PALS Flashcards

(46 cards)

1
Q

infant HR

A

100-180

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2
Q

infant sleep HR

A

90-160

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3
Q

toddler HR

A

98-140

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4
Q

toddler sleep HR

A

80-120

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5
Q

prek HR

A

80-120

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6
Q

prek sleep HR

A

65-100

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7
Q

school aged child HR

A

75-118

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8
Q

school aged child sleep HR

A

58-90

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9
Q

adolescent sleep HR

A

50-90

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10
Q

infant RR

A

30-53

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11
Q

toddler RR

A

22-37

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12
Q

prek RR

A

20-28

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13
Q

school aged child RR

A

18-25

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14
Q

infant normal BP

A

systolic 72-104
diastolic 37-56
MAP 50-62

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15
Q

toddler normal BP

A

systolic 86-106
diastolic 42-63
MAP 49-62

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16
Q

prek (3-5y/o) BP

A

systolic 89-112
diastolic 46-72
MAP 58-69

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17
Q

school-aged child (6-9y/o) BP

A

systolic 97-115
diastolic 57-76
MAP 66-72

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18
Q

preadolescent (10-12 Y/O) BP

A

systolic 102-120
diastolic 61-80
MAP 71-79

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19
Q

adolescent (12-15 y/o) BP

A

systolic 110-131
diastolic 64-83
MAP 73-84

20
Q

S/S of septic shock

A
  • AMS, irritability or decreased level of consciousness
  • altered HR, typically tachycardia
  • altered temp (fever or hypothermia)
  • altered perfusion (prolonged or flash cap refill; cool or very warm extremities, plethoric appearance, mottled color or pallor, possible ecchymosis or purpura… decreased urine output)
  • hypotension: may or may not be present
21
Q

initial stabilization of septic shock

22
Q

within first hour of septic shock

A

draw blood for culture and additional lab studies including glucose and calcium… do not delay antibiotic or fluids therapy

23
Q

if signs of shock persist after 40-60 mL/kg total fluid administration or evidence of fluid overload…

A

obtain critical care consultation
initiate and titrate epi or norepi

24
Q

adenosine

25
albuterol
asthma anaphylaxis (bronchospasm) hyperkalemia
26
amiodarone
SVT *with pulses VT *with pulses pulseless arrest ie VF/pulseless VT
27
atropine sulfate
bradycardia (symptomatic) toxins/OD (organophosphate,carbamate)
28
calcium chloride
hypocalcemia hyperkalemia hypermagnesemia CCB OD
29
calcium gluconate
hypocalcemia hyperkalemia hypermagnesemia CCB OD
30
dexamethasone
croup asthma
31
dextrose
hypoglycemia
32
epinephrine
pulseless arrest, bradycardia hypotensive shock anaphylaxis asthma croup
33
etomidate
RSI
34
hydrocortisone
adrenal insufficiency
35
ipratropium bromide
ASTHMA
36
Lidocaine
VF/pulseless VT wide complex tachycardia, with pulses
37
magnesium sulfate
asthma (refractory status asthmaticus) torsades de pointes hypomagnesemia
38
methylprednisolone
asthma, status asthmaticus anaphylactic shock
39
milrinone
myocardial dysfunction and increased SVR/PVR
40
naloxone
nacotic reversal
41
nitroglycerine
heart failure cardiogenic shock
42
nitroprusside
cardiogenic shock (associated with high SVR) severe hypertension
43
norepinephrine
hypotensive (usually disruptive) shock (ie low SVR and fluid refractory)
44
prostaglandin E
ductal dependent congenital heart disease
45
sodium bicarb
metabolic acidosis (Severe) hyperkalemia sodium channel blocker OD (tricyclic antidepressant)
46
vasopressin
catecholamine-resistant hypotension