Cardiac arrest and intubation Flashcards
Rocuronium adult > 80 kg
100 mg, repeat as required
Rocuronium duration
30 - 60 mins
Sedation post cardiac arrest with signs of shock
ketamine/fentanyl
Ketamine/fentanyl post intubation sedation drawing up
200 mcg fentanyl, 200 mg ketamine in 20 ml syringe
Ketamine/fentanyl post intubation sedation administration ADULT
5 ml every 15 - 30 mins (50mcg/50mg)
Sedation post cardiac arrest no signs of shock
fentanyl/midazolam
Midazolam/fentanyl post intubation sedation drawing up
10 mg midazolam, 100 mcg fentanyl in 10 ml syringe
Midazolam/fentanyl post intubation sedation administration ADULT
1 - 2 ml every 5 - 15 mins (1-2 mg midazolam/10-20 mcg fentanyl)
Rocuronium adult < 80 kg
50 mg
Metaraminol for adult
0.5 - 1 mg every 5-10 mins
Metaraminol drawing up
10 mg/10 ml
Adrenaline administration adult post intubation
Administer 2 drops per second, adjust rate as required (2 ml/min or 2 mcg/min), solution 1 mcg/ml, giving set - 60 drops /ml
Adrenaline administration (NOT cardiac arrest) child aged 5-14 years post intubation
Administer 1 drop per second, adjust rate as required (1 ml/min or 1 mcg/min), solution 1 mcg/ml, giving set - 60 drops /ml
Adrenaline administration (NOT cardiac arrest) child aged less than 5 years
Administer IV boluses as per paediatric tables
Adrenaline IV cardiac arrest 5 kg child (less than 1 year)
0.05 mg or 0.5 ml of solution (50 mcg)
Adrenaline IV cardiac arrest child drawing up
1 mg adrenaline in 10 ml syringe diluted to 10 ml solution
Adrenaline IV cardiac arrest child 10 kg (1 year)
0.1 mg or 1 ml of solution (100 mcg)
Adrenaline IV cardiac arrest 20 kg (2-5 years)
0.2 mg or 2 ml of solution (200 mcg)
Adrenaline IV (NOT cardiac arrest) child drawing up
1 mg adrenaline into 1 L bag NaCl (1 mcg/ ml)
Adrenaline IV (NOT cardiac arrest) 5 kg child (less than 1 year)
1 mcg or 1 ml of solution (1 mg/ 1 L)
Adrenaline IV (NOT cardiac arrest) 10 kg child (1 year)
2 mcg or 2 ml of solution (1 mg/ 1 L)
Adrenaline IV (NOT cardiac arrest) 20 kg child (2 - 5 years)
4 mcg or 4 ml of solution (1 mg/ 1 L)
Trouble shooting ETT
DOPES mnemonic
Dislodged or disconnected tube
Obstruction of tube
Pneumothorax
Equipment failure
Stacked breaths or secretions
Lemon mnemonic
Look externally
Evaluate internally 3:3:2
Mallampati
Obstruction/tumour/obesity/obstetrics
Neck mobility
SOAP ME mnemonic
Suction
Oxygen
Airway gear - tube, laryngoscope, stethoscope etc
Pharmacology
Monitoring
Escape plan, CRM
Paediatric tube size calculation
(age/4) + 3.5
Paediatric ETT depth at lips
(age/2) + 12
Fentanyl/ketamine paediatric post intubation sedation
1 mcg/1 mg per kg
Fentanyl/midazolam paediatric post intubation sedation
0.5 mg/0.5 mg per kg
metaraminol paediatric dose
0.01-0.02 mg / kg
metaraminol drawing up paediatric
Add 10 mg to 100 ml bag 5 % glucose making 0.1 mg / ml solution
Rocuronium dose paediatric
1 mg / kg
Rocuronium paediatric drawing up
undiluted
Midazolam IV seizures paediatric
0.1 mg / kg
Midazolam IV paediatirc drawing up
10 mg drawn up in 10 ml syringe 1 mg/1 ml solution
Midazolam IM seizures
0.2 mg / kg - twice IV dose!
Valproate paediatric dose
30 mg/ kg
Valproate paediatric drawing up
Add 4 ml NaCl to ampuole, mix to create 100 mg / ml. Draw up required dose into 20 ml syringe, dilute to 20 ml, administer over several minutes
Amiodarone dose paediatric cardiac arrest
5 mg / kg
NaCl paediatric volume
20 ml/ kg
glucose 10% paediatric dose
2 ml/ kg
adrenaline mg/kg paediatric CARDIAC ARREST
0.01 mg/ kg
adrenaline mg/kg paediatric NOT cardiac arrest
0.0002 mg/kg
