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Als > Als > Flashcards

Als Flashcards

1
Q

4 H’s

A

Hypoxia Hypo/hyperthermia Hypovolemia Hyper/hypokalemia

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2
Q

Post resus goals What should spo2 be? Bp? Temp? BSL?

A

Sp02= 94-98% Bp >100 Temp = 32-36 BSL= 4-10mmol

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3
Q

What is happening in this ETCO2 wave form?

A

CPR assessment

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4
Q

what is this rhythm?

A

Sinus Bradycardia

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5
Q

What is happening in this ETCO2 wave form?

A

sudden increase in ETCO2

=ROSC

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6
Q

What is this rhythm?

A

Sinus Rhythm

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7
Q

4T’s

A

Tamponade Toxin Tension pneumothorax Thrombosis

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8
Q

What is happening in this ETCO2 wave form?

A

hyperventilation

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9
Q

When you arrive on scene and establish quality cpr is being given what is next?

A

Connect to defib Charge defib Analyse rhythm Shock (VT/VF) or disarm astoyle/pea Recommence cpr Consider intubation ivc 2 mins of cpr= coached again

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10
Q

what is this rhythm?

A

atrial fibrillation

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11
Q

What joules do you ah ok for adults and kids?

A

Adults: 200j Kids: 4j/kg

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12
Q

Leading cause of paediatric arrests?

A

Hypoxia and hypovolemia

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13
Q

what is this rhythm?

A

sinus tachycardia

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14
Q

For non shockable rhythms When should adrenaline be given??

A

Immediately then every 2nd loop

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15
Q
A
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16
Q

what is this? what is the best treatment?

A

VT. CPR +DEFIB

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17
Q

What is this and what is the appropriate treatment?

A

Atrial Flutter

Digoxin

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18
Q

what is the paed dose of nsaline and glucose in arrest?

A

n/saline= 20mls/kg

glucose= 2.5ml/kg of 10% glucose

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19
Q

When should rhythm checks be done?

A

Every 2 mins If organised rhythm is observed pulse check may be performed for 10 sec

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20
Q

causes of fluid maldistrubution?

A

septic shock

anapylaxis

cardiac disease

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21
Q

what is this and what do you do?

A

VF & shock if unresponsive

22
Q

What is Depth of compression and rate

A

1/3 chest and 100-120 rate

23
Q

What is happening in this ETCO2 wave form?

A

decreasing etco2

cuff leak or tube in wrong place

24
Q

What is happening in this ETCO2 wave form?

A

hypoventilation

25
Q

what is the paed dose of NaHc03 & KCL?

A

NaHc03 =0.5-1 mmol/kg

KCL =0.05 mmol/kg

26
Q

What is happening in this ETCO2 wave form?

A

Decreased ETCO2

= apnea/sedation

27
Q

What do you say in coached?

A

Compression continue Oxygen and others Away Charging 200j Hands off “Defibrillate or disarm?” Ask t/l

28
Q

What is happening in this ETCO2 wave form?

A

bronchospasm= COPD/ asthma

29
Q

What is the correct insertion site for IO?

A

Medial aspect of the tibia

30
Q

How long should delays in compressions be limited to?

A

5 seconds

31
Q

What do you give for hyperkalaemia?

A

Cacl 10% and NaHCO3

32
Q

Where is the shock delivered for cardioversion?

A

R wave

33
Q

what is this?what is the appropriate treatment?

A

Torsades de point

Magnesium and defib if pulsless

34
Q

what is this and what do you do?

A

asystole. do not shock.

35
Q

What would be the presentation for toxin and associated treatment?

A

Hx ingestion, poisoning, medication error Anaphylaxis Sepsis Treatment: naloxone

36
Q

What is happening in this ETCO2 wave form?

A

sudden loss of waveform.

ET tube dislodged, kinked, obstructed

or loss or circulatory function

37
Q

what is this? what do you do?

A

VT. if unresponsive shock

38
Q

what is this rhythm?

A

SVT

39
Q

what is the paed dose of adrenaline and amiodarone?

A

adrenaline = 10mcg/kg

amiodarone= 5mg/kg

40
Q

What is this?

A

Torsades De Pointes

41
Q

what is this rhythm?

A
42
Q

Patient is in a non shockable rhythm.. when do you give adrenaline?

A

ASAP then every 2nd loop

43
Q

When will exhaled co2 be detected?

A

When there is effective compressions and ventilations

44
Q

What is this? what ist he best treatment?

A

VF. cpr and defib

45
Q

When should amiodarone be given?

A

Persistent Vt/VF And after 3rd definitely attempt

46
Q

For shockable rhythms When should adrenaline be given??

A

After 2nd shock (then every 2nd loop)

47
Q

what is this and what is the appropriate treatment?

A

Atrial Fibrillation

Digoxin/Amiodarone

48
Q

What do you give for hypokalaemia?

A

KCL

49
Q

When should you do a pulse che k?

A

End of 2 minute cycle of CPR or signs of ROSC(e.g eyes opening or waveform capnography)

50
Q

What kind of presentation would be associated with hypoglycaemia, hyper/hypokalaemia?

A

Diarrhoea vomiting drug toxicity, rental impairment

51
Q

Pt is in a shockable rhythm. When do you give adrenaline? And amiodarone?

A

Adrenaline = after 2nd shock Amiodarone = after 3 shocks

Als (3 decks)

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