Pulseless arrest (peds): Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "5 mg" to "5mg") |
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''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. | *Give [[Epi]] 0.01mg/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 | ||
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***May repeat twice up to 15mg/kg | ***May repeat twice up to 15mg/kg | ||
**2nd line: [[Lidocaine]] | **2nd line: [[Lidocaine]] | ||
*** | ***1mg/kg | ||
**[[Magnesium]] | **[[Magnesium]] | ||
***25-50mg/kg (max 2g) IV | ***25-50mg/kg (max 2g) IV | ||
Revision as of 21:10, 22 July 2016
See critical care quick reference for drug doses and equipment sizes by weight.
Asystole and PEA
- Give Epi 0.01mg/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
- 5mg/kg (max 300mg)
- May repeat twice up to 15mg/kg
- 2nd line: Lidocaine
- 1mg/kg
- Magnesium
- 25-50mg/kg (max 2g) IV
- Only for polymorphic V-tach
- 1st line: Amiodarone
See Also
References
AHA 2010 Guidelines for PALS