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27 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Lidocaine
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Start out with a bolus at 1 to 1.5 mg/kg IVP moving to 0.5 -0.75mg/kg every 3 to 5 minutes.
Than add shocks +1 to determine mg of Lidocaine Drip for maintenance dose. MAX BEING 4mg/min. |
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Ventilation rate for Pediatric (<2y/o) ventilatory station
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12-20/minute assuring visible chest rise. So a breath every 3 seconds.
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Synchronized Biphasic cardioversion for V-Fib and V-Tach
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75J--->120J--->150J----200J
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SynchronizedMonophasic cardioversion
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100J--->200J--->300J--->360J
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Defiberation with Biphasic
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200J
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Defiberation with Monophasic
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360J
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Ventilatory rate for Adult in ventilatory management
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10 to 12 breaths per min. So a breath every 5 to 6 seconds.
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The average depth for adult ET is
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21 to 25cm
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Emergency Care in the Streets: 6th Edi page 11.61
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Key fails in Ped Venilatory/Airway
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Forgetting to pad under the torso to allow neutral head position or sniffing position.
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Don't give drugs before you know ...
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allergies!
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Trauma open pneumothorax
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Apply occlusive dressing!
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Site for Chest decompression
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Midclavicular just above the third rib withing the second intercostal space. VEINS AND ARTERIES are just below ribs.
Midaxillary between the fourth and fifth rib. |
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Things every patient must be check for in dynamic cardiology
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Pulse
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Key factors on Medication Administration
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Turn off the Drip Set and pinch the line before administering. After administration flush line/lock. CRITICAL
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Code NO MATTER what rhythm starts out with medication of:
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EPI
Don't start with Lidocaine or Amirodarone just because it is a Dysrhymia! |
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2nd Degree Heart Blocks
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Remember Type 1 PRI lengthen.
Type 2 PRI are constant but drop beats. |
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Amiodarone
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Considered the preferred antiarrhythmic.
For cardiac arrest with VF/VT start out with bolus 300 mg IVP and repeat as needed in 3 to 5 minutes with 150mg. |
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What two things should I start out with in for IV Medication Bolus Station?
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BSI and check for allergies!
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Medical and trauma assessment start out with what, no matter what?
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BSI, scene safe
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How does the IV Bolus Medication station end?
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Flushing the tubing, adjusting to TKO, and vebalizing the need to observe pt for desired effects and side effects.
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Before collar goes on check...
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PMS
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How do you finish any spinal immobilization station?
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PMS
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Initial assessment needs to include:
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Determine chief complaint/apparent life threats.
ABCs, Mental Status, lung sounds, rule out tension pneumothorax, control external bleeding, noticable injuries. Do a physical blood sweep on all truamas, and a visual on medical stations!!!! |
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Detail exam
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Be very detail, list all parts including back, front, sides, etc. Check pupils, PMS, along with everything else.
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Assume that the medication that you are giving your patient is...
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an allergy unless you know otherwise!
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Assume that all trauma patients have...
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airway compromise, tension pneumothroxax, uncontrolled external bleeding, and are dying untill determined by assessement otherwise.
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Assume that all patients will a ALOC are...
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hypoglycemic untill determined otherwise.
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