Paramedic National Registry Practice

What is the recommended pediatric dose for Amiodarone?

1. 5 mg/kg repeat up to 10 mg/kg Max 250 mg

2. 5 mg/kg repeat up to 15 mg/kg Max 300 mg

3. 10 mg/kg repeat up to 15 mg/kg Max 200 mg

4. 2 mg/kg repeat up to 12 mg/kg Max 150 mg

The correct answer is: 5 mg/kg repeat up to 15 mg/kg Max 300 mg

The recommended pediatric dose for Amiodarone involves administering 5 mg/kg, which can be repeated up to a total of 15 mg/kg, with a maximum limit of 300 mg. This dosage is critical in managing specific arrhythmias, especially in cardiac arrest situations where rapid administration is necessary. The initial dose of 5 mg/kg is significant as it facilitates the prompt action Amiodarone is known for, particularly in restoring a stable rhythm. The repeat dosing allows for further treatment if the initial dose is insufficient, while the maximum limit of 300 mg ensures safety by preventing overdosing, which could lead to severe side effects or toxicity. This structured dosing approach is aligned with clinical guidelines that prioritize efficacy while minimizing risks in the pediatric population, who may have different physiological responses compared to adults. Understanding these parameters is crucial for effective and safe treatment in emergency situations for children experiencing life-threatening arrhythmias.