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60 Cards in this Set

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  • Back

PALS age of a child is:

1-8 years old
PHTLS max fluid given in trauma:
2L or 2000ML
Dosage for ASA in ACLS:
160-325 mg
3 reds in trauma: active airway assistance,
BP <90, BMR <4, Fx of 2 or more longbones
3 blues in trauma: RR of 30 or >,
sustained HR of >120BPM, age over 55
SOAP:
Subjective, Objective, Assessment, Plan
CHART:
Chief Complaint, History, Assessment, Rx (treatment), Transport
Length of catheter for plural decompression:
14G needle 2 ¼ length
Sites for plural decompression:
2nd ICS midclavicular above the 3rd rib and 4th ICS midaxillary above 5th rib
2 reasons to do needle crich over surgical :
<12 y/o, known bleeding disorder, last means of airway
RPM:
Respirations, Perfusion, Mental Status
Position for placement of king tube:
head in a neutral position
2 peds upper airway obstruction:
Croup, Epiglottitis, anaphylaxis, aspiration foreign body
2 peds lower airway obstruction:
bronchiolitis, asthma
Dopamine drip:
400mg in 250ml bag or 800mg in 500ml bag give 1600mcg/ml dose is 5-20 mcg/kg/min
Nitro drip:
25mg in 500ml or 50mg in 1000ml give 50mcg/ml dose is 5-20 mcg/min
Lidocaine drip:
2gm in 500ml bag give 1-4 mg/min
3 parts to Pedi Assessment Triangle:
work of breathing, appearance, circulation
Wave form caponography:
shark fin wave form (bronchospasm, asthma/copd)
Overdose on Cardizem (diltiazem):
calcium chloride
What does P wave represent:
Atrial depolarization
4 drugs given for asthma attack:
albuterol, xopenex, atrovent, mag sulfate, epinephrine (1,1000), solumedrol
Burns to head and both arms:
27%, dry dressing
Stroke with n/v dysartria, dysphagia, sensory loss in 4 limbs, decreased consciousness:
Brainstem stroke
Trauma assessment in Bobs room:
unequal pupils, bullet hole left chest, low BP, High ETCO2, cyanosis, rapid respirations, absent lung sounds, open femur fx, open ulna fx, bullet hole left calf
2 GCS scenarios:
know GCS scoring criteria
2 broslow tape questions:
read broslow tape
2 contraindications for traction splint:
injury to knee or close to the knee, pelvic injury, ankle injury
How to measure tube depth:
tube size x 3
Tube size for men:
7.5-8.5mm
Tube size for women:
7.0-8.0mm
Surgical cric tube:
5.5 cut down or smallest cuffed tube
Contraindication for the use of Nitro:
BP <90 and use of Erectile dysfunction med 24-48hrs
Range for caponography:
30-40mmhg in trauma or 35-45mmhg is normal
Drug given for hyperkalemia:
calcium chloride 1 amp = 1gm 10cc of a 10% solution
Ekg indication that pt has hyperkalemia:
tall peaked T waves
Color and # for king tubes:
Size 3 yellow 45-60ml, Size 4 red 60-80ml, Size 5 purple 70-90ml
Smallest gauge needle in trauma:
18G
Fluid bolus for ped in trauma:
20ml/kg
Max weight in lbs for peds on broslow tape:
36kg x 2.2=79.2lbs
For measurements of peds in grey column what do you use:
pink or red equipment sizes
# of rescue breaths for child:
3-5 breaths a sec
When to treat hypoglycemia in ASLS:
blood sugar <50mg/dl
12 lead placement:
V1: 4th ICS right parasternal, V2: 4th ICS left parasternal, V3: midway between V2 and V4, V4: 5th ICS midclavicular line, V5: 5th ICS anterior axillary same level V4, V6: 5th ICS mid axillary same as V4 and V5
SALI:
Septal V1,V2; Anterior V3,V4; Lateral I,AvL,V5,V6; Inferior II,III,AvF
Type of Bundle Branch Block:
facing down is Left, facing up is Right
Glucagon dose for hypoglycemia:
1 unit =1mg IM
4 drugs given for new onset of chest pain/LBBB:
(MONA) Morphine Oxygen Nitro Aspirin
Once needle cric is in what is first mechanical thing you see:
bubbles entering the syringe
Needle size for ped needle crich:
14G needle 1 ¼-2 inch long with 10-20ml syringe
Atropine dosage and when to use it:
0.5mg up to 3mg if stable, start pacing if unstable and brady
IO jam sheady insertion site and first thing you do:
Tibial platue and you aspirate
When do you perform V4R:
if you have inferior MI (II,III,AvF elevated)
# of boxes of elevation for stemi:
> 1.0 mm present in two (2) or more inferior leads, > 2.0 mm in two (2) or more precordial leads
H’s and T’s:
Hypovolemia, Hypoxia, Hydrogen Ions, Hypo/Hyperkalemia, Hypothermia; Tension pneumo, Tamponade (cardiac), Toxins, Thrombosis (coronary and pulmonary)
DOPE meaning:
Displacement, Obstruction, Pneumothorax, Equipment failure
Eppi dose for peds in cardiac arrest:
(1:10,000) 0.01mg/kg
Vasopressin dose:
40 units
Confirmation of ET tube placement:
visualize through vocal cords, condensation, EDD, ETCO2, equal rise and fall of chest, no epigastric sounds, BVM compliance, skin color, SpO2 increase
New onset of A-fib with RVR:
Cardizem and initial dose is 0.25mg/kg, second dose 0.35mg/kg