PALS Pharmacology 2

Question 1

A 4-year-old in pulseless VT requires defibrillation and medication. What is the correct dose of amiodarone for pediatric VF/pulseless VT?

Accepted Answer

5 mg/kg IV/IO

Answer

Amiodarone for pediatric VF/pulseless VT is 5 mg/kg IV/IO (maximum 300 mg per dose).

Question 2

Which vasopressor is considered first-line for anaphylaxis in the pediatric patient?

Accepted Answer

Epinephrine

Answer

Epinephrine (IM into anterolateral thigh) is the first-line treatment for anaphylaxis in all age groups.

Question 3

A 6-year-old with symptomatic bradycardia does not respond to oxygenation and ventilation. What is the first medication given?

Accepted Answer

Atropine

Answer

Atropine 0.02 mg/kg IV/IO is the first-line drug for symptomatic bradycardia after oxygenation/ventilation fails.

Question 4

What is the minimum dose of atropine recommended in PALS to avoid a paradoxical bradycardic effect?

Accepted Answer

0.1 mg

Answer

The minimum atropine dose in PALS is 0.1 mg to prevent paradoxical bradycardia from excessive muscarinic stimulation at very low doses.

Question 5

Which drug is indicated for torsades de pointes in a pediatric patient?

Accepted Answer

Magnesium sulfate

Answer

Magnesium sulfate 25–50 mg/kg IV/IO is the treatment of choice for torsades de pointes in children.

PALS - Pediatric Advanced Life Support Practice Test