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71 Cards in this Set
- Front
- Back
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Epinephrine dose |
0.01 mg per kg You may repeat repeat every 3 to 5 minutes |
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Atropine |
0.02mg per kg You may repeat once The minimum dose is 0.1 mg and a maximum single dose is 0.5 mg |
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Amiodarone |
5 mg/ kg |
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5 H's |
Hypovolemia Hypoxia Hypoglycemia Hypothermia Hypokalemia Hydrogen ion. Acidosis |
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5T's |
Tension pneumothorax Toxins Tamponade Thrombosis Trauma |
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Adenosine |
0.1mg/kg |
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Adenosine |
0.1mg/kg |
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Synchronized cardioversion |
0.5 to 1 j/kg If no conversion Increase to 2j/kg |
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Adenosine |
0.1mg/kg |
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Synchronized cardioversion |
0.5 to 1 j/kg If no conversion Increase to 2j/kg |
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CPR |
Push hard >1/3 diameter of chest and fast 100/min 15 compressions to 2 breaths/ min Oxygen Attach monitor/defibrillator Check rhythm. Shockable Vt or VB Shockable give 1 shock 2 j/ kg Continue cpr with compressions X 2 min Check rhythm shockable? Continue cpr charging defibrillator Give 1 shock 4j/kg Resume cpr Epi 0.01mg/kg Iv or io q 3-5 min Airway 8-10 breaths/min Capnography 2 min cpr Check rhythm shockable (yes) Continue cpr while defibulator chging Give 1 shock>4j/kg max 10j/kg Resume Cpr with compressions Amiodarone5 mg/kg may repeat x2
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Asystole/PEA |
Non shockable Give epi 0.01 mg/kg q3-5 min Give 5 cycles of cpr Check rhythm shockable? Not shockable Resume cpr give epi Shockable Give 1 shock 2 j/kg Resume cpr |
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Cuffed ET tube |
Used in infants not newborns Use less 20cm h2o pressure |
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Cuffed ET tube |
Used in infants not newborns Use less 20cm h2o pressure |
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Confirmation of ET tube placements?
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Clinical assessment and assessment of C02 Correct placement requires verification after Tube placement; after transport And being moved |
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Cuffed ET tube |
Used in infants not newborns Use less 20cm h2o pressure |
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Confirmation of ET tube placements?
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Clinical assessment and assessment of C02 Correct placement requires verification after Tube placement; after transport And being moved |
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CAB |
Airway Breathing |
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Cuffed ET tube |
Used in infants not newborns Use less 20cm h2o pressure |
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Confirmation of ET tube placements?
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Clinical assessment and assessment of C02 Correct placement requires verification after Tube placement; after transport And being moved |
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CAB |
Airway Breathing |
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Primary airway support |
Bag valve mask |
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Cuffed ET tube |
Used in infants not newborns Use less 20cm h2o pressure |
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Confirmation of ET tube placements?
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Clinical assessment and assessment of C02 Correct placement requires verification after Tube placement; after transport And being moved |
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CAB |
Airway Breathing |
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Primary airway support |
Bag valve mask |
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Most common non arrest rhythum |
SVT |
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Vagal maneuver most common with children |
Blowing thru a straw |
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AED use at What age |
8 and above |
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AED use at What age |
8 and above |
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Most common cause of arrest in children older than 6 months |
Trauma |
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Give 2 min of what before activating EMS |
BLS |
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Initiate what when heart rate is 80 in an infant and 60 for a child |
Chest compressions |
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Treatment for organophosphate , carbamate |
Atropine < 12 0.02 to 0.05mg/kg Repeat q 20 to 30 min |
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Etomidate |
RSI 0.2 to 0.4 mg/kg over 30 to 60 seconds lasts 10 to 15 min |
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Etomidate |
RSI 0.2 to 0.4 mg/kg over 30 to 60 seconds lasts 10 to 15 min |
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Lifocaine |
1 mg/kg |
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What drug do you use for croup |
Dexamethasone 0.6mg/kg PO |
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CAB |
Chest compressions Airway Breathing |
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Ventilations with airway |
1 breath q 6 to 8 sec ( 8 to 10 breaths/min) |
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Feel pulse for how long in CPR |
10 seconds |
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What is the compression rate in CPR |
At least 100 /min |
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Allow complete recoil of chest |
Between compresions |
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Compressors every how many minutes |
2 minutes |
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Rotate compressors Every how many minutes |
Two minutes |
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What Is the compression to ventilation ratio with an advanced airway |
8 to 10 breaths per minute |
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If no advanced airway compression to ventilation rate is what |
15 to 2 |
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Shock energy for defibrillation 1st shock 2nd shock Subsequent shocks |
2 j/kg 4j/kg > 4 j/kg Max dose 10 j/kg |
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What do the initials ROSC stand for |
Return Of spontaneous circulation |
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Give an example of hypovolemic shock And treatment |
Diarrhea 20 ml/ kg NS/LR bonus repeat as needed Hemorrhagic Transfuse PRBCs
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What is the treatment for a tension pneumothorax |
Needle Decompression |
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The treatment for cardiac Tampa nod |
Pericardiocentesis 20 ml/kg NS/RL |
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What Is the treatment for pulmonary embolism |
20 ml/ kg NS/LR bolus Thrombolytics Anticoagulants Expert consultation |
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TreatMeant of a tension pneumothorax |
Needle Decompression over 3rd rib second intercostal space midclavicular line |
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What is Cardiac Tampanode |
Accumulation of fluid , blood or air in the pericardial space |
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What is Cardiac Tampanode |
Accumulation of fluid , blood or air in the pericardial space |
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During CPR What are you constantly doing |
Evaluate ( primary assessment /secondary assessment/ diagnostic tests)
intervene
identify |
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Primary assessment |
ABCDE approach Vital signs Pulse oximetry |
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Secondary Assessment |
Just medical history and physical exam |
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Diagnostic tests |
Labs x-ray bloodwork |
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What Do you do after every intervention |
Re Evaluate |
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What Do you do after every intervention |
Re Evaluate |
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What Is included in the primary assessment |
Airway breathing circulation disability exposure |
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Treatment for airway |
Open Airway Use the head tilt chin lift or jaw thrust to open airway |
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When would you use that Jaw thrust to open an airway |
When you suspect cervical injury |
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What do you do if you suspect a foreign body obstruction (FBAO) |
Child is less than one year give 5 backslaps and 5 chest thrusts
The child is older than one year give child Abdominal thrusts |
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What Are the signs of increased respiratory effort |
Nasal Flaring retractions head bobbing |
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What do you look for when evaluating circulation |
Heart rate and rhythm pulses capillary refill time skin color and temperature blood-pressure |
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What does the a AVPU pediatric response scale indicate |
Alert voice painful unresponsive |
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Endotracheal administration of drugs require a larger dose 2-3times the IV dose |
See front |
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Synchronized shocks are used for what rhythms |
Cardioversion from SVT and VT with a pulse ; Is intended to coincide with the R wave of the patients QRS complex. The goal is to prevent VF Push the sync button |
