Question

You are participating in the resuscitation of a 6-month-old patient weighing 7 kilograms who is in pulseless electrical arrest (PEA). High quality CPR is being administered, IV access has been obtained and BLS ventilations are working well. The team leader orders epinephrine 1:10,000 at a dose of 0.1 mg/kg IV with a 20ml saline flush. On receiving this order from the team leader as the person in charge of medications you should:

Answer 1

When receiving the order from the team leader to administer epinephrine to a 6-month-old patient in pulseless electrical arrest, you should follow the order and prepare the medication as instructed. The dose should be calculated based on the patient's weight, and the appropriate amount of epinephrine should be administered intravenously, followed by a saline flush.

Step-by-step explanation:

As the person in charge of medications, when you receive the order from the team leader to administer epinephrine 1:10,000 at a dose of 0.1 mg/kg IV with a 20ml saline flush to a 6-month-old patient weighing 7 kilograms in pulseless electrical arrest (PEA), you should follow the order and prepare the medication as instructed. You should calculate the dose based on the patient's weight, which in this case would be 0.1 mg/kg x 7 kg = 0.7 mg. Then, you would draw up the appropriate amount of epinephrine and administer it intravenously, followed by the saline flush.

It's worth noting that the concentration of the epinephrine solution (1:10,000) refers to the ratio of the amount of epinephrine to the volume of the solution. In this case, 1 part of epinephrine is present in 10,000 parts of the solution. This is a standard concentration used for intravenous administration.