PEDIATRIC ADVANCED LIFE SUPPORT (PALS) DRUG LIST:
Adenosine (Adenocard):
Stable PSVT:
0.1mg/kg, 0.2mg/kg Rapid IVP (max 6mg, 12mg, 12mg)
Amiodarone (Cordarone):
Pulseless VT/VF:
5mg/kg IVP, can repeat at 5mg/kg
 
Stable VT:
5mg/kg IV over 20-60min (max single dose 300mg)
Atropine Sulfate:
Bradycardia:
0.02mg/kg, 0.04mg/kg IVP (max 1mg child, 2mg adolescent)
 
Asystole/PEA <60:
0.02mg/kg, 0.04mg/kg IVP (max 1mg child, 2mg adolescent)
 
Organophosphate:
2-4mg or higher may be required
Calcium Chloride (20%):
Hypo Ca/Hyper K:
20mg/kg IV/IO(of 10% solution)
Dextrose (D10W, D25W, D50W):
Hypoglycemia:
5-10ml/kg D10W, 2-4ml/kg D25W, 1-2ml/kg D50W
Dobutamine (Dobutrex):
Hypotension: (BP 70-100 w/o signs of shock)
2-20mcg/kg/min
Dopamine:
Hypotension: (BP 70-100 with signs of shock)
2-20mcg/kg/min
Epinephrine (Adrenaline HCL):
Cardiac Arrest:
 
Bradycardia:
0.01mg/kg (1:10,000) q 3-5min no max
 
0.01mg/kg (1:10,000) q 3-5min no max
Lidocaine HCl (Xylocaine):
 
Pulseless VT/VF:
 
Stable VT or Ventricular Ectopy:
1.0mg/kg IVP/IO (max 100mg)
 
1.0mg/kg IVP/IO (max 100mg)
Magnesium Sulfate:
 
 
Cardiac Arrest, to include (TdP):
 
Torsades (TdP) with a pulse or life-threatening arrhythmias due to Digitalis toxicity:
 
Status Asthmaticus:
1-2g IV/IO in 10cc D5W over 5-20 min
 
25-50mg/kg IV/IO over 10-20min, faster in Torsades (max 2g)
 
25-50mg/kg IV/IO over 10-20 min (max 2g)
Naloxone HCl (Narcan):
Opiate OD:
1-5mcg/kg IV/IO titrated to respiratory improvement
Sodium Nitroprusside (Nipride):
HTN Crisis: Note: Drug is light-sensitive, and IV bag and tubing must be covered in opaque material.
Peds <40kg: 1-8mcg/kg/min
Peds >40kg: 0.1-5mcg/kg/min
Norepinephrine (Levophed):
Cardiogen. Shock: with BP <70
0.1-2.0mcg/kg/min, titrate to effect
Procainamide (Pronestyl):
Refractory VT/VF:
AFib/PSVT or Stable VT:
15mg/min IV, over 30 - 60 min
15mg/min IV until one of the following occurs:
Arrhythmia suppression
Hypotension
QRS Widens by 50%
Max dose of 17mg/kg reached
Sodium Bicarbonate:
Hyperkalemia, Metab. Acidosis, TCA/Cocaine OD,
Prolonged Arrest:
1mEq/kg IV bolus


MEDICATIONS FOR RAPID SEQUENCE INDUCTION IN PEDS (P-RSI):
CARDIOVASCULAR ADJUNCTS:
Atropine Sulfate:
Inhibits Brady.
0.01-0.02mg.kg (min 0.1mg, max 1mg)
Glycopyrolate (Robinul):
Inhibits Brady.
0.005-0.01mg/kg (max 0.2mg)

MEDICATIONS FOR RAPID SEQUENCE INDUCTION IN PEDS (P-RSI):
SEDATIVES:
Etomidate (Amidate):
Sedative
0.2-0.4mg/kg IV over 30-60sec, max 20mg
Fentanyl:
Sedative
2.0-4.0mcg/kg IVP
Ketamine:
Sedative
1.0-2.0mg/kg IVP
Midazolam (Versed):
Sedative
0.1-0.2mg/kg IVP
Diazepam (Valium): 
Sedative
0.1-0.2mg/kg IVP
Propofol (Diprovan):
Sedative
2.0-3.0mg/kg IVP
Thiopental:
Sedative
2.0-5.0mg/kg IVP
Lidocaine:
Decrease ICP
1.0-2.0mg/kg IVP


NEUROMUSCULAR BLOCKING AGENTS (NMBA):
Succinylcholine (Anectine):
NMBA
1.0-1.5mg/kg IV for children, 2mg/kg for infants, IM dose is 2x IV dose
Vecuronium (Norcuron):
NMBA
0.1-0.2mg/kg IV
Rocuronium (Zemuron):
NMBA
0.6-1.2mg/kg IV