PALS Flashcards
PALS
HR Newborn - 3 mo:
85-205
PALS
HR 3 mo-2 yrs:
100-190
PALS
HR 2-10 yrs:
60-140
PALS
HR >10 yrs:
60-100
PALS
RR Infant-
30-60
PALS
RR Toddler-
24-40
PALS
RR Preschooler-
22-34
PALS
RR School-aged-
18-30
PALS
RR Adolescent-
12-16
PALS
SBP-hypotension
0-28 days:
0-28 days: <60
PALS
SBP-hypotension
1-12 mo:
1-12 mo: <70
PALS
SBP-hypotension
1-10 yrs:
1-10 yrs: <70 + (age in years x2)
PALS
SBP-hypotension
>10yo :
> 10yo: <90
PALS
Bradycardia Resus
ASAP:
ABCs, IV/IO, O2, monitor / defibrillator, VS, EKG
PALS
Tachycardia Resus
If QRS wide (> 0.09 sec) (or unstable VS)-possible ventricular tachycardia
If QRS wide (> 0.09 sec) (or unstable VS)-possible ventricular tachycardia
VT or unstable, then Synchronized shock at 0.5-2 J/kg
Amiodarone 5mg/kg IV/IO over 1 hr
Procainamide 15 mg/kg IV/IO over 1 hr
Adenosine 0.1 mg/kg (max 6 mg), second dose 0.2 mg/kg (max 12 mg)- if regular and monomorphic
PALS
Tachycardia resus
If QRS narrow (< 0.09 sec) and HR < 220 in infant or < 180 in kid…
If QRS narrow (< 0.09 sec) and HR < 220 in infant or < 180 in kid… rhythm = likely sinus tach treat causes (sinus tach = P waves, rate varies)
PALS
Tachycardia Resus
If QRS narrow (< 0.09 sec) and HR > 220 in infant or > 180 in kid…
If QRS narrow (< 0.09 sec) and HR > 220 in infant or > 180 in kid… rhythm = likely SVT
Vagal maneuvers
Adenosine 0.1mg/kg IV (may repeat w double dose)
Synchronized shock at 0.5-2 J/kg (SVT = no P waves, rate constant)
PALS
Arrest Resus
ASAP:
ASAP: ABCs, IV/IO, O2, monitor /defibrillator, VS, EKG
PALS
Arrest Resus
If Asystole/PEA:
If Asystole/PEA: CPR (15:2) x 2 min Epinephrine 0.01mg/kg (1:10,000) IV/IO q 3-5min Repeat Eval for potential causes (H’s & T’s)
PALS
Peds Arrest Resus
If VT/VF:
If VT/VF
Shock- 2J/kg, second 4J/kg (max 10J/kg or adult dose)
PALS
Arrest Resus
If still VT/VF:
If still VT/VF
Shock at 4 J/kg and continue CPR
Epinephrine 0.01mg/kg (1:10,000) IV/IO q 3-5min
After 5 cycles CPR, check rhythm
PALS
Arrest Resus
If still VT/VF:
If still VT/VF:
Shock at 4 J/kg
continue CPR
consider Amiodarone 5mg/kg IV/IO
PALS
Neonatal
ASAP:
- Suction after head delivers (deep suction if mec)
- dry
- stimulate
- place in warmer
- wrap in blanket
PALS
Neonatal
If HR and breathing OK…
If HR and breathing OK… supportive care / obs
PALS
Neonatal
If premature, not crying / not breathing, poor color, poor tone or meconium…
Resuscitate!
PALS
Neonatal
If HR < 100 and/or breathing poor, or central cyanosis…
BVM 40-60 bpm
PALS
Neonatal
If HR < 60 (after BVM resp)…
CPR (two thumb technique) and Epinephrine 0.01mg/kg q 3-5 min IV (use umbilical vein or IO) and IVF
PALS
Neonatal
If accu✓ < 40…
D10 5 ml/kg IV/IO
