32 - peds cardiopulmonary resus Flashcards
1
Q
underlying cause in peds cardiac arrest
A
- resp. problem leading to hypoxia
- circ. failure
3.
2
Q
5 diff. in peds airway
A
- large tongue in oral cavity
- higher and ant. larynx
- long floppy epiglottis
- subglottic area is narrowest portion
- large head
3
Q
4 airway tool that can help
A
- adjuncts
- to open airway - oropharyngeal
- nasopharyngeal
- LMA
4
Q
what to do if comatose
A
tracheal intubation
5
Q
4 things to consider if PT deteriorates
A
DOPE Displaced tube Obstructed tube Pneumothorax Equipment failure
6
Q
normal resp rates for children
A
infant 30-60
toddler - 24-40
school age 18-30
7
Q
how to assess circulation
A
- BP
- signs of circ - skin, cap refill
8
Q
2 main causes of shock in kids
A
- free fluid loss
2. sepsis
9
Q
5 signs of compensated shock
A
- tachy
- cool and pale extremities
- long cap refill
- weak peripheral pulses
- normal systolic BP
10
Q
2 times to start CPR
A
- pulseless
2. HR
11
Q
compression to vent ratio
A
one rescuer - 30:2
two recuer 15:2
advanced airway - 8-10/minute
12
Q
define fluid bolus
A
20ml/kg saline ASAP
13
Q
when to give blood
A
after hypo and have received 40-60ml/kg
14
Q
2 options to IV access without IV
A
- IO - rapid, safe and aeffective
- anterior medial tibia - endotracheal drug admin
- lipid soluble drugs LEAN
- lidocaine, epi, atropine, naloxone
15
Q
use of sodium bicarb
A
- not for MI
- may be indicated for some tox
