ACP Directives (Pediatric Only) Flashcards
Includes (pediatric only): medical cardiac arrest, NRP, analgesia,
What age can we defibrillate during cardiac arrest?
at least 24 hours old to apply regular cardiac arrest directive
What age is considered pediatric for defibrillation for medical cardiac arrest?
at least 24 hours to less than 8 years
What is the joule setting for pediatric patients?
first shock: 2J/kg
subsequent: 4J/kg
What age receives neonatal resuscitation protocol?
less than 24 hours
what age receives regular cardiac arrest algorithm?
24 hours or older
What age is considered pediatric for medications for medical cardiac arrest?
24 hours to less than 12 years old
What is the pediatric dose (in mL), concentration, and max/min dose for epi for ETT tube?
(medical cardiac arrest)
1:1,000
0.1ml/kg
0.5ml (min) to 2ml (max)
What is the pediatric dose (in mL), concentration, and max/min dose for epi for IV/IO/CVAD route?
(medical cardiac arrest)
1:10,000
0.1ml/kg
0.5ml min (no max)
What is the dosing interval for epi during medical cardiac arrest?
4 minutes
What route can amiodarone be given?
(medical cardiac arrest)
IV, IO, CVAD
What is the pediatric dose, max dose, number of doses, intervals for amiodarone IV/IO/CVAD route?
(medical cardiac arrest)
1st:
5mg/kg (max 300mg)
subsequent:
5mg/kg (max 150mg)
q 4 mins, max # 2 doses
What route can lidocaine be given?
(medical cardiac arrest)
IV, IO, CVAD, ETT
What is the pediatric dose, max dose, number of doses, intervals for lidocaine IV/IO/CVAD route?
(medical cardiac arrest)
All doses 1mg/kg
q 4 minutes
max # 2 doses
What is the pediatric dose, max dose, number of doses, intervals for lidocaine ETT route?
(medical cardiac arrest)
All doses 2mg/kg
q 4 minutes
max #2 doses
What volume of fluid bolus can be infused during cardiac arrest for pediatrics?
20ml/kg
max 2L
What rate should breaths be provided with advanced airway during cardiac arrest for pediatrics?
One breath every 3 seconds
(20breaths/min)
Explain the steps of NRP
–> warm, dry, stimulate, clear airway (30s)
ASSESS: Breathing AND HR greater than 100bpm
–> PPV with room air (30s)
ASSESS: HR greater than 60bpm
–> CPR with 100% O2 (BVM/ETT)
ASSESS: HR greater than 60bpm
–> continue CPR, provide epi, transport prior to 3rd dose
What age is NRP
less than 24 hours (and at least 20 weeks gestation)
Conditions for room air PPV?
(NRP)
HR less than 100bpm
Conditions for CPR
(NRP)
- HR < 60 bpm
- after 30 seconds of PPV RA
When is epi started?
(NRP)
after 30 seconds of CPR
Conditions for epi
(NRP)
1.HR < 60bpm
2. after 30 seconds CPR
What is the concentration, dose (in ml), min/max single dose, and dosing interval for ETT epi for patients less than 24 hours old?
(NRP)
ETT
1:10,000
1.0ml/kg (max 3.0ml)
ONE SINGLE DOSE
What is the concentration, dose (in ml), min/max single dose, and dosing interval for IV,IO epi for patients less than 24 hours old?
(NRP)
IV, IO
1:10,000
0.1ml/kg (min 0.5ml)
q 4 minutes
What is the age for pediatric dose for morphine?
(analgesia directive)
at least 1 year old to less than 18 years
What is the age for pediatric dose for fentanyl?
(analgesia directive)
at least 1 year old to less than 18 years
What is the pediatric route, dosing, max single dose, interval and total amount for morphine?
(analgesia directve)
IV, Sc
0.05-0.1mg/kg (max 5mg)
q 15 minutes
max total 10mg
What is the pediatric route, dosing, max single dose, interval and total amount for fentanyl?
(analgesia directve)
IV, IN
up to 1mcg/kg (max 75mcg)
q 5 minutes
max total 200 mcg
