32 - peds cardiopulmonary resus Flashcards Preview

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Flashcards in 32 - peds cardiopulmonary resus Deck (23)
1

underlying cause in peds cardiac arrest

1. resp. problem leading to hypoxia
2. circ. failure
3.

2

5 diff. in peds airway

1. large tongue in oral cavity
2. higher and ant. larynx
3. long floppy epiglottis
4. subglottic area is narrowest portion
5. large head

3

4 airway tool that can help

1. adjuncts
- to open airway
2. oropharyngeal
3. nasopharyngeal
4. LMA

4

what to do if comatose

tracheal intubation

5

4 things to consider if PT deteriorates

DOPE
Displaced tube
Obstructed tube
Pneumothorax
Equipment failure

6

normal resp rates for children

infant 30-60
toddler - 24-40
school age 18-30

7

how to assess circulation

- BP
- signs of circ - skin, cap refill

8

2 main causes of shock in kids

1. free fluid loss
2. sepsis

9

5 signs of compensated shock

1. tachy
2. cool and pale extremities
3. long cap refill
4. weak peripheral pulses
5. normal systolic BP

10

2 times to start CPR

1. pulseless
2. HR

11

compression to vent ratio

one rescuer - 30:2
two recuer 15:2
advanced airway - 8-10/minute

12

define fluid bolus

20ml/kg saline ASAP

13

when to give blood

after hypo and have received 40-60ml/kg

14

2 options to IV access without IV

1. IO - rapid, safe and aeffective
- anterior medial tibia
2. endotracheal drug admin
- lipid soluble drugs LEAN
- lidocaine, epi, atropine, naloxone

15

use of sodium bicarb

- not for MI
- may be indicated for some tox

16

use of atropine

- parasympatolytic
- for bradycardia

17

use of Ca

- not for resus
- for hypocalcemia, hyperkalemia, hypermagnesemia, and CCB overdose

18

use of DOPA

- for Tx of circ. shock following resus
- endogneous catechalamine with complex effects

19

use of adenosine

- Tx of supravent. tachy
- AV node blockade

20

steps for pulseless cardiac arrest

1. call for help
2. check pulse
3. start CPR
4. assess if shockable

21

steps for PEA

1. CPR
2. epi every 3-5 minutes
3. check rhythm
4. assess Hs and Ts

22

what to do for shockable rhythm

V.tach and V.fib
1. AED shock
2. CPR for 2 minutes
3. epi

23

steps for CVT

1. is stable - vagal maneuver
2. is unstable - sysncronized cardioversion
3.