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Archived - Pediatric Advanced Life Support (PALS) 2020 > 1 - CPR > Flashcards

1 - CPR Flashcards

1
Q

Rate of compressions

A

100-120

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2
Q

Infant vs Child depth of compressions

A

Infant - 1.5 inches
Child - 2 inches
Adolescent - 2 inches
(no more than 2.4 inches)

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3
Q

What is the compression ration once advanced airway is in place?

A

CONTINUOUS

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4
Q

Each rescue breath should be given over…

A

1 second

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5
Q

No advanced airway in place and a single rescuer compression rate

A

30:2

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6
Q

No advanced airway in place and 2 or more rescuers compression rate

A

15:2

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7
Q

Advanced airway in place - what are breaths?

A

10 breaths per minute

1 BREATH EVERY 6 SECONDS w/ continuous chest compressions

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8
Q

What is shock refractory VF

A

Ongoing myocardial ischemia fostering electrical instability

“ELECTRICAL STORM”

Myocardium is extremely resistant to stabilization

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9
Q

What drug is not a choice for RVF

A

Epi

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10
Q

Why is EPI not a choice for RVF

A

Some studies show - It increases myocardial oxygen demand due to (ionotropic and chronotropic effects) leading to exacerbation of myocardial eschemia.
It may contribute to myocardial dysfunction and electrical instability.
Sympathetic SURGE

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11
Q

Where to check pulse on infant

A

Brachial Pulse

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12
Q

Where to check pulse on child

A

Carotid/Femoral

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13
Q

Infant chest compression…

A

2 fingers

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14
Q

Child chest compression…

A

1 or 2 hands.

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15
Q

Signs of Poor Perfusion

A

Temperature: Cool extremities
AMS: Continued decline in consciousness/responsiveness
Pulses: Weak
Skin: Pale, Mottling, Cyanosis

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16
Q

What position do you place an infants head

A

sniffing position - neutral
To avoid airway from becoming blocked
External ear canal is level with the top of the infant’s shoulder

17
Q

When sudden cardiac arrest happens in adult what is the oxygen content…

A

The blood oxygen content is able to meet the demands of the body for the first few minutes after arrest

18
Q

When sudden cardiac arrest happens in infants or children what is the oxygen content…

A

Often PRIOR to arrest a child/infant has RF or shock that reduces the oxygen content in the blood even before the onset of arrest.
Important both COMPRESSIONS and BREATHS

19
Q

Victim 8 years or older what pads for AED?

A

Adult

20
Q

Victim younger than 8 years pads for AED?

A

Children

21
Q

PAT

A

Appearance, WOB, Circulation

22
Q

TICLS

A

Tone, interactiveness, consolability, look/gaze, speech

23
Q

Primary Assessment

A

ABCDE approach

24
Q

Secondary Assessment

A

A focused medical hx and a focused physical exam

25
Q

Diagnostic Assessment

A

Lab, radiographic, advanced tests

Archived - Pediatric Advanced Life Support (PALS) 2020 (23 decks)

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