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Als Flashcards

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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?

Study These Flashcards
A

VF & shock if unresponsive

22
Q

What is Depth of compression and rate

Study These Flashcards
A

1/3 chest and 100-120 rate

23
Q

What is happening in this ETCO2 wave form?

Study These Flashcards
A

decreasing etco2

cuff leak or tube in wrong place

24
Q

What is happening in this ETCO2 wave form?

Study These Flashcards
A

hypoventilation

25
what is the paed dose of NaHc03 & KCL?
NaHc03 =0.5-1 mmol/kg KCL =0.05 mmol/kg
26
What is happening in this ETCO2 wave form?
Decreased ETCO2 = apnea/sedation
27
What do you say in coached?
Compression continue Oxygen and others Away Charging 200j Hands off “Defibrillate or disarm?” Ask t/l
28
What is happening in this ETCO2 wave form?
bronchospasm= COPD/ asthma
29
What is the correct insertion site for IO?
Medial aspect of the tibia
30
How long should delays in compressions be limited to?
5 seconds
31
What do you give for hyperkalaemia?
Cacl 10% and NaHCO3
32
Where is the shock delivered for cardioversion?
R wave
33
what is this?what is the appropriate treatment?
Torsades de point Magnesium and defib if pulsless
34
what is this and what do you do?
asystole. do not shock.
35
What would be the presentation for toxin and associated treatment?
Hx ingestion, poisoning, medication error Anaphylaxis Sepsis Treatment: naloxone
36
What is happening in this ETCO2 wave form?
sudden loss of waveform. ET tube dislodged, kinked, obstructed or loss or circulatory function
37
what is this? what do you do?
VT. if unresponsive shock
38
what is this rhythm?
SVT
39
what is the paed dose of adrenaline and amiodarone?
adrenaline = 10mcg/kg amiodarone= 5mg/kg
40
What is this?
Torsades De Pointes
41
what is this rhythm?
42
Patient is in a non shockable rhythm.. when do you give adrenaline?
ASAP then every 2nd loop
43
When will exhaled co2 be detected?
When there is effective compressions and ventilations
44
What is this? what ist he best treatment?
VF. cpr and defib
45
When should amiodarone be given?
Persistent Vt/VF And after 3rd definitely attempt
46
For shockable rhythms When should adrenaline be given??
After 2nd shock (then every 2nd loop)
47
what is this and what is the appropriate treatment?
Atrial Fibrillation Digoxin/Amiodarone
48
What do you give for hypokalaemia?
KCL
49
When should you do a pulse che k?
End of 2 minute cycle of CPR or signs of ROSC(e.g eyes opening or waveform capnography)
50
What kind of presentation would be associated with hypoglycaemia, hyper/hypokalaemia?
Diarrhoea vomiting drug toxicity, rental impairment
51
Pt is in a shockable rhythm. When do you give adrenaline? And amiodarone?
Adrenaline = after 2nd shock Amiodarone = after 3 shocks

Als (3 decks)

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