General PALS Flashcards

1
Q

What is PCAS?

A

Post cardiac arrest syndrome

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2
Q

What are some issues with PCAS?

A
  1. Ischemic injury
  2. Reperfusion injury
    May affect brain, myocardial dysfunction
    or systemic
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3
Q

What interventions can reduce the metabolic demands of the brain?

A
  1. Seizure control
  2. temperature control
  3. sedation
  4. glucose control
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4
Q

Five Signs of inadequate perfusion

A

cool, moist skin
pallor, mottling, cyanosis
weak, thready pulse
decreased cap refill
hypotension

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5
Q

Where is the hand placed for abdominal thrusts

A

just above navel

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6
Q

Where is the hand placed for choking chest thrusts

A

lower half of sternum

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7
Q

Where do you check the pulse on an infant

A

brachial

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8
Q

How do you tap on an infant

A

the foot

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9
Q

Where do you pulse check a child

A

carotid

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10
Q

Max supplemental O2 rates for newborn

A

1 lpm

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11
Q

Max supplemental O2 rate for child

A

2 lpm

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12
Q

Nasal cannula flow rate

A

1-4 lpm

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13
Q

Nasal cannula Fi02 rate

A

24-44%

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14
Q

HFNC Fio2

A

> 45 %

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15
Q

Mask flow rate

A

6-15 lpm

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16
Q

Mask Fi02 rate

A

> 35-55%

17
Q

NRB flow rate

A

10-15 lpm

18
Q

NRB Fi02

A

> 60-90%

19
Q

PR interval

A

0.10-0.15

20
Q

QRS interval

A

0.05-0.08

21
Q

Debrief components

A

review, analyze, reflect, summarize

22
Q

Six Differences in pedi airway

A

large occiput
large tongue
large adenoids
larynx is higher and more anterior and floppy
smaller airway diameter
narrower at cricoid cartlidge

23
Q

Two types of resp failure

A

hypoxic and hypercarbic or combined

24
Q

Two types of resp failure

A

hypoxic and hypercarbic or combined

25
Q

An early sign of shock

A

peripheral vasoconstriction narrowing PP

26
Q

Why is it important to control fever and pain

A

to reduce 02 demands

27
Q

How much resuscitation volume may children require in the first 30-60 minutes

A

up to 60ml/kg

28
Q

Volume of PRBCs

A

10 ml/kg

29
Q

Volume of whole blood

A

10-20ml/kg p. 178

30
Q

Complications of blood transfusions

A

cold blood causes arrhythmias
citrate reduces calcium
^ K+ w/blood over 1 week old

31
Q

What can be given for ductal dependent lesions

A

Prostaglandin E

32
Q

Neonate BGL level

A

45 ng/dcl

33
Q

Child BGL level

A

60 ng/dcl

34
Q

CVP level

A

8-12

35
Q

SvO2 level

A

> 70%

36
Q

Optimal urine output for infants and children?

A

1.5-2 ml/kg/hr

37
Q

Optimal urine output for adolescents?

A

1ml/kg/hr