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

Mackenzie Thompson

by Mackenzie

Life Saver, NHCPS

posted on Aug 9, 2016 at 8:09 pm

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 International Liaison Committee on Resuscitation guidelines and NHCPS:

AdenosineSupraventricular tachycardiaFirst 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
AmiodaroneTachyarrhythmia5 mg/kg over 20 to 60 minutes
Repeat up to 15 mg/kg
(MAX DOSE 300 mg)
Very long half life
Monitor ECG & BP
AtropineBradycardia0.02 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
EpinephrineCardiac Arrest/ShockIV/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
GlucoseHypoglycemia0.5 to 1 g/kgNewborn: 5 to 10 mL/kg D10W
Infants/Children: 2 to 4 mL/kg D25W
Adolescents: 1 to 2 mL/kg D50W
LidocaineTachyarrhythmiaInitial: 1 mg/kg
Infusion: 20 to 50 mcg/kg/min
(MAX DOSE 100 mg)
ET: 2 to 3 mg
Magnesium SulfateTorsades de Pointes
Refractory Asthma
20 to 50 mg/kg over 10 to 20 min
(MAX DOSE 2 grams)
May run faster for Torsades
MilrinoneCardiogenic ShockInitial: 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
NaloxoneOpioid ReversalLess 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)
ProcainamideTachyarrhythmia15 mg/kg over 30 to 60 minutesDo NOT give with amiodarone
Monitor ECG & BP
Sodium BicarbonateMetabolic Acidosis1 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

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About Mackenzie

Mackenzie is a lover of world travel, photography, design, style and Chinese cooking. She is passionate about working towards a purpose, recently graduated from Indiana University with a degree in Media and Marketing, and is currently residing in Manhattan.

Contact Mackenzie at [email protected]


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