrest - Calcium gluconate indications

Answer 12

Suspected hyperkalemia
hypocalcemia
hypermagnesemia
CCB or BB overdose

Question 13

Pediatric VT / VF arrest - Calcium gluconate dose

Answer 13

60 mg/kg SIVP/IO single max of 3 g

Question 14

Pediatric VT / VF arrest - Calcium gluconate EMS contraindications

Answer 14

Hypersensitivity

Hypercalcemia

Question 15

Pediatric VT / VF arrest - Sodium Bicarbonate indications

Answer 15

Pre-existing hyperkalemia (renal failure)

TCA or ASA overdose

Question 16

Pediatric VT / VF arrest - Sodium Bicarbonate dose

Answer 16

1 mEq/kg SIVP/IO

Do not repeat dose

Question 17

Pediatric VT / VF arrest - Magnesium Sulphate indications

Answer 17

Cardiac arrest with polymorphic ventricular tachycardia / Torsades de pointes

Question 18

Pediatric VT / VF arrest - Magnesium Sulphate dose

Answer 18

50 mg/kg IV/IO to a single max dose of 2 g

Do not repeat dose

Question 19

Pediatric VT / VF arrest - Magnesium Sulphate EMS contraindications

Answer 19

Any degree of heart block

Renal failure

Question 20

Pediatric VT / VF arrest - Magnesium Sulphate administration

Answer 20

50 mg/kg in 50 mL normal saline bag and infuse over 5 minutes