11/29 Flashcards
Minimal supplies for pericardiocentesis
18-gauge spinal needle
20-mL syringe
Fluids in cardiac tamponaid
Hypotensive patients should be treated with small IV crystalloid fluid boluses (eg, 250-500 mL)
Use caution with large-volume infusions, given the potential to further increase the intrapericardial pressure and reduce cardiac output.
Following pericardial needle aspiration or pericardial catheter placement, a_________- should be obtained
chest radiograph
to ensure that there is no pneumothorax.
Impending cardiac tamponade dispo
Catheterization lab for pericardiocentesis/drain placement
Operating room with cardiac surgery for pericardial window
______________ symptoms are present in almost all patients with thyroid storm.
Vital sign abnormalities and altered mental status
Hyperpyrexia is the most common vital sign abnormality
Hypertension/ tachycardia present in most cases
AMPLE history
Allergies
Medications
Past medical history
Last meal and menses
Events leading to the injury.
The cricothyroid membrane is too small for an open cricothyrotomy in children who are ____________ age.
under 10-12 years
Therefore, needle cricothyrotomy is recommended for infants and children after failed endotracheal intubation and supraglottic airway placement.
ATLS maintains recommendation for needle decompression where?
2nd intercostal space, midclavicular line for children
5th intercostal space at the midaxillary line for adults.
Pediatric hypotension parameters
hypotension = <70 + [age2]
If increased ICP/impending herniation is suspected take these actions
-head of the bed to 30°
-hypertonic saline or mannitol
-avoid hypotension and hypoxia.
Do not rely on hypotension to identify hemorrhagic shock in children_________ may be the only clues of hemorrhagic shock.
Tachycardia or poor perfusion
ATLS chest tube size
28-32 French
The ATLS primary survey is designed to
assess AND treat any life-threatening injuries quickly
