32 - peds cardiopulmonary resus Flashcards
underlying cause in peds cardiac arrest
- resp. problem leading to hypoxia
- circ. failure
3.
5 diff. in peds airway
- large tongue in oral cavity
- higher and ant. larynx
- long floppy epiglottis
- subglottic area is narrowest portion
- large head
4 airway tool that can help
- adjuncts
- to open airway - oropharyngeal
- nasopharyngeal
- LMA
what to do if comatose
tracheal intubation
4 things to consider if PT deteriorates
DOPE Displaced tube Obstructed tube Pneumothorax Equipment failure
normal resp rates for children
infant 30-60
toddler - 24-40
school age 18-30
how to assess circulation
- BP
- signs of circ - skin, cap refill
2 main causes of shock in kids
- free fluid loss
2. sepsis
5 signs of compensated shock
- tachy
- cool and pale extremities
- long cap refill
- weak peripheral pulses
- normal systolic BP
2 times to start CPR
- pulseless
2. HR
compression to vent ratio
one rescuer - 30:2
two recuer 15:2
advanced airway - 8-10/minute
define fluid bolus
20ml/kg saline ASAP
when to give blood
after hypo and have received 40-60ml/kg
2 options to IV access without IV
- IO - rapid, safe and aeffective
- anterior medial tibia - endotracheal drug admin
- lipid soluble drugs LEAN
- lidocaine, epi, atropine, naloxone
use of sodium bicarb
- not for MI
- may be indicated for some tox
use of atropine
- parasympatolytic
- for bradycardia
use of Ca
- not for resus
- for hypocalcemia, hyperkalemia, hypermagnesemia, and CCB overdose
use of DOPA
- for Tx of circ. shock following resus
- endogneous catechalamine with complex effects
use of adenosine
- Tx of supravent. tachy
- AV node blockade
steps for pulseless cardiac arrest
- call for help
- check pulse
- start CPR
- assess if shockable
steps for PEA
- CPR
- epi every 3-5 minutes
- check rhythm
- assess Hs and Ts
what to do for shockable rhythm
V.tach and V.fib
- AED shock
- CPR for 2 minutes
- epi
steps for CVT
- is stable - vagal maneuver
- is unstable - sysncronized cardioversion
3.
