Pediatric Resus - Bradycardia - 2023/12/1 Protocols

Question 1

The key decision to treat pediatric bradycardia is if the bradycardia is producing ______.

Answer 1

S/S of shock:

• dyspnea
• AMS
• chest pain
• hypoTN

Question 2

Initial pharmacological treatment of peds bradycardia includes what drugs and doses?

Answer 2

Atropine: 0.02 mg/kg IV/IO (min: 0.1 mg; max: 0.5 mg)

OR

1:10,000 epi: 0.01 mg/kg IV/IO q3-5 min

Question 3

Procedural sedation for peds TCP

Answer 3

Versed 0.1 mg/kg IV/IO/IN (max 6 mg)

AND/OR

Ketamine 2 mg/kg IV/IO or 2.5 mg/kg IM

Question 4

Initial pharmacologic intervention of the symptomatic peds bradycardia patient.

Answer 4

1:10,000 epi: 0.01 mg/kg IV/IO q3-5 min

Question 5

Minimum single dose of atropine for the peds brady patient

Answer 5

Min: 0.1 mg

Question 6

Maximum single dose of atropine for the peds brady patient.

Answer 6

Max: 0.5 mg

Question 7

Pain management for peds TCP

Answer 7

Ketamine 1 mg/kg IV/IO

and/or

Fentanyl 1 mcg/kg IV/IO up to 100 mcg

Question 8

Max dose of fentanyl for peds TCP

Answer 8

100 mcg

Question 9

For heart rates under _____ in the pediatric patient, initiate CPR.

Answer 9

60

Question 10

For heart rates under ____ in the infant, initiate CPR

Answer 10

100