CPR Certification Online

Online PALS Course

Our online PALS certification course includes pediatric assessment and practice of medical emergency scenarios. It also includes identifying shock and cardiac arrest in pediatric patients. OSHA-certified trainers have designed this course curriculum. It is for all medical/healthcare professionals. Earn CE credit hours. Print your wallet card instantly after passing. 

  1. Home
  2. »
  3. PALS Course
  4. »
  5. Pediatric Pharmacology

Select Course

Chapter 8: Pediatric Pharmacology

DrugAdenosine
Indications
  • SVT
Side Effects
  • Facial flushing
  • Shortness of breath
  • Lightheadedness
  • Nausea
  • Hypotension
  • Dyspnea
  • Palpitations
  • Angina
  • Headache
Dosage
  • First dose: 0.1 mg/kg IV/IO rapid push (max 6 mg)
  • Second dose: 0.2 mg/kg IV/IO rapid push (max 12 mg)

PALS By American HealthCare Academy Video:

DrugAlbuterol
Indications
  • Asthma
  • Anaphylaxis
  • Hyperkalemia
Side Effects
  • Anxiety
  • Headache
  • Cough
  • Dyspnea
  • Palpitations
  • Tachycardia
  • Hypertension
  • Heartburn
  • Nausea
  • Diarrhea
  • Flushing
  • Hypotension
Dosage
  • 4 to 8 puffs repeat 20 minutes PRN
  • 2.5 mg/dose every 20 minutes for children <20 kg
  • 5 mg/dose every 20 minutes for children >20 kg
DrugAmiodarone
Indications
  • SVT
  • VT
  • Pulseless arrest
Side Effects
  • Headache
  • Dizziness
  • Pulmonary fibrosis
  • ARDS
  • Bradycardia
  • Nausea
  • Vomiting
  • Rash
  • Hyper or hypothyroidism
  • CHF
  • Abdominal pain
Dosage
  • SVT, VT: 5 mg/kg IV/IO load over 20 to 60 minutes max dose of 300 mg
  • Pulseless arrest: 5 mg/kg IV/IO bolus max dose of 300 mg
DrugAtropine
Indications
  • Symptomatic Bradycardia
  • Toxins  or overdose
  • Rapid sequence intubation
Side Effects
  • Headache
  • Dizziness
  • Blurred vision
  • Tachycardia
  • Hypotension
  • Nausea
  • Vomiting
  • Urinary retention
  • Rash
  • Dry skin
Dosage
  • 0.02mg/kg. May repeat once. Minimum dose is 0.1 mg and max single dose is 0.5 mg.
  • Bradycardia: 0.02 mg/kg IV/IO and can repeat one dose. Or 0.04 to 0.05 mg/kg ET
  • Toxins or overdose: 0.02 to 0.05 mg/kg IV/IO initially and repeat every 20 to 30 minutes for children <12 years of age. Or 0.05 mg/kg IV/IO initially and then 1 to 2 mg repeat every 20 to 30 minutes for children >12 years of age
  • RSI: 0.01 or 0.02 mg/kg IV/IO or 0.02 mg/kg IM

PALS Certification by American HealthCare Academy Video:

