PALS Flashcards
Heart rate ranges for pediatrics…
Newborn to 3 months 85 to 205 3 months to 2 years 100 to 190 2 years to 10 years 60 to 140 >10 years 60 to 100
Respiratory rate ranges for pediatrics…
Infant 30 to 60 Toddler 24 to 40 Preschooler 22 to 34 School-aged child 18 to 30 Adolescent 12 to 16
What is the age ranges for pediatrics?
Infant Toddler Preschooler School-aged child Adolescent
APGAR scoring
Appearance Pulse Grimacing Activity Respirations 0 to 2 with a total = 10 for a high score
D.O.P.E
Dislodged Obstruction Pneumonthroxic E
An unstable child with a low BP and SVT, the treatment is…
immediately synchronized cardioversion.
Defibrillation dosage for a pediatric patient is…
2 to 4 joules/kg.
A heart of
non-perfusing. Chest compressions should be initiated immediately.
Hypovolemic or Compensated Shock? 7 year old male, unconscious, P 136 R 40 BP 68/40
Hypovolemic Shock (low BP)
Hypovolemic or Compensated Shock? 8 year old female, sepsis, P 124 R 30 BP 90/50
Compensated Shock (tachycardia, tachypnea, normal BP)
Hypovolemic or Compensated Shock? 6 year old female, anaphylaxis, P 128 R 34 BP 74/50
Hypovolemic Shock (low BP)
Hypovolemic or Compensated Shock? 5 year old female, N/V, P 120 R 30 BP 70/52
Hypovoemic Shock (low BP)
parynchemal tissue disease
pneumonia
Fever, cough and the chronic onset of SOB
pneumonia
Drug of choose to increase heart rate in children…
is 0.01 mg/kg of 1:10,000 epinephrine.
Asthma is a…
lower airway obstruction.
Stridor indicates a…
upper airway obstruction.
What indicates the need for needle decompression?
Tension pneumothorax only. SOB, decreased lung sounds and chest pain all can indicated pneumothorax, not specifically indicate tension pneumothorax or the need for needle decompression.
Common finds with compensated shock are…
normal mental status, increased respiratory rate, and delayed capillary refill time with a normal BP are all common finding in compensated shock.
How can the normal blood pressure by found of a child?
By adding 2 times the age in years to 70. A 3-year old’s BP should = 76 SBP
Oxygen saturation of less than ___ is the marker of respiratory failure for PALS.
90%
Decorticate posturing presents as…
stiff with bent arms, clenched fists, and legs held out straight. The arms are bent in toward the body and the wrists and fingers are bent and held on the chest. This type of posturing is a sign of severe damage in the brain. Decorticate posturing may indicate the need for hyperventilation.
Synchronized cardioversion dosage for Peds is…
0.5-1 joule per kg.
Tension pneumothorax indicators are…
absent lung sound, low saturation, and hypotension.
Two rescuer pediatric CPR ratio is…
15:2
One rescuer pediatric CPR ratio is…
30:2
An example of disordered control of breathing is…
status seizures.
Lower airway obstruction orders are…
asthma and bronchitis.
Pneumonia is classified as…
parynchemal tissue disease.
At what point of the assessment should blood glucose be recorded?
Tertiary assessment, after completing the history and physical exam.
Pusle less electrical activity…
is a rhythm that results from an organized rhythm with no mechanical response.
Chest compressions are not started until the heart rate drops below ____ bpm.
60
The gold standard of intubation confirmation is…
wavefrom capnography.
What are the dosage and the indications for aminodarone administration to a pediatic patient?
Administer 5 mg/kg of amiodarone for wide complex tachycardia (220 and greater) to a stable patient.
Steps to take with a 6-month child who has an obstructed airway from a foreign body?
The first step would be back blows followed by chest compressions. finger sweeps and abdominal thrusts are not appropriate steps.
An unstable patient with narrow complex tachycardia unconverted by the first dose of a 1 joule/kg. What is the next step?
Cardiovert at 2 joules/kg.
What is the correct drug for bradycardia induced by a vagal response?
Atropine. Epinephrine is typically used to treat bradycardia in children, but the vagal response presents a special circumstance.
