Final answer:
The initial energy dose for defibrillation of a pediatric patient varies depending on the patient's age and weight. It is generally recommended to start with a dose of 2 joules per kilogram (J/kg) for the first shock. The subsequent shocks may have increased energy doses if needed.
Step-by-step explanation:
The initial energy dose for defibrillation of a pediatric patient varies depending on the patient's age and weight. In general, the recommended energy dose for pediatric defibrillation is 2 joules per kilogram (J/kg) for the first shock. For subsequent shocks, the energy dose may be increased to 4 J/kg, 6 J/kg, and up to a maximum of 10 J/kg if necessary.
For example, if a pediatric patient weighs 20 kilograms, the initial energy dose for the first shock would be 2 J/kg x 20 kg = 40 joules.