Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pedi Exam 2 > Emergency > Flashcards

Emergency Flashcards

1
Q

Recognition of Respiratory dirstress

A

Appearance: the single most important factor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Appearance

A 
Alertness
Color or circulation
Eye contact
Speech or cry
Motor activity (limp/flaccid)
Distractibility
Consolable
Work of breathing
RR increased or decreased 
Tachycardia
Restlessness
Agitation
Altered/Lowered LOC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Types of artificial airway

A

ET tube

LMA (laryngeo-Mask Airway)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

24 gauge color

A

Yellow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

22 gauge color

A

Blue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

20 gauge color

A

Pink

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

18 gauge color

A

Green

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

16 gauge color

A

Grey

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

IO use

A

Fluids
Blood draws
Meds
Not long term use (goal is to remove 3-4 hr , can be left in place for 76-92hr)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

IVF reminders

A

Provide volume replacement
Administer/replace electrolytes
Treat/prevent dehydration
Maintain homeostasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

O2 delivery systems

A

Blow by
Nasal cannula
Mask

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Most common dysrhythmias in Pedi

A

Bradycardia
Asystole
Pulseless electrical activity (PEA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Transplant organs

A 
Heart
Kidneys
Lungs
Liver
Pancreas
Intestines
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Transplant tissues

A 
Skin
Bones
Heart
Valves
Veins
Corneas
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Indication of Oxygen

A

Can administer more than 2L in an emergency
Acute or emergency situations
Child respiratory distress: dyspnea, tachypnea, apnea, pallor, cyanosis, use of accessory muscles and nasal flaring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Target % of O2 saturation

A

95-97%: children and adults
91-95%: neonates
>60%: cyanotic heart disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Abnormal O2 saturations

A

85-90% indicates moderate to severe hypoxia
Below 85% indicates severe to life threatening hypoxemia
Position them first to see if that helps then suction, then tweak oxygen and maybe give them less

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

When not to do CPR

A

DNAR order
Signs of irreversible death (rigor mortis, decapitation, dependent lividity)
No physiological benefit can be expected because the vital functions have deteriorated despite maximal therapy for such conditions, such as progressive septic or cardiogenic shock
Withhold attempts to resuscitate in the delivery room is appropriate for newly born infants with confirmed gestation < 23 wk or birth weight <400g (Anencephaly or confirmed trisomy 13 or 1)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

When to stop CPR

A

Normal pulse established
Normal respiratory rate established
Obvious signs of death are apparent
Asystole persist for >20 minutes in the absence of a reversible cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Termination of Resuscitation: Neonate: Termination

A

Occurs with parental agreement: Withhold resuscitation for conditions associated with high mortality and poor outcome: gestation, BW, congenital abnormalities, uncertain prognosis with borderline survival and high morbidity rate, pulse is high, chromosomal or anatomical defects is unlikely to result in survival or survival without extreme disability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Termination of Resuscitation: Neonate: Discontinue resuscitation

A

Infants with no signs of life after 10 minutes of continuous and adequate resuscitative efforts (per MD order)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Termination of Resuscitation: Child

A

Guidelines for resuscitation termination for children are unreliable
Depends on situation, diagnosis and parental wishes
Children can survive prolonged efforts if: the collapse was witnessed, bystander performed immediate CPR, Early professional treatment ar initiated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Organ donation

A

Individual donor can save up to 8 lives through organ donation and tissue donation
Skin is used to treat burn patients and individuals with cancer, bone can be used to treat orthopedic injuries and cancer patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Post resuscitation Care: Gift of life

A

will come in with orders of what meds to keep them on and will keep the organs perfused and oxygenated until transplant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Post resuscitation Care: Maintain

A

Normal ventilation
Temperature
Glucose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Post resuscitation Care: Manage post-ischemic myocardial dysfunction

A

Medication: Dopamine, Dobutamine, Epinephrine

Monitor labs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Post resuscitation Care: Treat post-arrest cardiogenic shock and septic shock aggressively

A

Fluids
Inotropes
Pressors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Disaster plan: Personal plan

A 
Where will you go
What is your route
Who will pick up the children/pets
Where is meeting place
Emergency travel kit?
Have extra supplies of medication
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Disaster plan: Professional plan

A 
Know your facilities policy and procedure for emergency/disaster situations
Protocols
Escape routes
Form of communication, CoC?
Patient evacuation procedures?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Disaster plan: Community plan

A

Map of city?
Escape routes?
Shelter in place sites?
Neighbors in need? Elderly? Those with physical and mental disabilities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Nurse responsibility in a disaster

