PALS Flashcards
H’s & T’s
Hypovolemia Hypoxia Hydrogen Ion (acidosis) Hypoglycemia Hypo/hyper K Hypothermia
Tension Pneumo Tamponade, cardiac Toxins Thrombosis, pulmonary Thrombosis, coronary Trauma
Compressions
- rate
- depth
- ratio
100-120
1/3 depth of chest (infant 1.5 inches, child 2 inches)
30:2 1 person
15:2 2 person
Pediatric defib sequence
2 J/kg
4 J/kg
10 J/kg max
Cardiac arrest epi dose
1: 10000 concentration
0. 01mg/kg (0.1ml/kg)
Every 3-5 minutes
Epi ET route dose
0.1 mg/kg (1:1000 ratio)
Pediatric cardiac arrest amiodarone dose
5mg/kg - May repeat up to 2x
Pediatric cardiac arrest lidocaine dose
1mg/kg loading dose
Maintenance: 20-50mcg/kg/minute
ET tube sizing formula
Cuffed: age/4 + 3.5
Uncuffed: age/4 + 4
Ventilation rate during cardiac arrest if intubated
1 breath every 6 seconds (10/min)
With continuous compressions
Pediatric bradycardia atropine dose
0.02mg/kg
Minimum 0.1, maximum 0.5
May repeat once
What HR is considered bradycardia for ped’s?
There is no specific number - it is relative to the age and activity of the child
Normal QRS duration for pediatrics
Less than or equal to 0.09 sec (90ms)
Adults are 120ms
Stable but symptomatic SVT interventions (after 12-lead)
Unstable?
Vagal maneuvers (no delays)
Adenosine if IV access
Synchronized cardioversion
Wide complex tachycardia with a pulse interventions
Unstable? Synchronized cardioversion
Stable? Adenosine if regular and monomorphic. Consider amiodarone
Pediatric synchronized cardioversion dose
Start 0.5-1 J/kg
Increase to 2 J/kg
