General PALS Flashcards
What is PCAS?
Post cardiac arrest syndrome
What are some issues with PCAS?
- Ischemic injury
- Reperfusion injury
May affect brain, myocardial dysfunction
or systemic
What interventions can reduce the metabolic demands of the brain?
- Seizure control
- temperature control
- sedation
- glucose control
Five Signs of inadequate perfusion
cool, moist skin
pallor, mottling, cyanosis
weak, thready pulse
decreased cap refill
hypotension
Where is the hand placed for abdominal thrusts
just above navel
Where is the hand placed for choking chest thrusts
lower half of sternum
Where do you check the pulse on an infant
brachial
How do you tap on an infant
the foot
Where do you pulse check a child
carotid
Max supplemental O2 rates for newborn
1 lpm
Max supplemental O2 rate for child
2 lpm
Nasal cannula flow rate
1-4 lpm
Nasal cannula Fi02 rate
24-44%
HFNC Fio2
> 45 %
Mask flow rate
6-15 lpm
Mask Fi02 rate
> 35-55%
NRB flow rate
10-15 lpm
NRB Fi02
> 60-90%
PR interval
0.10-0.15
QRS interval
0.05-0.08
Debrief components
review, analyze, reflect, summarize
Six Differences in pedi airway
large occiput
large tongue
large adenoids
larynx is higher and more anterior and floppy
smaller airway diameter
narrower at cricoid cartlidge
Two types of resp failure
hypoxic and hypercarbic or combined
Two types of resp failure
hypoxic and hypercarbic or combined
An early sign of shock
peripheral vasoconstriction narrowing PP
Why is it important to control fever and pain
to reduce 02 demands
How much resuscitation volume may children require in the first 30-60 minutes
up to 60ml/kg
Volume of PRBCs
10 ml/kg
Volume of whole blood
10-20ml/kg p. 178
Complications of blood transfusions
cold blood causes arrhythmias
citrate reduces calcium
^ K+ w/blood over 1 week old
What can be given for ductal dependent lesions
Prostaglandin E
Neonate BGL level
45 ng/dcl
Child BGL level
60 ng/dcl
CVP level
8-12
SvO2 level
> 70%
Optimal urine output for infants and children?
1.5-2 ml/kg/hr
Optimal urine output for adolescents?
1ml/kg/hr
