Pediatric Cardiac Arrest Flashcards Preview

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Flashcards in Pediatric Cardiac Arrest Deck (17):
0

To serve as the pediatric treatment standard for _______, _____, ______, and _______.

Asystole
PEA
VT
VF
VT

1

Protocol-

High quality CPR is fundamental to the management of all cardiac arrest rhythms. Periodic pauses in CPR should be as brief as possible and only as necessary to _______ rhythm, shock _____, perform a _____check when an _______ rhythm is detected, or place an ________.

check
VF/VT
pulse
organized
advanced airway

2

Protocol- CPR must be performed with a _____________ sequence to emphasize the importance of maintaining ______ with _________

CAB
blood flow
good compressions

3

Performing CPR while a _____ is readied for use is strongly recommended for all pt in _______

Defibrillator
Cardiac Arrest

4

Protocol- Oral Tracheal tube placement should be confirmed with ____________.

continuous waveform Capnography

5

Protocol - Vascular access, drug delivery, and advanced airway placement should not cause _________ interruption in ______ or delay ________

significant
chest compressions
defibrillation

6

Pediatric Cardiac Arrest -CPR Quality: Push hard (_______ diameter of chest) and fast (at least ______) and allow complete __________. Minimize interruptions in compressions. Avoid excessive ventilations. If no advanced airway. _____ compression- ventilation ratio. If advanced airway. _______ breaths per minute with continuous compressions.

>or equal 1/3
100/min
chest recoil
15:2
8-10 breaths per minute

7

Advanced Airway: ________ to confirm and monitor ET tube placement.

waveform Capnography

8

Pediatric Cardiac Arrest - Reversible Causes - H& T's

Hypovolemia
Hypoxia
Hydrogen ion
Hypoglycemia
Hypo/hyperkalemia
Hypothermia
Tension Pneumo
Tamponade
Toxin
Thrombosis
Thrombosis

9

Pediatric Cardiac Arrest -Post Resuscitation Considerations

1. Iv fluids should be placed _____ unless ______ is present

TKO

Hypotension

10

Pediatric Cardiac Arrest -Post Resuscitation Considerations
2. Post resuscitation bradycardia, hypotension and shock:
a) _________, see brady protocol
b) _________ /Shock

Bradycardia

Hypotension

11

Pediatric Cardiac Arrest -Post Resuscitation Considerations

Hypotension
1) Normal Saline ________ may repeat ______, reassess vital signs after each bolus.
2) To determine if shock is present, assess ______ and ______ and _________ (___,___,____)
3) Systolic blood pressure parameters for pediatric patients older than one year can be approximated by the following formulas:
a.________
b._________

20ml/kg
once
capillary refill (

12

Pediatric Cardiac Arrest -Post Resuscitation Considerations

Base Hospital Order Only

Dopamine - 10mcg/kg/min if hypotensive

13

Pedi Cardiac Arrest

Shock Dosage

2J/kg
4J/kg

14

Pedi Cardiac Arrest - EPI Dose

1:10,000- 0.01mg/kg IV/IO q 3-5 min

15

Pedi Cardiac Arrest
Amiodarone _______ IV/IO. Single Max dose _____. May repeat up to ___times. Total max dose ______.

5mg/kg

300mg

2x

450mg

16

Pedi Cardiac Arrest - Algorithm first box

Assess for _______,___________, and _________.

BVM 100% O2 at ____ lpm with _____ airway interventions. Prepare for immediate tx.

responsiveness, spontaneous respirations, and pulses.

15lpm

bls