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pediatric hematology oncology > PALS > Flashcards

PALS Flashcards

1
Q

infant HR

A

100-180

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2
Q

infant sleep HR

A

90-160

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3
Q

toddler HR

A

98-140

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4
Q

toddler sleep HR

A

80-120

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5
Q

prek HR

A

80-120

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6
Q

prek sleep HR

A

65-100

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7
Q

school aged child HR

A

75-118

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8
Q

school aged child sleep HR

A

58-90

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9
Q

adolescent sleep HR

A

50-90

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10
Q

infant RR

A

30-53

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11
Q

toddler RR

A

22-37

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12
Q

prek RR

A

20-28

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13
Q

school aged child RR

A

18-25

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14
Q

infant normal BP

A

systolic 72-104
diastolic 37-56
MAP 50-62

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15
Q

toddler normal BP

A

systolic 86-106
diastolic 42-63
MAP 49-62

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16
Q

prek (3-5y/o) BP

A

systolic 89-112
diastolic 46-72
MAP 58-69

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17
Q

school-aged child (6-9y/o) BP

A

systolic 97-115
diastolic 57-76
MAP 66-72

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18
Q

preadolescent (10-12 Y/O) BP

A

systolic 102-120
diastolic 61-80
MAP 71-79

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19
Q

adolescent (12-15 y/o) BP

A

systolic 110-131
diastolic 64-83
MAP 73-84

20
Q

S/S of septic shock

A
  • AMS, irritability or decreased level of consciousness
  • altered HR, typically tachycardia
  • altered temp (fever or hypothermia)
  • altered perfusion (prolonged or flash cap refill; cool or very warm extremities, plethoric appearance, mottled color or pallor, possible ecchymosis or purpura… decreased urine output)
  • hypotension: may or may not be present
21
Q

initial stabilization of septic shock

A

abcs

22
Q

within first hour of septic shock

A

draw blood for culture and additional lab studies including glucose and calcium… do not delay antibiotic or fluids therapy

23
Q

if signs of shock persist after 40-60 mL/kg total fluid administration or evidence of fluid overload…

A

obtain critical care consultation
initiate and titrate epi or norepi

24
Q

adenosine

A

SVT

25
Q

albuterol

A

asthma
anaphylaxis (bronchospasm)
hyperkalemia

26
Q

amiodarone

A

SVT *with pulses
VT *with pulses
pulseless arrest ie VF/pulseless VT

27
Q

atropine sulfate

A

bradycardia (symptomatic)
toxins/OD (organophosphate,carbamate)

28
Q

calcium chloride

A

hypocalcemia
hyperkalemia
hypermagnesemia
CCB OD

29
Q

calcium gluconate

A

hypocalcemia
hyperkalemia
hypermagnesemia
CCB OD

30
Q

dexamethasone

A

croup
asthma

31
Q

dextrose

A

hypoglycemia

32
Q

epinephrine

A

pulseless arrest, bradycardia
hypotensive shock
anaphylaxis
asthma
croup

33
Q

etomidate

A

RSI

34
Q

hydrocortisone

A

adrenal insufficiency

35
Q

ipratropium bromide

A

ASTHMA

36
Q

Lidocaine

A

VF/pulseless VT
wide complex tachycardia, with pulses

37
Q

magnesium sulfate

A

asthma (refractory status asthmaticus)
torsades de pointes
hypomagnesemia

38
Q

methylprednisolone

A

asthma, status asthmaticus
anaphylactic shock

39
Q

milrinone

A

myocardial dysfunction and increased SVR/PVR

40
Q

naloxone

A

nacotic reversal

41
Q

nitroglycerine

A

heart failure
cardiogenic shock

42
Q

nitroprusside

A

cardiogenic shock (associated with high SVR)
severe hypertension

43
Q

norepinephrine

A

hypotensive (usually disruptive) shock (ie low SVR and fluid refractory)

44
Q

prostaglandin E

A

ductal dependent congenital heart disease

45
Q

sodium bicarb

A

metabolic acidosis (Severe)
hyperkalemia
sodium channel blocker OD (tricyclic antidepressant)

46
Q

vasopressin

A

catecholamine-resistant hypotension

pediatric hematology oncology (4 decks)

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