PEARS Vascular Access and Medication Administration Flashcards

Adenosine is used in pediatric emergencies to treat which rhythm?

Answer: Supraventricular tachycardia (SVT)

Adenosine transiently blocks AV conduction to terminate reentry SVT and is the first-line drug for stable SVT in children.

What technique must be used when giving adenosine via peripheral IV to ensure it reaches circulation?

Answer: Rapid IV push followed by a large saline flush

Adenosine has an extremely short half-life (<10 seconds), so it must be given as a rapid bolus immediately followed by a large saline flush to reach central circulation.

What is the recommended initial dose of adenosine for pediatric SVT?

Answer: 0.1 mg/kg rapid IV/IO push (max 6 mg)

The initial adenosine dose is 0.1 mg/kg (maximum 6 mg) given as a rapid IV or IO push with a flush.

Amiodarone is indicated in pediatric cardiac arrest for which refractory condition?

Answer: Ventricular fibrillation or pulseless ventricular tachycardia unresponsive to defibrillation

Amiodarone is used for shock-refractory VF or pulseless VT, given at 5 mg/kg IV/IO bolus during resuscitation.

Which fluid is recommended as the first-line resuscitation fluid for hypovolemic shock in a pediatric patient?

Answer: Isotonic crystalloid (0.9% normal saline or lactated Ringer's)

Isotonic crystalloids such as normal saline or lactated Ringer's are the first-line fluids for pediatric hypovolemic shock resuscitation.

What is the standard initial fluid bolus volume for pediatric shock resuscitation?

Answer: 20 mL/kg IV/IO over 5–10 minutes

A 20 mL/kg isotonic fluid bolus given rapidly over 5–10 minutes is the standard initial resuscitation volume for pediatric shock.