What is the maximum total dose of amiodarone allowed per pediatric VT/VF resuscitation?

What is the maximum total dose of amiodarone allowed per pediatric VT/VF resuscitation?

• A. 5 mg/kg
• B. 30 mg/kg
• C. 15 mg/kg
• D. 10 mg/kg

Answer: (C)

During pediatric VT/VF resuscitation, amiodarone is given as an IV/IO bolus at 5 mg/kg. This dose can be repeated, but the total amount should not exceed 15 mg/kg. In practice, this means up to three boluses (5 mg/kg each) for a patient, totaling 15 mg/kg. For example, a 20 kg child would receive about 100 mg per bolus, up to a total of 300 mg. This limit helps balance effectiveness in refractory arrhythmias with the risk of side effects like hypotension or bradycardia.

During pediatric VT/VF resuscitation, amiodarone is given as an IV/IO bolus at 5 mg/kg. This dose can be repeated, but the total amount should not exceed 15 mg/kg. In practice, this means up to three boluses (5 mg/kg each) for a patient, totaling 15 mg/kg. For example, a 20 kg child would receive about 100 mg per bolus, up to a total of 300 mg. This limit helps balance effectiveness in refractory arrhythmias with the risk of side effects like hypotension or bradycardia.