PALS General Flashcards
SAMPLE
Signs and symptoms Allergies Medications Past medial history Last meal (oral intake) Events leading up to
Which meds are ok for the ET tube?
Lidocaine
Epinephrine
Atropine
Nalaxone
SVT heart rate in children and infants
Children: > or = 180
Infants > or = 220
Blood glucose
1 month old > or = 45
older tan one month > or = 60
What should the oxygen or air be set to with neb administration?
5-6 L/min
How is Epinphrine given with asthma?
Sub-Q 0.01 mg/kg
Epinephrine dose IV?
0.01 mg/kg IV (0.1 ml of 0.1 mg/ml)
Goal SvO2 in Shock
greater or equal to 70%
What causes pinpoint pupils?
Narcotics
What causes dilated pupils?
Sympathetic autonomic activity Sympathomemetic ingestion (ex. cocaine) Anticholinergic ingestion (atropine) Increased intracranial pressure
Normal Urine Output?
Younger children & Infants 1.5-2 ml/kg/hr
Older children 1 ml/kg/hr
Adults 0.5 ml/kg/hr
What does TICLS stand for?
Tone Interactiveness Consolability Look/gaze Speech/cry
What is the formula for estimating uncured ET tube size?
mm i.d. = (age in years/4) + 4
What is the formula for cuffed endotracheal tube size?
mm i.d. = (age in years/4) + 3.5
What are the reversible/contributing factors that start with H?
Hypovolemia Hypoxia Hydrogen ion Hypokalemia Hyperkalemia Hypoglycemia Hypothermia
What are the reversible/contributing factors that start with T?
Tension pneumo Tamponade, cardiac Toxins Thrombosis, Pulmonary Thrombosis, Cardiac Trauma
Estimated Maintenance Fluid Requirements for an Infant < 10 kg?
4 ml/kg/hr
Estimated maintenance fluid requirement for child 10-20 kg?
40 ml/hr + 2 ml/g/hr for each kg above 10kg
Estimated maintenance fluid requirement for child greater than 20 kg?
60 ml/hr + 1 ml/kg/hr for each kg above 20 kg
Goal SpO2
94-99%
How much isotonic crystalloid do you bolus with for shock?
20 ml/kg IV or IO
10 ml/kg IV or IO if poor cardiac function suspected
Doses for synchronized cardio version?
0.5-1 J/kg
If not effective, increase to 2 J/kg
In the arrest algorithm, what drug(s) are given after the shock after trying epinephrine with VF or pVT?
Amiodarone IV/IO 5 mg/kg (may repeat up to 2 times)
Lidocaine IV/IO 1 mg/kg loading + 20-50 mag/kg per minute. May repeat bolus if infusion started more than 15 minutes initial bolus therapy.
What is the rate for rescue breathing?
one breath every 3-5 seconds (equaling 12 - 20 breaths/min)
(Therapeutic Hypothermia) For infants and children remaining comatose after out-of-hospital cardiac arrest, what body temperature goals are reasonable during the 1st 5 days?
normothermia 36 - 37.5 degrees Celsius for 5 days or
2 days of hypothermia (32-34 degrees celsius) followed by 3 days of normothermia
