dcwin

sometimes people without experience can be trained easier...dont have to break bad habits

Although not required by our management team, ACLS isvery helpful especially when you consider alot of our pediatric patients are outgrowing PALS.....anyone over 70 kg should be considered ACLS protocal.....The calculation of medications is different for over 70 kg...(an example is epi dosing where .01 mg/kg is standard dose, a 90 kg patient would recieve .9 mg under PALS protocal....under ACLS protocal the patient would be given 1 mg)....with ACLS anyone over 70 kg the dosing is all "adult"....you would never want to use pals guideline for meds as overmedication is very frequent.....use you imagination and u can see where the ACLS protocals for over 70 kg (some use over 12 years) can provide the more correct dosing Imagine versed dosing of a 100 kg patient....0.1 mg/kg would have u giving the patient 10 mg...where adult dosing you might give 4-6 mg...Unfortunately the PICU nurse is gradually becoming and adult RN