PALS Review Questions

96. What is the maximum initial dose of adenosine in a 70kg adolescent?   6mg

97.  If a child in pulseless v tach does not respond to an initial shock at 2J/kg, what is the next appropriate step?
 Continue CPR beginning with chest compressions and prepare a second shock at 4J/kg after 5 cycles of CPR.

98. What three drugs may be used in the treatment of wide complex tachcardia?
Amiodarone 5mg/kg IV over 20-60 minutes
Lidocaine 1mg/kg bolus
Procainamide 15mg/kg over 30-60 minutes

99. A child with unstable SVT fails to respond to an initial cardioversion attempt at 0.5J/kg. What would be the next appropriate joule setting for this child?
2J/kg

100. Describe the technique for giving compressions to a child during CPR. 
Compressions may be given using 1 or 2 hands in the middle of the breast bone.

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