Als Flashcards
4 H’s
Hypoxia Hypo/hyperthermia Hypovolemia Hyper/hypokalemia
Post resus goals What should spo2 be? Bp? Temp? BSL?
Sp02= 94-98% Bp >100 Temp = 32-36 BSL= 4-10mmol
What is happening in this ETCO2 wave form?
CPR assessment
what is this rhythm?
Sinus Bradycardia
What is happening in this ETCO2 wave form?
sudden increase in ETCO2
=ROSC
What is this rhythm?
Sinus Rhythm
4T’s
Tamponade Toxin Tension pneumothorax Thrombosis
What is happening in this ETCO2 wave form?
hyperventilation
When you arrive on scene and establish quality cpr is being given what is next?
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
what is this rhythm?
atrial fibrillation
What joules do you ah ok for adults and kids?
Adults: 200j Kids: 4j/kg
Leading cause of paediatric arrests?
Hypoxia and hypovolemia
what is this rhythm?
sinus tachycardia
For non shockable rhythms When should adrenaline be given??
Immediately then every 2nd loop
what is this? what is the best treatment?
VT. CPR +DEFIB
What is this and what is the appropriate treatment?
Atrial Flutter
Digoxin
what is the paed dose of nsaline and glucose in arrest?
n/saline= 20mls/kg
glucose= 2.5ml/kg of 10% glucose
When should rhythm checks be done?
Every 2 mins If organised rhythm is observed pulse check may be performed for 10 sec
causes of fluid maldistrubution?
septic shock
anapylaxis
cardiac disease
what is this and what do you do?
VF & shock if unresponsive
What is Depth of compression and rate
1/3 chest and 100-120 rate
What is happening in this ETCO2 wave form?
decreasing etco2
cuff leak or tube in wrong place
What is happening in this ETCO2 wave form?
hypoventilation
what is the paed dose of NaHc03 & KCL?
NaHc03 =0.5-1 mmol/kg
KCL =0.05 mmol/kg
What is happening in this ETCO2 wave form?
Decreased ETCO2
= apnea/sedation
What do you say in coached?
Compression continue Oxygen and others Away Charging 200j Hands off “Defibrillate or disarm?” Ask t/l
What is happening in this ETCO2 wave form?
bronchospasm= COPD/ asthma
What is the correct insertion site for IO?
Medial aspect of the tibia
How long should delays in compressions be limited to?
5 seconds
What do you give for hyperkalaemia?
Cacl 10% and NaHCO3
Where is the shock delivered for cardioversion?
R wave
what is this?what is the appropriate treatment?
Torsades de point
Magnesium and defib if pulsless
what is this and what do you do?
asystole. do not shock.
What would be the presentation for toxin and associated treatment?
Hx ingestion, poisoning, medication error Anaphylaxis Sepsis Treatment: naloxone
What is happening in this ETCO2 wave form?
sudden loss of waveform.
ET tube dislodged, kinked, obstructed
or loss or circulatory function
what is this? what do you do?
VT. if unresponsive shock
what is this rhythm?
SVT
what is the paed dose of adrenaline and amiodarone?
adrenaline = 10mcg/kg
amiodarone= 5mg/kg
What is this?
Torsades De Pointes
what is this rhythm?
Patient is in a non shockable rhythm.. when do you give adrenaline?
ASAP then every 2nd loop
When will exhaled co2 be detected?
When there is effective compressions and ventilations
What is this? what ist he best treatment?
VF. cpr and defib
When should amiodarone be given?
Persistent Vt/VF And after 3rd definitely attempt
For shockable rhythms When should adrenaline be given??
After 2nd shock (then every 2nd loop)
what is this and what is the appropriate treatment?
Atrial Fibrillation
Digoxin/Amiodarone
What do you give for hypokalaemia?
KCL
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)
What kind of presentation would be associated with hypoglycaemia, hyper/hypokalaemia?
Diarrhoea vomiting drug toxicity, rental impairment
Pt is in a shockable rhythm. When do you give adrenaline? And amiodarone?
Adrenaline = after 2nd shock Amiodarone = after 3 shocks