A

Be professionally and personally prepared
Know that you will be called upon and make arrangements with family for absence
Be aware of ethical issues you may encounter when you face patient care decisions
Protect the patient, get them transported to a safer area, crowd control, and triage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Weapons of mass destruction

A 
Chemical 
Radiological
Biological
Nuclear
Explosive or Enhanced conventional weapons
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Disaster preparedness: Know what pt was exposed to

A

So we can triage
Is it contagious
Precautions?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Disaster preparedness: Better natural resistance to aerosolized biologic or chemical agents

A

Adults
Children and babies are very vulnerable due to curiosity, small, and have sensitive skin that needs extra protection
Children also breath faster

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Disaster preparedness: Who requires more resources

A

Children

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Disaster preparedness: Why are drug formulation availability limited for pedi?

A

No FDA approval
Limited testing done on infants and children since it requires the parents approval, they are often reluctant to have child on unknown drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Disaster preparedness: Are children desirable targets t terrorist attacks?

A

Yes
School especially because they know that children are our most precious asset and such an attack would psychologically cripple the population
Schools are defenseless and unprepared
Tend to gather in large groups
Have natural curiosity and seek out objects of interest
They evoke extreme emotional reaction by rescuers and the public

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Appearance: Color or Circulation

A

Should be pink, means good perfusion
Pale or white is a sign of lack of O2, poor perfusion form vasoconstriction because the blood is being shunted to the vital organs away from the extremities. Hands and feet are cold. Next -Blue
Blue is cyanosis- meaning that all compensatory mechanisms have failed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Appearance: Eye contact

A

Are they looking at you?
Are they looking past you?
Glass eyed?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Appearance: Speech or cry

A

If you’re doing something and they don’t respond, its very concerning
Normal: high pitched, weak, are they crying?
Consolable, Inconsolable?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Appearance: Motor activity

A

Flaccid or limp?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Appearance: Increased or decreased RR

A

Pulse is <60/min, and there are signs of poor perfusion (pallor, mottling of the skin, cyanosis) despite supplemental O2 then start compressions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Cause of Pulmonary/Cardiac arrest

A 
Respiratory
Infection
CV
Traumatic 
CNS disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Cause of Pulmonary/Cardiac arrest: Respiratory

A

BPD, Croup, Pneumonia, Apnea, Asthma, Submersion, Aspiration, Epiglottis, Smoke inhalation, Suffocation, Anaphylaxis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Cause of Pulmonary/Cardiac arrest: Infection

A

Meningitis, Septic shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Cause of Pulmonary/Cardiac arrest: CV

A

Congestive heart disease, arrhythmia, myocarditis, pericarditis, hypovolemic shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Cause of Pulmonary/Cardiac arrest: Traumatic

A

MVA, fall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Cause of Pulmonary/Cardiac arrest: CNS disease

A

Hemorrhage, cerebral edema, shaken baby syndrome, hydrocephalus with shunt malfunction, seizure, tumors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Respiratory distress

A 
Can still help them!!!
Airway open and maintainable
Tachypnea
Increased respiratory efforts
Grunting
Retractions- substernal/intercostal 
Nasal flaring
Abnormal airway sound (wheezing, stridor)
Tachycardia
Pale to cool skin
Change in mental status (anxiety, agitation)/ GCS
(manage immediately!! Child will rapidly progress into respiratory failure, shock, and arrest)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Respiratory Failure

A 
Trying to prevent!!
Airway not maintainable (NC or facemask will not help, NEED ET)
Bradypnea
Apnea
Decreased or no respiratory effort
Poor to absent distal air movement 
Bradycardia 
Cyanotic 
Stupor
Coma
Flaccid muscle tone
Unresponsive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

What is Cardiac arrest

A

Abrupt cessation of normal circulation of the blood due to failure of the heart to contract effectively during systole- cardiovascular collapse is impending shock
Cessation of clinically detectable cardiac mechanical activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Cardiac Arrest: Characterized by

A

Unresponsiveness, apnea, absence of detectable central pulses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

What to obtain when a child experiences cardio-pulmonary arrest

A 
Age
Recent illnesses
Previous medical problems
Current meds
Recent trauma
Time of day of incident
Location of child during incident 
Access to toxins/medicines/poisons
Access to potential foreign bodies
Length of downtime- affect recovery
Was CPR initiated and for how long?
Overall appearance
ABC
Vital signs 
SpO2
LOC/GCS
Tracheal deviation
Subcutaneous air/crepitus
Pupillary response 
Evidence of trauma
Surgical scars
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