DrugEpinephrine
Indications
  • Anaphylaxis
  • Asthma
  • Bradycardia
  • Croup
  • Pulseless arrest
  • Shock –hypotensive
  • Toxins/overdose
Side Effects
  • Tremors
  • Anxiety
  • Dyspnea
  • Arrhythmias
  • Palpitations
  • Tachycardia
  • Hypertension
  • Nausea
  • Vomiting
  • Renal vascular ischemia
  • Hyperglycemia
Dosage
  • Anaphylaxis: 0.01 mg/kg in thigh every 15 mins or 0.01 mg/kg every 3 to 5 minutes IV/IO
  • Asthma: 0.01 mg/kg every 15 minutes
  • Bradycardia: 0.01 mg/kg every 3 to 5 minutes IV/IO
  • Croup: 0.25 mL racemic solution with 3 mL NS by inhaled nebulizer or 3 ml by inhaled nebulizer
  • Pulseless Arrest: 0.01 mg/kg every 3 to 5 minutes IV/IO
  • Hypotensive shock: 0.1 to 1 µg/kg per minute IV/IO infusion
  • Toxins/overdose: 0.01 mg/kg IV/IO
  • 0.3mg autoinjector
DrugIpratropium Bromide
Indications
  • Asthma
Side Effects
  • Anxiety
  • Dizziness
  • Blurred vision
  • Cough
  • Palpitations
  • Nausea
  • Vomiting
  • Rash
Dosage
  • 250 to 500 µg inhaled every 20 minutes x 3 doeses
DrugLidocaine
Indications
  • VF/pulseless VT
  • Wide-complex tachycardia
  • RSI
Side Effects
  • Seizures
  • Headache
  • Dizziness
  • Tinnitus
  • Blurred vision
  • Hypotension
  • Cardiac arrest
  • Dyspnea
  • Nausea
  • Vomiting
  • Rash
  • Edema
Dosage
  • Pulseless VT/VF and complex Tachy: 1 mg/kg IV/IO loading bolus initial and 20 to 50 µg/kg per minute IV/IO infusion for maintenance
  • RSI: 1 to 2 mg/kg IV/IO

PALS Course by American HealthCare Academy Video:

DrugMagnesium Sulfate
Indications
  • Torsades de pointes
  • Asthma
  • Hypomagnesemia
Side Effects
  • Confusion
  • Sedation
  • Respiratory depression
  • Hypotension
  • Bradycardia
  • Nausea
  • Vomiting
  • Cramps
  • Flushing
  • Sweating
Dosage
  • Asthma: 25 to 50 mg/kg IV/IO slower infusion 15 to 30 minutes
  • Torsades: 25 to 50 mg/kg IV/IO bolus
  • Hypomagnesemia: 25 to 50 mg/kg IV/IO over 10 to 20 minutes
DrugMethylprednisolone
Indications
  • Asthma
  • Anaphylactic shock
Side Effects
  • Depression
  • Headache
  • Hypertension
  • Embolism
  • Hemorrhage
  • Diarrhea
  • Nausea
  • Fractures
  • Hyperglycemia
  • Ulcers
Dosage
  • Load 2mg/kg (max 60 mg)and maintenance of 0.5 mg/kg for 6 hours (max of 120 mg/d)
DrugNitroglycerine
Indications
  • Congestive heart failure
  • Cardiogenic shock
Side Effects
  • Headache
  • Dizziness
  • Hypoxemia
  • Tachycardia
  • Cardiac arrest
  • Syncope
  • Flushing
  • Pallor
  • Sweating
Dosage
  • 0.25 to 0.5 µg/kg per minute IV/IO infusion and can increase to 0.5 to 1 µg/kg per minute every 3 to 5 minutes PRN for max dose of 10 µg/kg per minute
DrugNorepinephrine
Indications
  • Hypotensive shock
Side Effects
  • Headache
  • Anxiety
  • Respiratory distress
  • Hypertension
  • Tachycardia
  • Renal failure
  • Arrhythmias
Dosage
  • 0.05 to 2mcg/kg/min
DrugOxygen
Indications
  • Hypoxia
  • Respiratory distress/failure
  • Shock
  • Trauma
  • Cardiopulmonary failure
  • Cardiac arrest
Side Effects
  • Headache
  • Dry mucous membranes
  • Airway obstruction
  • Gastric distention
Dosage
  • 100% O2 initially via high flow O2 system
DrugSodium Nitroprusside
Indications
  • Cardiogenic shock
  • Hypertension
Side Effects
  • Seizures
  • Headache
  • Nausea
  • Hypothyroidism
  • Cyanide toxicity
Dosage
  • 0.3 to 2 mcg/kg/min (with max 8 mcg/kg/min prn)