PALs

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Author:
medicdice
ID:
296494
Filename:
PALs
Updated:
2015-07-27 17:05:42
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LVAPEC
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Study question for PALs
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  1. How do you treat BRADYCARDIA due to a DIGOXEN overdose?

    Digoxin with Bradycardia=ATROPINE 0.02mg/kg


    BradyCardia Primary causes

    BradyCardia Primary causes

    1) Congenital Abnormality of Heart Pacemaker

    2) Surgical injury to Pacemaker or Conductual system

    3) Cardiomyopathy

    4) Myocarditis


    Bradycardia Secondary causes

    Bradycardia Secondary causes
    HYPOXIA
    ACIDOSIS
    HYPOTENSION
    HYPOTHERMIA
    DRUGS


    What are some Cardiopulmonary COMPROMISES from Bradycardia?

    What are some Cardiopulmonary COMPROMISES from Bradycardia?
    1)HYPOtension
    2)Decrease LOC
    3)Shock
    4)Sudden Collapse
    5)Respiratory distress or failure
    6)Poor end organ perfusion


    Describe 1° AV block

    Describe 1° AV block=
    Prolonged PR interval
    Asymptomatic
    Syncope


    Describe 3° AV block?

    Describe 3° AV block=

    No relationship between P wave and WRS

    Atrial impulses do not reach ventricles

    Ventricle rhythm originate from Ventrical
    pacemaker


    What is an PEA and what rhythms could be a PEA

    PEA (Pulseless Electrical Activity) is an ORGANIZED Rhythm which DOES NOT produce a pulse
    Normal sinus
    Afib
    Bradycardia
    Sinus Tachycardia
    SVT
    (+220bpm in <1yo OR +180bpm in >1yo)
    <Treat with Epi 1:10k at 0.01mg/kg>



    What are ratios for CPR with 1 & 2 rescuers with infant & child
    • Infant 1 rescuer= 30:2 Cx=1/3=1.5in/4cm
    • Infant 2 rescuer= 15:2 Cx=1/3=1.5in/4cm
    • Child 1 rescuer = 30:2 Cx=1/3=2in/5cm
    • Child 2 rescuer = 15:2 Cx=1/3=2in/5cm
  2. How do you treat WIDE TACHYCARDIA without PULSES in Pediatrics
    • WIDE TACHYCARDIA without PULSES in Pediatrics
    • Wide complex (>0.09) Tachy= Defibrillate at 2-4 J/kg
    • If V-tach doesn’t respond to 2nd defibrillation then EPI & Amiodarne
  3. How do you treat NARROW TACHYCARDIA without PULSES in Pediatrics
    • How do you treat NARROW TACHYCARDIA without PULSES in
    • Pediatrics
    • Narrow complex (<0.09) tachy=Adenosine
    • 1st 0.1 mg/kg Max 6mg
    • 2nd 0.2mg/kg max 12mg
    • CARDIO SYNC 0.5-1.0 J/kg=>2J/kg
  4. What is formula peds ETT tube
    • (Age/4)+4 Uncuffed
    • (age/4)+3.5 Cuffed

    or (Age+16)/4
  5. How many breath given with BVM before colormetric check?
    • How many breath given with BVM before colormetric check is
    • SIX (6) breaths
  6. RR,HR,BP for <1yo
    • RR 30-60
    • HR 100-160
    • BP+60  (70+2*yo)
  7. RR,HR,BP for 1-3yo
    • RR 24-40
    • HR 90-150
    • BP +70 (70+2*yo)
  8. RR,HR,BP for 4-5 yo
    • RR22-34
    • HR 80-140
    • BP +80 (70+2*yo)
  9. RR,HR,BP for 6-12
    • RR 18-30
    • HR 70-120
    • BP +90 (70+2*age)
  10. PRR,HR,BP for 13-18yo
    • RR 12-16
    • HR 60-100
    • Bp +90 (70+2*age)
  11. Peds EPI doses and reasons
    • Epi 1:10,000 IV/IO 0.01mg/kg
    •       1:1,000    ETT 0.1mg/kg

    For Bradycardia and PEA (pulseless Electrical Activity)
  12. What are the H&Ts?
    • HYPOxia
    • HYPOvolumia
    • HYPOglycemia
    • HYPOthermia
    • HYPO/HYPER Kalemia  <need blood sample>
    • HydrogenION (ACIDOSIS)<need blood sample>
    • Tension Pneumothorax
    • Tamponade Cardiac
    • Toxins
    • Thrombosis Coronary
    • Thrombosis Pulmonary
  13. What are the 5 T's in H&Ts?
    • Tension Pneumothorax
    • Tamponade Cardiac
    • Toxins
    • Thrombosis Coronary
    • Thrombosis Pulmonary
  14. What are the 6 H's in H&Ts?
    • HYPOxia
    • HYPOvolumia
    • HYPOglycemia
    • HYPOthermia
    • HYPO/HYPER Kalemia*
    • HydrogenION (ACIDOSIS)*
    • *<need blood sample>

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