What drugs are used in PALS?
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| DRUG | MAIN PALS USE |
|---|---|
| Epinephrine | Cardiac Arrest/Shock |
| Glucose | Hypoglycemia |
| Lidocaine | Tachyarrhythmia |
| Magnesium Sulfate | Torsades de Pointes Refractory Asthma |
How often can epinephrine be given per PALS protocol?
Obtain IV/IO access and give Epinephrine every 3–5 minutes.
How do you treat torsades de pointes PALS?
IV/IO: 25-50 mg/kg bolus (maximum dose: 2 g) 10 to 20 minute IV infusion for torsades de point (with pulse) or 15 to 30 minute slow infusion suspected hypomagnesemia, status asthmaticus.
When do you use atropine in PALS?
Administer epinephrine 0.01 mg/kg. Repeat every 3-5 minutes as needed. Consider atropine 0.02 mg/kg (min dose = 0.1 mg; max dose = 0.5 mg); Repeat one time if needed….PALS Bradycardia Algorithm.
| Age Category | Age Range | Normal Heart Rate |
|---|---|---|
| Newborn | 0-3 months | 80-205 per minute |
| Infant/Young child | 4 months to 2 years | 75-190 per minute |
How many doses of epinephrine can you give during CPR?
The recommended dose of epinephrine hydrochloride is 1.0 mg (10 mL of a 1:10 000 solution) administered IV every 3 to 5 minutes during resuscitation. Each dose given by peripheral injection should be followed by a 20-mL flush of IV fluid to ensure delivery of the drug into the central compartment.
What is amiodarone used for in pals?
Amiodarone. Amiodarone is another anti-arrhythmic used in both ACLS and PALS algorithms. Unlike adenosine, amiodarone delays repolarization of the heart muscle and is effective at treating a variety of arrhythmias. It is used after epinephrine if defibrillation does not work during cardiac arrest.
How do you treat pals?
Interventions: Administer IM epinephrine, IV diphenhydramine + H2 blocker, and IV corticosteroid. Provide albuterol for bronchospasm as needed. Prepare for possible endotracheal tube intubation if severe respiratory distress or failure develops. Treat anaphylaxis related hypotension with LR or NS.
How many doses of epinephrine can you give?
0.01 mg/kg/dose (0.01 mL/kg/dose of a 1 mg/mL solution) IM (preferred) or subcutaneous. Max: 0.3 mg/dose. May repeat every 5 to 15 minutes as needed for up to 3 injections; more frequent administration may be appropriate in certain circumstances, as judged by the clinician.
How much epinephrine do you give a child?
The report noted that when anaphylaxis occurs in health care settings, providers should administer intramuscular injections in the mid-outer thigh of epinephrine 0.01 mg/kg with a maximum dose of 0.3 mg in a prepubertal child and up to 0.5 mg in teenagers.
What is amiodarone used for in PALS?
How much mag do I need for torsades?
The recommended initial dose of magnesium is a slow 2 g IV push. An infusion of 1 gm to 4 gm/hr should be started to keep the magnesium levels greater than 2 mmol/L. Once the magnesium level is greater than 3 mmol/L, the infusion can be stopped.
How do you treat PALS?
What are the doses of epinephrine?
Usual Adult Dose for Cardiac Arrest
- Injectable Solution of 0.1 mg/mL (1:10,000): -IV: 0.5 to 1 mg (5 to 10 mL) IV once; during resuscitation effort, 0.5 mg (5 mL) should be given IV every 5 minutes.
- Comments:
- The American Heart Association (AHA) recommends:
How do you administer 150 mg of amiodarone?
In extreme clinical emergency, amiodarone may, at the discretion of the clinician, be given as a slow injection of 150-300 mg (or 2.5 – 5 mg/kg) in 10-20 ml 5% glucose over a minimum of 3 minutes. This should not be repeated for at least 15 minutes.
How many joules should a 20kg child have?
Therefore an average 20 Kg child would require a shock of around 40 – 80 J.
How much epinephrine do you give for anaphylaxis?
Administer epinephrine 1:1,000 (weight-based) (adults: 0.01 mL per kg, up to a maximum of 0.2 to 0.5 mL every 10 to 15 minutes as needed; children: 0.01 mL per kg, up to a maximum dose of 0.2 to 0.5 mL) by SC or IM route and, if necessary, repeat every 15 minutes, up to two doses).
How much epinephrine can a 5 year old have?
How do you give mag sulfate to torsades?
Magnesium sulphate suppresses torsade by decreasing the influx of calcium ions, which in turn results in decreased amplitude of EADs. The initial dose is 2 g (20 ml of 10% solution), given intravenously over one to two minutes.
When is magnesium used in ACLS?
Magnesium sulfate is an ACLS drug that can be found in the Adult Cardiac Arrest Algorithm. Magnesium is a second-line antiarrhythmic drug that is used when torsades de pointes (polymorphic VT) are present.
How many milligrams of Pals do you take for cardiac arrest?
1 PALS Medications for Cardiac Arrest and Symptomatic Arrhythmias. 2 DRUG DOSAGE (PEDIATRIC) REMARKS. 3 Rapid Flush to central circulation. 4 (max single dose 6 mg). 5 Second dose: 0.2 mg/kg; 6 (more items)
What are the commonly used medications in Pals?
Commonly Used Medications in PALS. Croup: 0.25 ml Racemic epi solution via nebulizer Cardiac arrest: 0.01 mg/kg (1:10000) IV or 0.1 mg/kg (1:1000) per ETT every 3 to 5 minutes Shock: 0.1 to 1 mcg/kg per minute IV infusion Toxins/ODs: 0.01 mg/kg (1:10000) IV to max dose of 1 mg Tremors; anxiety; headaches; dizziness; confusion; hallucinations;
How do you titrate insulin in Pals?
Give as an infusion starting at 5mcg/min then titrate between 2-20mcg/min IV/IO based upon patient’s needs. Pediatrics (Not in PALS algorithm): Give as an infusion at 0.05-2mcg/kg/min IV/IO. Start at minimum recommended dose and increase by 0.1mcg/kg/min every 5-10 minutes as needed until max dose is reached.
What are the options for delivery in ACLS and Pals algorithms?
In the ACLS and PALS algorithms two routes can be used for delivery: Routes for other uses include: With a pulse: Give 1-2g slow IV/IO infusion over 5-60 minutes, followed with a maintenance infusion of 0.5-1g/hr. (Magnesium should be diluted in 50-100ml of D 5 W.) Cardiac arrest: Give 1-2gm slow IV/IO infusion over 5-20 minutes.