Evidence of prolonged time since death

A

Rigor mortis
Dependent lividity
Corneal clouding

55
Q

Effective CPR prolongs:

A

Presence of Vfib and improve chances that a shock will terminate this lethal rhythm
Need electrical activity to shock the heart

56
Q

Compressions

A

30-2 and 100 compressions a minute

57
Q

Reserved O2

A

Many patients have left over O2 in their blood and lungs from their last breath so we can take advantage of that and do compressions until help arrives

58
Q

Where to palpate pulse on: Infant <1 yr

A

brachial artery

59
Q

Where to palpate pulse on: Infant >1 yr-adolescent

A

Carotid artery

60
Q

Children HR <60

A

Start compressions

61
Q

Children Respiratory rate <10/gasping/apneic

A

Bag mask ventilation (rescue breaths)

62
Q

What to do first with unresponsive child

A

Assess unresponsiveness (gently stimulating them)
Check breathing
Quick check for pulse
Call for help (code button, call out for code cart)
Position for CPR (hard flat surface, backboard, CPR lever)
No pulse, poor perfusion (HR<60 start compressions)
Rescue breaths (gasping isnt enough air for perfusion, slow breathing arent enough for perfusion)

63
Q

Witnessed arrest vs. didnt witness arrest

A

Witnessed: call for help then begin compressions

Didnt witness: initiate compressions and continue with rescue breaths for 5 cycles (2 minutes) then call for help

64
Q

Neonatal arrest

A

Predominantly axial in nature, so the ABC resuscitation sequence with 3:1 ratio of compressions to ventilations has been maintained, except when etiology is clearly cardiac

65
Q

Circulation: Compression to ventilation ratio for Infants and children: Single rescuer

A

30:2

66
Q

Circulation: Compression to ventilation ratio for Infants and children: 2 HCP rescuers

A

15:2

67
Q

Compressions on an infant <1yr

A

Use 2 thumbs-hands encircling the chest technique, midtesternal or 2 fingers midsternal just below the nipple line
Compress the chest about 1.5 in
(alone: use 2 thumbs, with help: use 2 fingers)

68
Q

Compressions on a child 1-8yr

A

Use the heel of one hand to compress the lowe 1/2 of the sternum
Compress about 2 inches

69
Q

Compressions on >8yr

A

Use adult method, 2 hands at a depth of 2 inches

70
Q

Compression techniques

A

Arms straight, bent over give good force
Ribs break… we want them to breath and live
Effective compression (hard and fast)
Rate: 100/min
Depth: 1.5-2 inches
Always allow for complete recoil of the chest
Compressions must not be interrupted except for ventilation
Re-evaluate after 5 cycles or 2 minutes
Know that the rhythm on the stip will not be accurate

71
Q

Airway

A

Maintain patent airway
Use head-tilt chin lift (if no cervical spine injury suspected)
Use jaw thrust (if possible cervical spine injury)
Open mouth, visually inspect and suction
Vomitus or foreign material may obstruct the airway (clear it out)
Nasopharyngeal or Oropharyngeal airway is used/placed
Position to help visualization, and ventilatilation
Sniffing position

72
Q

Airway: Most common cause of upper airway obstruction

A

tongue

73
Q

Sniffing Position

A

Theres a towel under patients neck to get better visualization of airway, and nose is angles up like their sniffing
For older children, can use a towel behind the neck to extend it for a good head tilt chin lift

74
Q

Breathing

A

Start rescue breathing if patient has a palpable pulse of >60, and theres inadequate breathing of <10 breaths/min, and continue until spontaneous breathing returns
Is HR is at <60 then do compressions in addition of rescue breaths
Reassess every 2 minutes

75
Q

Breathing: Rescue breathing: lone provider

A

30:2

Just breathing: rate of 12-20 breaths/min (1 breath every 3-5 seconds)

76
Q

Breathing: Rescue breathing: 2 rescuers

A

15:2

Just breathing: rate of 10-12 breaths/min (1 breath every 3-10 seconds)

77
Q

If patient isn’t able to maintain airway

A

Place an artificial airway

78
Q

ET tube

A

Preferred because it allows greatest control of airway
Directly inserted into trachea all the way done to the carina of the bronchi
Can suction fluids and secretions through them
Can prevent aspirations

79
Q

LMA

A

Inserted directly into pharynx, and does not go as far down as ET tube
Mostly used when patient is trapped in a sitting position
Also when there’s suspected trauma to cervical spine or head tilt chin lift isn’t possible
Also when intubation with an ET tube is unsuccessful
Easier to insert causing less pain than ET tube
Cannot suction
Do not prevent aspiration

