PALS Flashcards
respiratory rate infant toddler 1-3 years
24-40
toddlers fall 24 - 40 times a day
respiratory rate infant <1 year
30-60
babies cry 30 - 60 times a day
respiratory rate preschooler 4-5 years
22-34
4-5 years old ask 22-34 questions a day
respiratory rate grade school age 6-12 years
18-30
6-12 years old think they are smarter than 18-30 year olds
respiratory rate adolescent 13-18 years
12-18
13-18 years, basically same as age 12-18
heart rate sleeping to awake <3 months
80-205
heart rate sleeping to awake 3 mo. to 2 years
75-190
heart rate sleeping to awake 2-10 years
60-140
heart rate sleeping to awake >10 years
50-100
hypotension by age <1 month
<60
hypotension by age 1 month - 1 year
<70
hypotension by age 1-10 years
<70 + (age x 2)
70 + (4 x 2 = 8) 78
hypotension by age >10 years
<90
6 H’s
hypoxia hypovolemia hypothermia hypoglycemia hypo/hyperkalemia hydrogen ions
5 T’s
tamponade
tension pneumo
toxins
thrombosis x 2 pulmonary or cardiac
four respiratory pathways
upper obstruction
lower obstruction
lung tissue dz
disordered control
two types of hypovolemic
dehydration
hemorrhagic
three types of distributive
septic
anaphylactic
neurogenic
three types of cardiogenic
brady
tachy with poor perfusion
low output
four types of obstructive
tension pneumo
cardiac tamponade
PE
ductal dependent
DOPE
displaced
obstructed
pneumothorax
equipment
adenosine 1st and 2nd dose
- 1 mg/kg
- 2 mg/kg
max 6 and 12 respectively
amiodarone
5 mg/kg either bolus for vf/nonperfusing vt, or 5mg/kg over 20-60 minutes for perfusing vtach and svt
max 15mg/kg in 24 hours
atropine
20 mcg/kg
do not give less than 100 mcg
max dose 500 mcg at once, 1000 mcg total
epinephrine
10 mcg/kg IV
100 mcg/kg ETT
0.1 - 1 mcg/kg/min for shock, titrate to effect
maximum recommended glucose is
d25%
electricity
synchronized cardioversion 0.5-1 j/kg first, then 2 j/kg second
defibrillate dose 2 j/kg first, 4 j/kg second, up to 10 j/kg subsequent
SVT vs ST in infants
>220 = svt <220 = sinus tach
SVT vs ST in children
>180 = svt <180 = sinus tach
