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Als > Als > Flashcards

Als Flashcards

1
Q

Depth and rate of compressions

A

1/3 of chest and 100-120 rate

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2
Q

Adult and paeds breath Per min during CPR

A

8-10 breath per min during cpr

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3
Q

Post resus observation goals

  • sa02
  • temp
  • bp
  • bsl
A

94-98%
Bp >100
32-36 temp
BSL 4-10mmol

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4
Q

5 h’s

A

Hypoxia
Hypovolemia
Hyper/hypokalcemia
Hypothermia /hyperthermia

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5
Q

4 T’s

A

Tension pneumothorax
Toxin
Tamponade
Thrombosis

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6
Q

ETT cuff size paeds

A

Age/4 + 4

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7
Q

Paeds ETT length

A

Age/2 + 12

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8
Q

Adult and paeds adrenaline dose

A

Adults : 1mg every 3-5min

Paeds : 10mcg/kg

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9
Q

Amiodarone dose

A

300mg after 3rd shock

5mg/kg after 3rd shock

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10
Q

Nsaline dose

A

Adult : 20ml/kg

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11
Q

Sodi bic NaHCo3 dose

A

Adults 50mmol
Paeds
0.5-1 mmol/kg

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12
Q

KCL dose

A

Adult 5mmol

Paeds 0.05 mmol/kg

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13
Q

What type of blade for paeds

A

Straight blade

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14
Q

How do you inset a oropharyngeal airway for paeds

A

Right way Up or sideways then invert to right way due to their hard palate and compressible floor of mouth

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15
Q

3 differences between adult and paed cardiovascular system

A

1 fixed stroke volume

  1. Faster normal hr
  2. Greater oxygen demand
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16
Q

Majority of paeds arrests from

A

Hypoxia

Hypovolemia

17
Q

How many joules?

A

200j or 4j/kg

18
Q

What is breaths per min when intubated?

A

Adults 10 per min (1/15 compressions)

Paeds 1/10

19
Q

Depth of compressions

A

1/3 chest
Adults: 6cm
Child 5
Infant 4cm

20
Q

Interruptions… how long?

A

<5sec

21
Q

Co2 levels indicating cpr effectiveness

A

<10 poor cpr
>15 effective
>50 rosc

Normal is 35-45

22
Q

Sudden loss of waveform

•

A

•
ET tube disconnected,
dislodged, kinked or obstructed
Loss of circulatory function

23
Q

Decreasing EtCO2

A

ET tube cuff leak
ET tube in hypopharynx
Partial obstruction

24
Q

Sudden increase in EtCO2

A

Return of spontaneous

circulation (ROSC)

25
Q

Cardio version. When do you shock?

A

On r wave

26
Q

Electrical capture mean

A

QRS complex following each pacing spike

27
Q

Mechanical capture

A

Pulse with each paced beat

28
Q

Failure to capture

A

Absence of pacing spike on ecg

29
Q

Loss of capture

A

No QRS after pacing spike

30
Q

Cacl dose

A

10mls 10%

0.2ml/kg

31
Q

Glucose dose

A

50% 50mls

2.5ml/kg

32
Q

Shockable rhythms

A

VT VF torsades

33
Q

Non shockable

A

Astoyle
Pea
Organised rhythm

34
Q

Atrial rate

A

Count p waves x 10

35
Q

Ventricular rate

A

Count QRS complexes x 10

Als (1 decks)

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