80
Q

Physician needs for intubation (blades)

A

L-shaped blade -Miller
Curved blade -MaCintosh
RN responsibility to ask the provider what size ET they want, or RN see what size they needed based on: swelling, age, weight,.
Also give stylet to be place in ET tube before insertion
Also ask what size blade and endoscope they want

81
Q

Artificial airway established

A

Once placed, continue compressions and no longer need to cycle to ventilate
Rescue breaths are provided 1 breath every 6-8 seconds (about 8-10 breaths/min)
ABGs are drawn (how we know what to set the ventilator to)
Excessive ventilation should be avoided
NGT placed to decompress the stomach, preventing aspitations, and get air out of tummy
Document size, depth of ET tube and that it is secured

82
Q

IV sites

A

Scalp
Heel
Antecubital
Last resort: IO (after 2 unsuccessful attempts)

83
Q

Causes of difficulty getting IV in children

A

Shock, hypothermia, vasoconstriction

84
Q

IO placement

A

Only in emergency situations when IV access is not available or feasible
Can be done on any age except preterm neonates
Placed in the proximal medial aspect of the tibia
Ultimately central circulation
Marrow functions as a non-collapsible venous access route, whereas peripheral veins do collapse due to vasoconstriction
Need to push hard to get fluids in

85
Q

IO complications

A 
Extraversion of fluids when needle is misplaced 
Compartment syndrome 
Infection 
Pain 
Fracture
86
Q

Most commonly used IVF pedi

A 
0.9%: Normal saline (20mL/kg bolus)
Lactated ringers: LR
5% dextrose in water: D5W
5% dextrose and 0.9% NS: D5NS
5% dextrose and 0.45% NS: D5 half NS
Any K added to their IVF will be indicated in RED!!
87
Q

IVF rate

A

100mL for first 10kg
50mL for next 10kg
20mL for any remaining kg

88
Q

Drug therapy: Cardiac arrest

A

Next to last line of treatment
Majority of pediatric resuscitations will not require a lot of drugs
Pediatric drug doses are based on weight
Some medications in the crash cart will tell you the dosages

89
Q

IV medications administration

A

ALWAYS look at the concentration
Triple check calculations
When pulling up medication: show to another person and say what and how much, then pass it to whos delivering it, they will say what and how much given now. The person documenting will document what and how much given at ___ time.

90
Q

Code drugs

A 
Epinephrine 
Atropine 
Amiodarone & Lidocaine 
Dextrose 
Sodium bicarbonate 
Naloxone
Adenosine
Dopamine
Dobutamine
91
Q

Code drugs that can be given through ET tube

A 
"LEAN" 
Lidocaine
Epinephrine
Atropine
Naloxone
92
Q

Epinephrine

A

Increased HR, contractility, and BP

93
Q

Atropine

A

Increased HR

94
Q

Amiodarone & Lidocaine

A

Converts V.fib, pulseless Vtach or Vtach with pulse

Some atrial tachyarrhythmias

95
Q

Dextrose

A

Reverse hypoglycemia

96
Q

Sodium bicarbonate

A

Reverse metabolic acidosis

97
Q

Naloxone

A

Reverse opiate narcotic depression

98
Q

Adenosine

A

Converts paroxysmal SVT, push hard and fast, momentarily stops the heart

99
Q

Dopamine

A

Improves BP

100
Q

Dobutamine

A

Increases contractility of heart

101
Q

Blow by O2

A

Keep their head midline

May be either a narrow O2 catheter with small perforations through with O2 can flow or corrugated tubing

102
Q

Blow by used when

A

The child will not tolerate other means of O2 therapy, Low O2 concentrations with humidification are needed, if they are vomiting, or have facial injuries
Concentration of O2 delivery varies according to the flow rate and proximity to the face
Can be used for young infants

103
Q

Nasal cannula

A

Low flow
High flow
Can be use to deliver low concentrations of O2
Flow rate set higher than 6L will irritate the nasopharynx without improving the child’s oxygenations
Correct placement of nasal prongs

104
Q

NC Liters/ Min percentages

A 
1L/min: 24%
2L/min: 28%
3L/min: 32%
4L/min: 36%
5L/min: 40%
6L/min: 44%
105
Q

O2 Facemask

A

Agitated and refused facemask: mom can hold baby and facemask near face
Bag has to be full
Size of the mask is important when administering O2
-Mask should extend from the bridge of the nose to the cleft of the chin
-Should fit snugly on the face but put not pressure on the eyes to avoid stimulating the vagal response

