When do you give amiodarone ACLS?

For cardiac arrest, amiodarone is used after the third shock for ventricular fibrillation and ventricular tachycardia that is unresponsive to shock delivery, CPR, and vasopressors. For tachycardia with a pulse, amiodarone may be considered, and expert consultation should be obtained prior to its use.

How many joules is a 15kg child?

The American Heart Association (AHA) currently recommends 2 J/kg, escalating to 4 J/kg, in pediatric patients.

When do you use pediatric sized paddles?

It is most appropriate to use a smaller “pediatric” sized paddles for shock delivery during manual defibrillation of pediatric patients if the patient weighs less than approximately 10kg or is less than 1 years of age.

What are the ACLS protocols?

ACLS indicates advanced cardiovascular life support; BLS, basic life support; CPR, cardiopulmonary resuscitation; ET, endotracheal; IV, intravenous; and ROSC, return of spontaneous circulation.

How fast do you push amiodarone in a code?

To treat all acute tachyarrhythmias in adults, amiodarone can be given IV 150 mg over 10 minutes, followed by a 1 mg/min infusion for 6 hours, followed by an infusion at 0.5 mg/min. The recommended total dose over 24 hours should not exceed 2.4 grams.

Why do you give amiodarone over 10 minutes?

For treatment after the first 24 hours, the maintenance infusion of 0.5 mg/min, or 30 mg/h, should be continued. In the event of breakthrough episodes of VT/VF, 150-mg supplemental infusions of drug mixed with 100 mL of D5W may be administered over 10 minutes to minimize the potential for hypotension.

Where do you check for a pulse on an infant?

Taking an Infant’s Pulse Lay your baby down on the back with one arm bent so the hand is up by the ear. Feel for the pulse on the inner arm between the shoulder and the elbow: Gently press two fingers (don’t use your thumb) on the spot until you feel a beat. When you feel the pulse, count the beats for 15 seconds.

Where do you place AED pads on a child?

Place one pad on the upper right chest above the breast or on the infant’s upper left chest. Place the second pad on the lower left chest below the armpit or on the infant’s back. If pads will touch on the chest of an infant, apply one pad on the anterior chest and another pad on the posterior of the infant instead.

What is the first step of the pediatric cardiac chain of survival?

the prevention of injury and cardiac arrest
The Chain of Survival does not begin with CPR; it begins with the prevention of injury and cardiac arrest as the first link and continues with critical interventions performed in both the out-of-hospital and in- hospital settings.

How much is amiodarone in ACLS?

Cardiac Arrest: First dose: Give 300 mg (6 mL) IV direct UNDILUTED. A filter is not required for IV direct administration. Second dose: If patient remains in pulseless ventricular tachycardia or ventricular fibrillation 5 minutes after the first dose, give a second dose of amiodarone 150 mg (3 mL).

How fast do you give amiodarone bolus?

This infusion should be administered at a rate of 1 mg/min for 6 hours, which will provide about 360 mg over that time period. This is followed by a maintenance infusion at a rate of 0.5 mg/min, which over 18 hours will total about 540 mg.