ACLS overview + Flashcards
100% Oxygen preferred because hypoxemia leads to anaerobic metabolism which…
may blunt benefits of chemical and electrical therapy
Rescue breathing uses exhaled air at what percent oxygen?
Rescue breathing uses exhaled air at 16-17% oxygen
curved
macintosh blade
miller blade
macintosh blade
vallecula
macintosh blade
miller blade
macintosh blade
straight
macintosh blade
miller blade
miller blade
epliglottis
macintosh blade
miller blade
miller blade
drugs administered through ETT
Naloxone Atropine Vasopressin Epinephrine Lidocaine
8.0-8.5 mm ID ETT size
male
female
male
7.0-7.5 mm ID ETT size
male
female
female
calculate ETT size for pedia
<6yo
>6yo
< 6 yo age/3 + 3.5
> 6yo age /4 + 4.5
Assessment by physical examination to confirm ET tube placement
Five point auscultation
Devices used to confirm ET tube placement
- Waveform capnography
- Exhaled CO2 detectors
- Esophageal Detector Device
Survival rates decreases by (what percent) for every minute delay in defibrillation without CPR
Survival rates decreases by 7-10% for every minute delay in defibrillation without CPR
Survival rates decreases by (what percent) for every minute delay in defibrillation with CPR
Survival rates decreases by 3-4% for every minute delay in defibrillation with CPR
Four Arrest Rhythms
- Ventricular Fibrillation
- Ventricular Tachycardia
- Pulseless Electrical Activity
- Asystole
adult volume expanders. what is preferred for CPR
Volume Expanders : Fresh Whole Blood, Crystalloid solutions, Colloid Solutions
Plain NSS or LR preferred for CPR
pediatric volume expanders
avoid giving large volume because
Volume Expanders : Crystalloid, colloid solutions
Avoid giving large glucose volume may cause osmotic diuresis potential poor neurologic outcome
when is volume expanders given to neonates
indicated when there is evidence or suspicion of acute blood loss with poor response to resuscitation
type and dose for acls volume expander for neonate
- Dose 10 ml / kg
- Plain NSS or PLR
- 5% Albumin Saline or Plasma substitute
Medications to Control of Heart Rhythm and Rate
Lidocaine Amiodarone Adenosine Beta-Blockers Procainamide Atropine Verapamil/ Diltiazem
Medications to Improve Cardiac Output and Blood Pressure
Epinephrine Norepinephrine Dopamine Dobutamine Sodium Nitroprusside Nitroglycerine Digitalis Diuretics
Medications to manage myocardial infarction
Morphine SO4 Oxygen Nitroglycerine Aspirin Thrombolytic agents : Streptokinase, r- TPA, Heparin Glycoprotein IIb/IIIa inhibitors Beta Blockers