MEDICATIONS FOR PALS

Medications play a critical role in pediatric resuscitation by addressing arrhythmias, supporting perfusion, and treating underlying causes. Accurate dosing based on weight is essential for safe and effective administration.

Key Medications:

• Epinephrine: First-line medication for cardiac arrest and bradycardia.
  • Dose: 0.01 mg/kg IV/IO every 3-5 minutes during arrest.
• Atropine: Used for bradycardia caused by increased vagal tone or AV block.
  • Dose: 0.02 mg/kg IV/IO (minimum dose: 0.1 mg; maximum single dose: 0.5 mg).
• Amiodarone: Used for shockable rhythms like ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT).
  • Dose: 5 mg/kg IV/IO bolus, up to two additional doses if needed.
• Adenosine: Used for supraventricular tachycardia (SVT).
  • Dose: 0.1 mg/kg IV/IO rapid push (maximum initial dose: 6 mg).
• Fluids for Resuscitation: Isotonic crystalloids (e.g., normal saline or lactated Ringer’s).
  • Dose: 20 mL/kg boluses over 5-10 minutes.

Accurate medication administration is critical for improving outcomes in pediatric emergencies.