[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-573573-105":53,"doc-detail-573573-en":120},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":113,"head_meta":115,"extra_data":117,"updated_unix":119},105,"en","pediatric-advanced-life-support-pals-study-guide-pediatric-septic-shock-algorithm","Pediatric Advanced Life Support (PALS) - Study Guide - Pediatric Septic Shock Algorithm","","PALS study guide content summarizing pediatric emergency algorithms, focusing on septic shock, bradycardia/tachycardia management, pediatric cardiac arrest, post-resuscitation care, and maintenance fluid estimation. It includes shock recognition and steroid consideration via cortisol and ACTH stimulation testing, dosing guidance for epinephrine, atropine, adenosine, amiodarone, procainamide, defibrillation energy, CPR technique, airway and ventilation targets, reversible causes, ROSC monitoring, and practical fluid rate calculations by weight ranges.",{"@graph":63,"@context":112},[64,80,95],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/pediatric-advanced-life-support-pals-study-guide-pediatric-septic-shock-algorithm/573573/",4,{"url":78,"name":59,"@type":81,"author":82,"headline":59,"publisher":85,"fileFormat":88,"inLanguage":57,"description":61,"dateModified":89,"datePublished":89,"encodingFormat":88,"isAccessibleForFree":90,"interactionStatistic":91},"DigitalDocument",{"name":83,"@type":84},"Chumphorn","Person",{"url":68,"name":86,"@type":87},"DocShare","Organization","application/pdf","2026-10-14",true,{"@type":92,"interactionType":93,"userInteractionCount":4},"InteractionCounter",{"@type":94},"ViewAction",{"@type":96,"mainEntity":97},"FAQPage",[98,104,108],{"name":99,"@type":100,"acceptedAnswer":101},"When is adrenal insufficiency considered in pediatric septic shock, and what steroid dosing is recommended?","Question",{"text":102,"@type":103},"Fluid-refractory shock and dopamine or norepinephrine dependence define patients at risk for adrenal insufficiency. If adrenal insufficiency is suspected, give hydrocortisone about 2 mg/kg IV bolus (maximum 100 mg).","Answer",{"name":105,"@type":100,"acceptedAnswer":106},"What are the key elements of CPR quality and ventilation during pediatric cardiac arrest?",{"text":107,"@type":103},"Push hard and fast (at least 100/min) with complete chest recoil, and minimize interruptions. Avoid excessive ventilation; use a 15:2 compression-ventilation ratio without an advanced airway, and with an advanced airway deliver 8–10 breaths per minute with continuous compressions (1 breath every 6–8 seconds).",{"name":109,"@type":100,"acceptedAnswer":110},"How is maintenance fluid requirements estimated for children by weight?",{"text":111,"@type":103},"For infants under 10 kg: 4 mL/kg per hour. For 10–20 kg: 4 mL/kg per hour for the first 10 kg plus 2 mL/kg per hour for each kg above 10 kg. For over 20 kg: 4 mL/kg per hour for the first 10 kg plus 2 mL/kg per hour for kg 11–20 plus 1 mL/kg per hour for each kg above 20 kg, then adjust fluids by clinical hydration status.","https://schema.org",{"og:url":78,"og:type":114,"og:title":59,"og:site_name":86,"og:description":61},"article",{"robots":116,"canonical":78},"index,follow",{"doc_id":118,"site_id":56},573573,1791942856,{"code":4,"msg":5,"data":121},{"doc_id":118,"user_id":122,"nickname":83,"user_avatar":123,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":124,"file_id":125,"file_url":126,"file_type":127,"file_size":128,"view_count":4,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":129,"language":130,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":131,"faqs":132,"seo_title":133,"seo_description":61,"update_tm":119,"read_time":79},2336475401981,"https://ap-avatar.wpscdn.com/avatar/22000c94efd8d5204d?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786935347598174694","# PALS SystematicApproach Algorithm\n\n## Pediatric SepticShock Algorithm\n\n# Pediatric Advanced Life Support\n\n*Fluid-refractory and dopamine-or norepinephrine-dependent shockdefines patient at risk for adrenal insufficiency.  \nf adrenal insufficiency is suspected givehydrocortisone ~2mg/kg bolus IV;maximum 100 mg  \n# DEDICATED TO THE HEALTH OF ALL CHILDREN\"\n\nDraw baseline cortisol;considerACTH stimulation test if unsure ofneed for steroids  \nModified from Brierley J,Carcilo JA,Choong K,Cornell T,Decaen A,Deymann A,Doctor A,Davis A,DufJ,Dugas MA,Duncan A,Evans B,Feldman J,Felmet K,Fisher G,FrankelL,JeffisH,Greenwald B,GutierezJ,Hal M,Han Y,HansonJ,Hazelzet J,Hernan L,KifJ,Kissoon N,Kon A,razuzta J,Lin J,Lorts A,Mariscalco M,Mehta R,Nadel S,Nguyen T,Nicholson C,Peters M,Okhuysen-Cawley R,Poulton T,Relves M,Rodriguez A,Rozenfeld R,Schnitzler  \nE,Shanley T,Kache S,Skippen P,Torres A,von Dessauer B,Weingarten J,Yeh T,Zaritsky A,Stojadinovic B,Zimmerman J,Zuckerberg A.Clinical practiceparameters for hemodynamic suport of pediatric and neonatal septic shock:2007 update from the American College of Citical Care Medicine.Crit Care Med.2009;37(2):666-688.  \n## Pediatric BradycardiaWith a Pulse and PoorPerfusion Algorithm\n\n# Pediatric Advanced Life Support\n\nCardiopulmonary  \nCompromise  \n·Acutely altered mental status  \nDoses/Details  \nEpinephrine IO/IV Dose:  \n0.01 mg/kg(0.1 mL/kgof 1:10000 concentration).Repeat every 3-5 minutes.f IO/IV access not availablebut endotracheal (ET)tubein place,may give ET dose:  \n0.1 mg/kg(0.1 mL/kg of  \nAtropine IO/IV Dose:  \n0.02 mg/kg.May repeat once.Minimum dose 0.1 mg andmaximum single dose 0.5 mg.  \nPediatric TachycardiaWith a Pulse andAdequate PerfusionAlgorithm  \nAmerican  \nHeart  \nAssociationo  \n## Pediatric Advanced Life Support\n\n## Pediatric TachycardiaWith a Pulse and PoorPerfusion Algorithm\n\nPediatric Advanced Life Support  \nDoses/DetailsSynchronizedCardioversion:Begin with  \n0.5-1 J/kg;if not effective,increase to 2 J/kg.Sedate if needed,but don't delaycardioversion.AdenosineIO/IV Dose:First dose:  \n0.1 mg/kg rapidbolus(maximum:6mg).Second dose:  \n0.2 mg/kg rapidbolus(maximumsecond dose12 mg).AmiodaroneIO/IV Dose:5mg/kg over20-60 minutesorProcainamideIO/IV Dose:15 mg/kg over30-60 minutesDo not routinelyadministeramodaroneand procainamidetogether.  \n## Pediatric TachycardiaWith a Pulse and PoorPerfusion Algorithm\n\nPediatric Advanced Life Support  \nDoses/DetailsSynchronizedCardioversion:Begin with  \n0.5-1 J/kg;if not effective,increase to 2 J/kg.Sedate if needed,but don't delaycardioversion.AdenosineIO/IV Dose:First dose:  \n0.1 mg/kg rapidbolus(maximum:6mg).Second dose:  \n0.2 mg/kg rapidbolus(maximumsecond dose12 mg).AmiodaroneIO/IV Dose:5mg/kg over20-60 minutesorProcainamideIO/IV Dose:15 mg/kg over30-60 minutesDo not routinelyadministeramodaroneand procainamidetogether.  \n## Pediatric CardiacArrest Algorithm\n\nHeart  \nPediatric Advanced Life Support  \nShout for Help/Activate Emergency Response  \nAmerican Academy  \nAmerican  \nof Pediatrics  \nAssociationo  \n# DEDICATED TO THE HEALTH OF ALL CHILDREN\"\n\nDoses/Details  \nCPR Quality  \n·Push hard (≥1/3 of anterior-  \nposterior diameter of chest)  \nand fast (at least 100/min)  \nand allow complete chest  \nrecoil  \n● Minimize interruptions in  \ncompressions  \n·Avoid excessive ventilation  \n·Rotate compressor every  \n2 minutes  \n·If no advanced airway,  \n15:2 compression-ventilation ratio.If advancedairway,8-10 breaths perminute with continuouschest compressions  \nShock Energyfor Defibrillation  \nFirst shock 2 J/kg,second  \nshock 4 J/kg,subsequent  \nshocks ≥4 J/kg,maximum  \n10 J/kg or adult dose.  \nDrug Therapy  \n·Epinephrine IO/IV Dose:  \n0.01 mg/kg(0.1 mL/kg of  \n1:10000 concentration).Repeat every 3-5 minutes.If no IO/IV access,may giveendotracheal dose:0.1 mg/kg  \n(0.1 mL/kg of 1:1000concentration).  \n·Amiodarone iO/IV Dose:  \n5 mg/kg bolus during  \ncardiac arrest.May repeat  \nup to 2 times for refractory  \nVF/pulseless VT.  \nAdvanced Airway  \n●Endotrach","cbCaitSuveiIFeV0","https://ap.wps.com/l/cbCaitSuveiIFeV0","pdf",6170906,10,"English","# Pediatric Advanced Life Support (PALS)\n## Pediatric Septic Shock Algorithm\n## Pediatric Bradycardia With a Pulse and Poor Perfusion Algorithm\n## Pediatric Tachycardia With a Pulse and Poor Perfusion Algorithm\n## Pediatric Tachycardia With a Pulse and Adequate Perfusion Algorithm\n## Pediatric Cardiac Arrest Algorithm\n## Pediatric Postresuscitation Care\n## Estimation of Maintenance Fluid Requirements","[{\"question\":\"When is adrenal insufficiency considered in pediatric septic shock, and what steroid dosing is recommended?\",\"answer\":\"Fluid-refractory shock and dopamine or norepinephrine dependence define patients at risk for adrenal insufficiency. If adrenal insufficiency is suspected, give hydrocortisone about 2 mg/kg IV bolus (maximum 100 mg).\"},{\"question\":\"What are the key elements of CPR quality and ventilation during pediatric cardiac arrest?\",\"answer\":\"Push hard and fast (at least 100/min) with complete chest recoil, and minimize interruptions. Avoid excessive ventilation; use a 15:2 compression-ventilation ratio without an advanced airway, and with an advanced airway deliver 8–10 breaths per minute with continuous compressions (1 breath every 6–8 seconds).\"},{\"question\":\"How is maintenance fluid requirements estimated for children by weight?\",\"answer\":\"For infants under 10 kg: 4 mL/kg per hour. For 10–20 kg: 4 mL/kg per hour for the first 10 kg plus 2 mL/kg per hour for each kg above 10 kg. For over 20 kg: 4 mL/kg per hour for the first 10 kg plus 2 mL/kg per hour for kg 11–20 plus 1 mL/kg per hour for each kg above 20 kg, then adjust fluids by clinical hydration status.\"}]","Pediatric Advanced Life Support (PALS) - Study Guide - Pediatric Septic Shock Algorithm | PDF"]