Pediatric - Unstable Narrow QRS

Question 1

Narrow complex tachycardia may be considered SVT if it is over ______ beats per minute in children.

Answer 1

180

Question 2

Narrow complex tachycardia may be considered SVT if it is over ______ beats per minute in infants.

Answer 2

220

Question 3

Pediatric patients not responsive to vagal maneuvers, or are unstable tachycardia patients, may be given _____.

Answer 3

Adenosine 0.1 mg/kg IV/IO

Question 4

What is the maximum first dose of adenosine in the unstable narrow complex tachycardia in pediatric patients?

Answer 4

6 mg

Question 5

What is the maximum first dose of adenosine in the unstable narrow complex tachycardia in pediatric patients?

Answer 5

6 mg

Question 6

What is the maximum subsequent dose of adenosine in the unstable narrow complex tachycardia in pediatric patients?

Answer 6

12 mg

Question 7

What is the total number of doses (initial and repeat) of adenosine that can be given to unstable narrow complex pediatric patients?

Answer 7

3 (6 mg, 12 mg, 12 mg)

Question 8

For the pediatric unstable narrow complex pediatric patient, what may be given for sedation prior to syncronized cardioversion?

Answer 8

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

OR

Ketamine (1 mg/kg IV/IO)

Question 9

For the pediatric unstable narrow complex pediatric patient, what are the doses for syncronized cardioversion?

Answer 9

1 J/kg initially, then 2 J/kg