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PALS - Written Test and Case Study Review Material CPR Sequence (Ans- C-A-B Circulation-Airway-Breathing Algorithm: Pediatric Septic Shock First hour... (Ans- Oxygen & support ventilatio... n Establish IV, draw labs (glucose, blood cultures) Begin resuscitation Push repeated 20 mL/kg isotonic crystalloid (3-4) unless rales, resp distress, hepatomegaly Correct hypo-glycemia/calcemia Admin 1st dose antibiotics STAT STAT vasopressor drip/stress-dose hydrocortisone Establish 2nd IV Algorithm: Pediatric Septic Shock Fluid Responsive? (Ans- Yes - ICU No - Vasoactive drug & titrate for normotension Normo: begin dopamine Hypo/warm: norepi Hypo/cold: epi Adenosine (slows HR) (Ans- SVT 0.1 mg/kg - dose 1 0.2 mg/kg - dose 2 max = 6 mg RAPID push Amiodarone (antiarrythmic) (Ans- VF/VT (pulseless) 5 mg/kg Bolus max = 300 mg SVT, VT (with pulses) 5 mg/kg over 20-60 mins max = 300 mg Atropine (increases HR) (Ans- Bradycardia 0.02 mg/kg may repeat once Epinepherine (increases HR) (Ans- Bradycardia/Pulseless Arrest 0.01 mg/kg (1:10,000) every 3-5 min Hypotensive Shock 0.1-1 mcg/kg per min Anaphylaxis 0.01 mg/kg every 3-5 min [Show More]

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