Pulseless arrest (peds): Difference between revisions
No edit summary |
|||
| Line 1: | Line 1: | ||
''See [[critical care quick reference]] for drug doses and equipment sizes by weight.'' | ''See [[critical care quick reference]] for drug doses and equipment sizes by weight.'' | ||
==Asystole and PEA== | ==Asystole and PEA== | ||
*Give Epi 0.01 mg/kg (0.1 mL/kg 1:10,000) (max 1mg) q3-5min | *Give [[Epi]] 0.01 mg/kg (0.1 mL/kg 1:10,000) (max 1mg) q3-5min | ||
*Rhythm check q2min | *Rhythm check q2min | ||
*Consider H's and T's | *Consider H's and T's | ||
**Hypoglycemia | **[[Hypoglycemia (peds)|Hypoglycemia]] | ||
**Hypovolemia | **[[Hypovolemia]] | ||
**Hypoxia | **[[Hypoxia]] | ||
**Hydrogen ion | **[[Acid-base disorders|Hydrogen ion]] | ||
** | **[[Hypokalemia]] or [[hyperkalemia]] | ||
**Hypothermia | **[[Hypothermia]] | ||
**Tension | **[[Tension pneumothorax]] | ||
**Tamponade | **[[Tamponade]] | ||
**Toxins | **[[Toxins]] | ||
**Thrombosis, pulmonary | **[[PE|Thrombosis, pulmonary]] | ||
**Thrombosis, coronary | **[[ACS|Thrombosis, coronary]] | ||
==VF/Pulseless VT== | ==VF/Pulseless VT== | ||
Revision as of 21:48, 7 July 2016
See critical care quick reference for drug doses and equipment sizes by weight.
Asystole and PEA
- Give Epi 0.01 mg/kg (0.1 mL/kg 1:10,000) (max 1mg) q3-5min
- Rhythm check q2min
- Consider H's and T's
VF/Pulseless VT
- Shock as quickly as possible and resume CPR immediately
- First shock 2 J/kg
- Second shock 4 J/kg
- Subsequent shocks ≥ 4 J/kg (max 10 J/kg)
- Give Epi if (shock + 2min CPR) fails to convert rhythm
- Perform pulse check/shock if appropriate q2min
- Give antiarrhythmic if (2nd shock +2min CPR) again fails
- 1st line: Amiodarone
- 5 mg/kg (max 300mg)
- May repeat twice up to 15mg/kg
- 2nd line: Lidocaine
- 1 mg/kg
- Magnesium
- 25-50mg/kg (max 2g) IV
- Only for polymorphic V-tach
- 1st line: Amiodarone
See Also
References
AHA 2010 Guidelines for PALS