Meds

Question 1

What is the treatment for SVT?

Answer 1

Vagal maneuvers

Adenosine

Question 2

What does adenosine treat?

Answer 2

SVT

Question 3

Adenosine dosing

Answer 3

First dose 0.1mg/kg MAX 6mg

Second dose 0.2 mg/kg MAX 12mg

Question 4

What if adenosine is ineffective for SVT

Answer 4

Synchronized cardio version
0.5-1 J/kg
Increase to 2 J/kg if needed
Sedate if possible

Question 5

What is amiodorone used for?

Answer 5

Tachyarrhythmia

Question 6

How should adenosine be given?

Answer 6

Rapid IV bolus

Question 7

What should not be given with amiodorone?

Answer 7

Procainamide

Question 8

What should not be given with procainamide?

Answer 8

Amiodorone

Question 9

Which antiarrhythmics should be considered in VT (with expert consultation)

Answer 9

Amiodorone
Procainamide
Adenosine
Cardioversion

Question 10

Amiodarone dosing

Answer 10

5mg/kg over 20-60 minutes

MAX 300mg

Question 11

How should adenosine be given?

Answer 11

Rapid IV/IO bolus
No ET tube
Flush with saline

Question 12

What is atropine used for?

Answer 12

Bradycardia

Question 13

What is first line med for bradycardia?

Answer 13

Epinephrine IV/IO

Question 14

How is epinephrine dosed for bradycardia?

Answer 14

IV/IO
0.01 mg/kg every 3-5 minutes
ET tube
0.1mg/kg

Question 15

Atropine dosing

Answer 15

0.02 mg/kg
MIN 0.1mg MAX 0.5mg
May repeat once

Question 16

How do you treat continued bradycardia?

Answer 16

Epinephrine
Atropine
Transcutaneous pacing
Identify and treat underlying cause

Question 17

Which rhythms are shockable?

Answer 17

Pulseless V tachycardia

Ventricular fibrillation

Question 18

How is epinephrine dosed in cardiac arrest?

Answer 18

0.01 mg/kg
Repeat every 3-5 minutes
ET tube 0.1 mg/kg

Question 19

How to dose epinephrine for fluid-refractory shock?

Answer 19

0.03-0.05 mcg/kg/min

Question 20

Epinephrine dosing for anaphylactic shock

Answer 20

1:1000
0.01 mg/kg IM
MAX 0.5mg
Repeat every 5-15 minutes

Question 21

How is glucose dosed?

Answer 21

0.5-1 gram/kg

Question 22

Which solutions to use for glucose infusion?

Answer 22

Newborn 5-10 ml/kg D10W
Infant/child 2-4 ml/kg D25W
Teen 1-2ml/kg D50W

Question 23

What is lidocaine used for?

Answer 23

Tachyarrhythmia

Question 24

CPR defibrillation max doses

Answer 24

10 J/kg or the maximum adult dose of 360J

Question 25

How to dose lidocaine for CPR

Answer 25

Initial bolus dose 1mg/kg | Maintenance infusion 20-50 mcg/kg/min

Question 26

What is magnesium used for?

Answer 26

Torsades de pointes | Asthma

Question 27

How to dose magnesium for torsades de pointes?

Answer 27

25-50 mg/kg over 10-20 minutes | MAX 2 grams

Question 28

How to dose magnesium for asthma?

Answer 28

20-50 mg/kg over 15-30 minutes | Monitor HR and BP

Question 29

Formula for minimum systolic BP

Answer 29

(Age x 2) + 70

Question 30

How to size ET tube?

Answer 30

4 + (age in years / 4) uncuffed | 3.5 + (age in years / 4) cuffed

Question 31

What is milrinone used for?

Answer 31

Cardiogenic shock

Question 32

How is milrinone dosed?

Answer 32

50 mcg/kg over 10-60 minutes | Maintenance 0.5-0.75 mcg/kg/min

Question 33

What are signs of cardiogenic shock?

Answer 33

Tachycardia Dyspnea JVD Hepatomegaly

Question 34

What is the primary assessment model?

Answer 34

``` A - airway B - breathing C - circulation D- disability E - exposure ```

Question 35

Cardiogenic shock medications

Answer 35

Improve contractility and reduce SVR: Dobutamine, milrinone, dopamine, epinephrine

Question 36

How do you dose naloxone?

Answer 36

0.1 mg/kg if <5 yo or <20 kg 2 mg IV if >5 yo or >20kg Repeat every 2-3 minutes

Question 37

What is procainamide used for?

Answer 37

Ventricular tachycardia after expert consultation

Question 38

Procainamide dosing

Answer 38

15 mg/kg IV over 30-60 minutes

Question 39

What is sodium bicarbonate used for?

Answer 39

Metabolic acidosis

Question 40

How to dose sodium bicarbonate

Answer 40

1 mEq/kg slow bolus | MAX 50 mEq

Question 41

What is SAMPLE?

Answer 41

Secondary assessment: | Signs and symptoms, allergies, meds, PMH, last meal, events