Focused Pals

Question 1

What are the “H’s” in H’s and T’s?

Answer 1

Hypovolema, Hypoxia, Hydrogen Ion(acidosis), Hypoglycemia, Hypothermia, Hypo/hyperkalemia.

Question 2

What are the “T’s” in H’s and T’s?

Answer 2

Tension pneumo, Tamponade, Toxins, Thrombosis(PE), Thrombosis(coronary)

Question 3

What is a classic S/S of Tamponade?

Answer 3

Pulsus parodoxus (BP drops on inhalation), decreased BP, increased HR

Question 4

How is SVT defined in an infant? Child? Adult?

Answer 4

HR >220, HR > 180, HR > 150

Question 5

When using an EPI Pen, what must you do to insure that all the medicine is injected?

Answer 5

Hold it in for 10 seconds.

Question 6

When is Racemic EPI used?

Answer 6

When stridor is noted, indicating croup or blocked airway.

Question 7

How much fluids are given for shock?

Answer 7

20mg/Kg unless Cardiogenic, then 10mg/Kg

Question 8

What is the maximum time chest compressions should be delayed during CPR?

Answer 8

No more than a 10 second delay.

Question 9

When is the only time Atropine is used with peds?

Answer 9

Is bradycardic due to a vagal response.

Question 10

How many joules are used when shocking Peds Pt’s?

Answer 10

2-4/Kg, up to 10(adult rate)