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Input: Medication Dose Remarks; Adenosine: 0.1 mg/kg (max 6 mg) Second dose: 0.2 mg/kg (max 12 mg) Monitor ECG; Rapid IV/IO bolus with flush; Amiodarone: 5 mg/kg IV/IO; may repeat twice up to 15 mg/kg Maximum single dose 300 mg. Monitor ECG and blood pressure (Pediatric patient: if weight not available, enter estimated weight from a length-based resuscitation tape. Consider potential implications if child appears overweight) References: Berg MD, Schexnayder SM, Chameides L, Terry M, Donoghue A, Hickey RW, Berg RA, Sutton RM, Hazinski MF. Use caution when administering with other drugs that prolong QT (obtain expert consultation) Sodium bicarbonate: 1 mEq/kg per dose IV/IO slowly. After adequate ventilation. IV indicates intravenous; IO, intraosseous; and ETT, via endotracheal tube. * Flush with 5 mL of normal saline and follow with 5 ventilations. Although color-coded resuscitation tapes simplify the task of choosing equipment and administering drugs on the basis of a child's length, limitations still exist. The Committee on Pediatric Emergency Medicine 3 x 3 Committee on Pediatric Emergency Medicine. Patient safety in the pediatric emergency care setting. Pediatrics. 2007; 120: 1367–1375 Expert consultation strongly recommended prior to use when patient has a perfusing rhythmUse caution when administering with other drugs that prolong QT (obtain expert consultation) Atropine 0.02 mg/kg IV/IO PHARMACOLOGY OF RESUSCITATION A list of frequently used resuscitation drugs, their preparations, and pediat- ric dosages is shown in Table 1. Administration Until recently, with the rediscovery of intraosseous infusion, the difficulty associated with obtaining vascular access in arrested pediatric patients presented a significant impediment to the administration of drugs during resuscitation. Endotracheal (ET) administration is available for lipophilic agents, such as epi- nephrine, lidocaine, atropine, and naloxone. The pharmacokinetics of endotra- Although many medications are used in Advanced life support, the only medication with proven efficacy in pediatric resuscitation is epinephrine. Despite numerous investigations, the optimal dose remains controversial. Method 2. 1  1. Gather and then assemble a pre-filled syringe (Figure 5Figure 5). 2  2. Obtain a 3-way stopcock (Figure 6Figure 6). 3  3. Remove one of the caps from the stopcock and discard it (Figure 7Figure 7). 4  4. Attach the leur lock end of the pre-filled syringe to the stopcock (you just removed that cap) (Figure 8Figure 8). The primary drugs used for pediatric resuscitation are reviewed here. Pediatric basic life support, pediatric advanced life support, and the use of naloxone in children with opioid intoxication are discussed separately: (See Pediatric basic life support for health care providers.) (See Pediatric advanced life support (PALS).) FEBRUARY 1993 22:2 PART 2 ANNALS OF EMERGENCY MEDICINE 4 4 5 / 1 7 9 PEDIATRIC RESUSCITATION PHARMACOLOGY Za~tsky Finally, a summary of research initiatives are included, including a call for the development of a multi-institutional pediatric clini- cal resuscitation research group.
Output:
drugs for pediatric resuscitation