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34 Cards in this Set

  • Front
  • Back
Consider assisted ventilations and/or resuscitation if a neonate has any of these three conditions.
(1) persistent central cyanosis >15-30secs
(2) respirations <30
(3) Heart Rate <100
Neonate CPR compression to ventilation ratio is ____ at a rate of ____ (____ compressions to ____ ventilations) per minute.
3:1
120
90 compressions
30 ventilations
Neonate ventilations should be assisted at this rate per minute.
30-60 ventilations per minute
Assist neonate ventilations if the respiratory rate is less that ____ OR the heart rate is between ____ and ____.
30
60 (and) 100
Switch the neonate to high-concentration mask or "blow by" O2 once the RR is greater than ____, the HR is greater than ____, and central cyanosis disappears.
30
100
Start CPR in a neonate when these two conditions exist.
HR below 60
OR
Cardiac arrest
In neonate resuscitation, stop CPR and assist ventilations once the heart rate is greater than ____ and rapidly increasing.
60
In a neonate who has responded to CPR (post-arrest), switch to high con 02 mask or "blow by" only when the HR is greater than ____,the RR is greater than ____, and central cyanosis disappears.
120

30
Respiratory DISTRESS in a child lacks this characteristic; respiratory FAILURE in a child includes it.
central cyanosis
_____ in a child in a ominous sign that indicates that hypoxic cardiac arrest may be imminent.
bradycardia
If respiratory failure is present in a pediatric patient, assist ventilations at ____ breaths per minute.
20
The pediatric arrest and severe bradycardia BLS protocol applies to children under the age of ____ with a heart rate of less than ____ and inadequate central perfusion/decompensated shock.
9
60
CPR in an infant is performed at a compression/ventilation ratio of _____ at a rate of ____ (____ compressions, ____ ventilations) per minute.
15:2
120
105 compressions
15 ventilations
If an infant or child has a heart rate of less than ____ beats per minute, assist ventilations at a rate of ____ breaths per minute.
60

20
In an infant or child, if the heart rate is not rapidly increasing from 60 BPM after ____ of ventilations, begin ____.
30 seconds

CPR
In an infant or child, stop CPR and resume assisted ventilations once the heart rate is greater than ____ and rapidly increasing.
60
In an infant or child, switch to high-con or "blow-by" O2 once the heart rate is greater than ____, the respiratory rate is greater than ____, and central cyanosis disappears.
100

20
ET dose and concentration of epi in neonate resuscitation
0.1 mg/kg
(1 ml/kg of 1:10,000)
IV dose and concentration of epi in pediatric and neonate resuscitation
0.01 mg/kg
(0.1 ml/kg of a 1:10,000 solution)
IM epi dose and concentration for pediatric asthma/wheezing
0.01 mg/kg
(0.01 ml/kg of a 1:1,000 solution), max 0.3 ml
ET epi dose and concentration for pediatric anaphylactic reaction
0.01 mg/kg
(0.1 ml/kg of a 1:10,000 solution)
IM epi dose and concentration for pediatric anaphylactic reaction
0.01 mg/kg
(0.01 ml/kg of a 1:1,000 solution)
initial IV drip epi dose and concentration for pediatric anaphylactic reaction
0.1 mcg/kg/min
(1 mg epi [1 ml of a 1:1,000 solution] to 1 liter normal saline)
ET dose and concentration of epi in a pediatric resuscitation
0.1 mg/kg
(0.1 ml/kg of a 1:1,000 solution)
ET EPI dose is the same for pediatrics and neonatal resuscitation at 0.1mg/kg; however, the concentration for pediatrics is ______ while the concentration for neonates is ______.
1:1,000

1:10,000
In Remac protocols, IM epinephrine is always administered in this concentration.
1:1,000
In REMAC protocols, IVB epinephrine is always administered in this concentration.
1:10,000
What is the EPI ET dose in mg/kg for neonate resuscitation?
0.1 mg/kg
What is the EPI ET dose in mg/kg for pediatric resuscitation?
0.1 mg/kg
What is the EPI IV dose in mg/kg for pediatric and neonate resuscitation?
0.01 mg/kg
What is the EPI IM dose in mg/kg for pediatric asthma?
0.01 mg/kg
What is the EPI IM dose in mg/kg for pediatric anaphylaxis?
0.01 mg/kg
pediatric epi drip dose range
0.1-1.5 ug/kg/min

(May be increased up to 15 times the initial dose!)
Adult medical control epi drips are measured in _____, where as the pediatric epi drip is measuer in _____.
ug/min

ug/kg/min