106
Q

Types of facemask

A

Simple face mask

Non rebreather

107
Q

Simple face mask

A

30-60% O2 with a flow rate of 6-10L/min when a tight seal is maintained on face

108
Q

Non-rebreather

A

60-90% O2 with a flow rate of 12-15L/min when a tight seal is maintained on face

109
Q

Common dysrhythmias

A

Bradycardia
Asystole
Pulseless electrical activity (PEA)

110
Q

Asystole

A

Do not administer shock because there is no electrical activity, continue CPR until something else is figured out

111
Q

PEA: Characterized

A

Unresponsiveness and the lack of a palpable pulse in the presence of an organized cardiac electrical activity
Some situations that cause sudden changes in preload, afterload, or contractility often cause this.

112
Q

PEA: Most common cause

A

Hypovolemia

113
Q

PEA: Treatment

A

Rapid fluid bolus of 20ml/kg of NS IV

114
Q

Treatment of PEA and Asystole

A

Determine reversible causes (PAT2H4)

115
Q

PAT2H4

A

P: pneumothorax
A: acidosis
T2: toxic ingestion, tamponade
H4: hypovolemia, hypoxia, hypo/hyperK, hypothermia

116
Q

Vfib/Vtach

A

Not common in children

May be seen in adolescents with OD

117
Q

Vfib

A

Abnormal heart rhythm and is seen in sudden cardiac arrest
Chaotic and unorganized
Heart quivers and cannot effectively pump blood
Short lived and will deteriorate to asystole if not treated properly and promptly

118
Q

Vfib cause

A

By an abnormal and very fast electrical activity in heart

119
Q

Vfib Treatment

A

Only effective treatment is electrical shock called defibrillation ( an electrical current applied to the chest)

120
Q

Vfib Defibrillation goal

A

Electrical current pass through the heart stopping the Vfib and giving an opportunity for heats normal electrical system to take over
The defibrillation helps the heart reorganize and start pumping blood effectively again

121
Q

AED

A

Comes in various sizes

They give you verbal instructions of how to apply pads, and will set amount of Joules according to the patient’s rhythm

122
Q

Defibrillator

A

Manual and you’ll adjust this according to Broslowe tape of instructions or your code sheet

123
Q

AED/Defibrillator pads

A

Different size for 1-8yrs
Adult pads
If there isn’t Pedi pads then you can use adult pads but make sure they dont touch. Place one in the center of the child’s chest and the other on the center of the child’s back

124
Q

AED/Defibrillation: Reminders

A

Make sure chest hair is out of the way
Make sure there is no pacemaker (place pad at least 1in from the device)
Look for medicinal patches, don’t place pad on the patch
Clear before activating it
Dont use in water!! Dry the patient off before shocking, remove the patient from any water before shocking

125
Q

Bradycardia Treatment

A

Oxygenation/ventilation

F/u with Epinephrine, atropine and transcutaneous pacing

126
Q

V tach (hemodynamically stable) Treatment

A

Amiodarone or lidocaine or Procainamide

127
Q

Unstable Tachyarrhythmia Treatment

A

Immediately synchronized cardioversion for PSVT

IV access available give adenosine before cardioversion

128
Q

Vfib or pulseless Vtach Treatment

A

Immediate defibrillation, epinephrine, intubation

Consider amiodarone, lidocaine, magnesium sulfate

129
Q

Asystole and PEA Treatment

A 
We want to establish some type of rhythm/electrical activity 
Cant use AED 
Not shockable 
Continue CPR
Intubation 
Epinephrine 
Determine cause - reverse it
130
Q

Nurses role in resuscitation

A

Patient assessment
Start CPR
Breathing really fast or stop breathing: start CPR
Witnessed it? Not witnessed?

131
Q

CPR: Team leader

A

Oversees the entire process, monitors effectiveness, orders drugs, treatments, labs,
Doctor is the one that runs the code not the nurse

132
Q

CPR: Team member

A

Each has a specific job: compressions, BMV, starting IV, drawing labs, labeling and giving meds, “go-fer”: labs, equipment, recorder, charting, keeping family members informed
Any time an order is given, it must be repeated back to physician for confirmation and so that every team member hears
There has to be someone whose role is to just document on the ode sheet

133
Q

CPR: Nursing intervention: Family support

A

During arrest: support is aimed at keeping family informed of child’s status, assuring them that all is being done
Must consider needs, fears and concerns of family members
Family should be able to be present during code

Pedi Exam 2 (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions