PALS Drugs and Pharmacology You Should Know (plus Printable Flashcards!)

PALS Drugs and Pharmacology You Should Know (plus Printable Flashcards!)

Lauren Diffendarfer

by Lauren Diffendarfer

Medical Educator, NHCPS

posted on Aug 9, 2016, at 8:09 pm

Share

EACH OF THE Pediatric Advanced Cardiac Life Support (PALS) algorithms utilizes commonly used drugs within the field of pediatrics. These primary drugs are a big part of understanding PALS, and the ability to recall PALS drug doses, actions, indications and administrations is crucial.

Below, we’ve created printable PALS drugs flashcards with the name of the drug on side 1, and the action, doses and notes on the reverse side to make studying for PALS simple!

Please click on the preview images of the flashcards to be re-directed to the printable PDF files.

pals meds flashcards adenosine amiodarone atropine
pals meds flashcards calcium epinephrine glucose

pals meds flashcards magnesium sulfate calcium gluconate procainamide sodium bicarbonate

Here are the current PALS drugs from the latest American Heart Association guidelines and NHCPS:

DRUG MAIN PALS USE PEDIATRIC DOSE (IV/IO) NOTES
Adenosine Supraventricular tachycardia First dose: 0.1 mg/kg (MAX DOSE 6 mg)
Second dose: 0.2 mg/kg (MAX DOSE 12 mg)
Rapid IV/IO bolus (no ET)
Flush with saline
Monitor ECG
Amiodarone Tachyarrhythmia 5 mg/kg over 20 to 60 minutes
Repeat up to 15 mg/kg
(MAX DOSE 300 mg)
Very long half life
Monitor ECG & BP
Atropine Bradycardia 0.02 mg/kg
ET: 0.03 mg/kg
Repeat once if needed
(MAX single dose 0.5 mg)
Also used to treat specific toxins
(e.g. organophosphate
poisoning)
Epinephrine Cardiac Arrest/Shock IV/IO: 0.01 mg/kg [1:10,000] (MAX DOSE 1 mg)
ET: 0.1 mg/kg [1:1,000] (MAX DOSE 2.5 mg)
Multiple uses, multiple routes
Repeat every 3 to 5 min if needed
Glucose Hypoglycemia 0.5 to 1 g/kg Newborn: 5 to 10 mL/kg D10W
Infants/Children: 2 to 4 mL/kg D25W
Adolescents: 1 to 2 mL/kg D50W
Lidocaine Tachyarrhythmia Initial: 1 mg/kg
Infusion: 20 to 50 mcg/kg/min
(MAX DOSE 100 mg)
ET: 2 to 3 mg
Magnesium Sulfate Torsades de Pointes
Refractory Asthma
20 to 50 mg/kg over 10 to 20 min
(MAX DOSE 2 grams)
May run faster for Torsades
Milrinone Cardiogenic Shock Initial: 50 mcg/kg over 10 to 60 min
Maintain: 0.5 to 0.75 mcg/kg/min
Longer infusion times and euvolemia
will reduce risk of hypotension
Naloxone Opioid Reversal Less than 5 y/o OR under 20 kg: 0.1 mg/kg
Over 5 y/o OR over 20 kg: 2 mg IV q 2 to 3 min prn
Decrease dose to reverse respiratory
depression due to therapeutic opioid use
(1 to 5 mcg/kg, titrate to effect)
Procainamide Tachyarrhythmia 15 mg/kg over 30 to 60 minutes Do NOT give with amiodarone
Monitor ECG & BP
Sodium Bicarbonate Metabolic Acidosis 1 mEq/kg slow bolus
(MAX DOSE 50 mEq)
Monitor ABG & ECG
After adequate ventilation

Feel free to share these flashcards with your friends and co-workers! If you are interested in receiving online PALS certification or recertification, you can click here for more information on what we offer here at NHCPS.com.

Other resources for PALS success:

Follow NHCPS on Instagram!
 

About Lauren

Lauren works as the Medical Educator for the Disque Foundation and has worked closely with us since 2014. She is a full-time student pursuing a BS in Biology at Indiana University as a recipient of the Chick Evans Caddy Scholarship and hopes to attend medical school to become a physician in the future. She is certified in Cardiopulmonary Resuscitation, Basic Life Support, Advanced Cardiac Life Support and Pediatric Advanced Life Support, and she is also a certified Basic Life Support Instructor for the American Heart Association. She stays heavily involved with health care in and out of her local community, helping plan and coordinate Disque Foundation events, teaching lifesaving skills to the communities and organizations that we serve and volunteering at her hometown hospital in the Birthing Unit.
Contact Lauren at lauren.diffendarfer@nhcps.com.
0
Comments

Leave a Reply

Your email address will not be published. Required fields are marked *