Pediatric 4

Question 1

How to correct hypoglycaemia in PEDs, rule of 50

Answer 1

Under 1 yr: 5 ml/kg of 10% Dextrose (10×5=50)

1-8 yr: 2 ml/kg of 25% Dextrose (25×2=50)

> 8 yr: 1 ml/kg of 50% Dextrose (50×1=50)

Question 2

Epinephrine in Pediatric Advanced Life Support

Answer 2

• no maximum dose
• Dose: 0.01 mg/kg of 1:10,000 (0.1 mg/mL) epi
• q 3–5 minutes
• After ROSC, IV drip at 0.1–1 mcg/kg/min, titrated to effect

Question 3

Pediatric Pulsless V-Tach algorithm

Answer 3

1- immediately defibrillate at 2 joules/kg

2- CPR x two minutes (100-120)

3- defibrillated at 4 joules/kg
*Epinephrine 0.01 mg/kg (0.1 ml/kg of 1:10,000 concentration) q3-5 min starting with the second defibrillation.

4- CPR x two minutes

5- defibrillated at 4 joules/kg
*Amiodarone 5 mg/kg IV/IO or lidocaine 1 mg/kg IV/IO if the patient remains in pulseless ventricular tachycardia after the third attempt of defibrillation.

6- An advanced airway should be placed.

Question 4

Neonatal Resuscitation indications:

Answer 4

apnea or labored breathing, bradycardia (HR < 100 bpm)

Provide PPV
If no improvement: take ventilation corrective steps
If HR < 60 bpm: intubation, compressions

Question 5

What are the elements and maximum and minimum scores of the Apgar score?

Answer 5

Appearance (color), pulse, grimace (irritability to suction), activity (muscle tone), and respiratory effort. Maximum score is 10 and minimum 0