Cardiac Arrest 2

Question 1

With cardiac arrest, what drugs
can be given to adult and pediatric
patients by ET tube?

Answer 1

NAVEL (adults): Narcan, Atropine, Vasopressin, Epinephrine, Lidocaine

LANE (peds): all except vasopressin

Question 2

What are the most concerning
(and unique) causes of abdominal
pain in the following age groups:
0-3mo, 3mo-2yr, school aged kids

Answer 2

0-3mo - Necrotizing Enterocolitis, Hirschprung’s/Toxic Megacolon, Volvulus, Pyloric Stenosis

3mo-2yr - Intussusception, Meckel Diverticulum, Foreign Bodies

School - similar to adults including pregnancy (consider if >8)

Question 3

Dx and Tx of Necrotizing

Enterocolitis

Answer 3

Occurs in premature newborns, translocation of bacteria into intestinal wall.

Dx: XR with dilated bowel, gas in wall. Tx surgical consult and admit.

Question 4

Dx and Tx of Midgut Volvulus

Answer 4

Congenital malrotation, causes bilious vomiting (always emergent), abd pain/distention, possible rectal bleeding (bowel ischemia).

Dx: XR may be normal, may show small bowel over liver, distended stomach, dilated loops of small bowel, “double bubble” or corkscrew

definitive Dx with upper GI or US, XR with “corkscrew” or “apple core” sign.

Tx: NGT, surgery consult.

Question 5

At what heart rate should CPR be initiated for a pediatric patient with bradycardia and poor perfusion despite adequate oxygenation?

Answer 5

60

Question 6

How many vials of digoxin-specific antibody should be administered to someone in cardiac arrest due to digoxin toxicity?

Answer 6

10 vials