PALS Flashcards
Unstable SVT (narrow complex QRS) electricity
Cardioversion
0.5-1.0 J/Kg
Increase to 2J/Kg and up to 10
Unstable VT (wide complex) electricity
1 J/Kg
Increase to 2, up to 10
Pulseless Vfib or vtac (electricity)
Defibrillate
2 J/Kg
Asthma treatment
O2 > 94%
Albuterol
Hypocalcemia treatment
Calcium Chloride 10% 20mg/Kg
Hyperkalemia cause and treatment
Rapid blood transfusion
CaCL 1g
Hypotension shock (fluid treatment)
ISOTONIC crystalloid 10-20 mL/Kg
Atropine
Symptomatic bradycardia. *Epi first line in peds
1. 0.02 mg/Kg
Adenosine
Supraventricular tachycardia
1. 0.1 mg/Kg
2. 0.2 mg/Kg
“For the supraventricular scene”
Amiodarone
VTAC
5 mg/Kg
“ For the ventricular zone”
Epinephrine
Pulseless arrest and symptomatic bradycardia
0.01 mg/Kg
Lidocaine
Vtac
1 Mg/Kg, start infusion
Magnesium
Tornadoes (multi focal vtac) with or without pulse
25-50 mg/Kg
Find a child down:
2 min CPR THEN 911
Upper airway obstruction six
Strider and retractions
I.e laryngospasms
Lower airway obstruction (asthma or COPD)
Wheezing and grunting
Lung tissue injury
Crackles
Low HR for age =
Assess oxygenation
HR less than 60
Begin compressions
acceptable infant SBP
70 mm hg
Or strong central pulse
Ages 1-9 min acceptable SBP
(Age x2) +70
CPR breath rate
Every 2 to 3 seconds
Compression depth
1/3 chest diameter
Best for assessing compressions
ETCO2 15-20 mmHg
Child DBP
Minimum 30 mmHg
Infant DBP
Minimum 15 mmHG
If pt is arresting and has not IV access
Start IO
IO site
Proximal medial tibia - feel for tibial tuberosity
Infant HR
100-180
Toddler HR
98-140
Preschooler HR
80-120
School aged child HR
75-118
