Tetralogy of Fallot

1. Knee to chest position (increases PVR).
2. IV/IM/SC morphine (0.1-0.2mg/kg)
3. Fluid bolus (10-20cc/kg)
4. IV beta blockers, i.e. propranolol – decrease RVOT spasm
5. Phenylephrine – increase PVR.
6. Emergent surgical repair or shunt.

~ Neonates may need prostaglandins if they are dependent on their ductus arteriosus.