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