Question

You are part of a team attempting to resuscitate a child with V fib cardiac arrest. You gave 2 unsynchronized shocks. IO access is obtained, you give Epinephirne 0.01 mg/kg IO. At next rhythm check, persistent V fib. You administer 4-J/kg shock and resume CPR. What drug and dose should be administered next?

A. Mag sulfrate 25 - 50 mg/kg IO
B. Epinephirne 0.1 mg/kg IO
C. Atropine 0.02 mg/kg IO
D. Amiodarone 5 mg/kg IO

Answer 1

After initial treatment fails for V Fib cardiac arrest in a child, the recommended drug to administer is Amiodarone at a dose of 5 mg/kg IO, according to ACLS guidelines.

Step-by-step explanation:

In the scenario provided, a child is experiencing a Ventricular Fibrillation (V Fib) cardiac arrest and has been given initial treatments including defibrillation and Epinephrine. After a subsequent rhythm check shows persistent V Fib, the team has administered another defibrillation shock. The next drug and dose to be administered should be Amiodarone 5 mg/kg IO. It's important to continue following Advanced Cardiovascular Life Support (ACLS) guidelines, which recommend Amiodarone for pediatric patients with refractory VF/pulseless VT after initial CPR and defibrillation attempts.