pediatric cardiac

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Author:
firenole13
ID:
109620
Filename:
pediatric cardiac
Updated:
2011-10-17 14:31:19
Tags:
ped card
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Description:
pediatric cardiac
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  1. cardiac arrest epinepherine dose?
    .01 mg/kg epi 1:10000
  2. 6 H'S
    hypoxic

    hydrogen ions (acidosis)

    hypo/hyperkalemia

    hypovolemia

    hypothermia

    hyper/hypoglycemia
  3. 5 T's
    toxins, tablets

    tension pnuemothorax

    cardiac tamponade

    trauma

    thrombosis- pulmonary, coronary
  4. bradycardia less than 6 months ? bpm
    less than 80 bpm
  5. bradycardia older than 6 months ? bpm
    60 bpm
  6. poor perfusion or respiratory difficulty...if yes and heart rate less than 80 infant or 60 child...?
    after oxygenation and ventilation begin chest compressions
  7. ped brady protocol which drugs to admin and doses..?
    epi .01 mg/kg (1:10000) every 3 to 5

    atropine .02mg/kg (min .1mg)

    max.. .5mg infant and 1mg child
  8. never admin atropine on infant less than ? days old?
    30 days old
  9. PEA, Asystole intubate when?
    cpr 2 minutes

    give epi

    cpr 2 minutes and then intubate
  10. SVT for infants= ? bpm
    greater than 220 bpm
  11. SVT for child= ? bpm
    greater than 180 bpm
  12. unstable SVT algo?
    o2

    ekg

    iv access

    sedate versed .05mg/kg

    synchronize cardiovert

    .....do not delay cardioversion for iv access....
  13. stable SVT algo?
    02

    ekg

    iv access

    adenosine 0.1 mg/kg (max 6mg)..rapid followed by 20cc flush bolus

    adenosine 0.2mg/kg (max 12)..rapid followed by 20cc flush bolus

    call further orders
  14. ventricular ectopy PVC's
    rare in children

    medical direction before admin of meds

    lidocaine 1mg/kg iv

    repeat .5 mg/kg every 10 minutes (max 3mg/kg)

    follow bolus therapy with maintenance infusion of 20-50 mcg/kg/min
  15. ? mg of lidocaine in 250cc NS yields ?
    300 mg lido

    20 mcg/kg/min
  16. V-fib...Pulselss V-tach algo?
    CPR

    shock 2 j/kg

    resume CPR immediately (5 cycles)

    check pulse check monitor

    2nd shock 4j/kg

    epi every 3-5

    cpr

    lidocaine 1 mg/kg..every 3-5..(max 3mg/kg)

    check rhythm...shockable?..repeat
  17. unstable pulse producing v-tach algo?
    sedate

    immediate synchronize cardioversion

    if conversion admin lido and hang drip

    if unsuccessful admin lido and aden

    ...dont delay cardioversion of iv...
  18. stable pulse producing v-tach algo?
    consider adenosine

    lidocaine 1mg/kg

    repeat lido every 10 at .5mg/kg (max 3mg/kg)

    • if conversion...maintenance infusion
    • 20mcg/kg/min to 50
  19. synchronize cardioversion joule setting?
    1st.. .5j/kg

    2nd.. 1 j/kg

    3rd.. 2j/kg

    4th.. 4j/kg
  20. versed for sedation dose?
    .05 mg/kg
  21. v-tach ???? bpm
    ventricular rate greater than 150
  22. amiodorone dose
    5mg/kg in 30 mls NS over 30 seconds..IV...single dose 300mg
  23. infant pads used for ? age or ? kg's
    less than 1yo

    or less than 15kg (33lbs)

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