Pediatric Flashcards
1
Q
Newborn Resuscitation
A
-Provide ventilations 40 breaths/min
-If inadequate and HR< 100 and 30 seconds add 100% O2
-HR< 60; chest compressions at 120/min 3:1
-HR still below 60
-IV/IO
-Epi .01 mg/kg (1:10,000); repeat as needed q 3-5 min
-Consider ETT
MED CONTROL
- NS Bolus
- BGL
- Dextrose 10%
- Needle D
- Epi 1:1,000
- Atropine
- Sodium Bicarb (4.2%)
- Monitor
2
Q
Newborn Resus w/ Meconium
A
- ETT w/ suctioning; MAX 3 times
- Stimulation if ventilations inadequate
- HR<60; Chest compression at 120/min; 3:1
- IV/IO
- Epi .01 mg/kg (1:10,000); repeat as needed q 3-5 min
3
Q
Organophosphate/ Nerve agent
A
- Decon
- Airway
- Broselow tape for dosages
MED CONTROL - IV/IO NS
- Atropine
- 2-PAM
- repeat atropine
- Diazepam
- Midazolam
4
Q
Advanced Airway
A
- BLS airway
- BLS Foreign body
- Pulse Ox, Monitor
- Magill forceps to remove object if needed
- ETT
- Needle cric
5
Q
Anaphylaxis/ Allergic RXN
A
- If severe respiratory distress, shock, SBP <=70
- Epi Jr. or .15 mg (1:1,000) IM
- Diphenhydramine 1 mg/kg IM
- Wheezing present; Combi-vent; total 2 TX
- > 30 kg Epi .3 mg (1:1,000) IM
- IV NS 20 ml/kg
- Methylprednisolone 2 mg/kg IV
ALLERGIC RXN - Monitor
- Diphenhydramine 1 mg/kg IM
MED CONTROL - Epi infusion
6
Q
Bradycardia
A
- BLS
- Airway
- Monitor
- HR<60; assist ventilations w/ BVM
- HR<60 and Poor Perfusion; begin CPR
- IV/IO
- Epi 1:10,000 .01 mg/kg IV/IO
- Consider ETT
- repeat Epi 1:10,000 .01 mg/kg q 3-5 min
- Atropine .02 mg/kg IV/IO, may be repeated once
MED CONTROL - Glucagon
- Transcutaneous pacing
- Epi Drip
7
Q
Bronchospasm
A
- Secure Airway
- SpO2, ETCO2
- Combivent 2 x TX
- Monitor
- IV NS KVO
- Epi (1:1,000) .01 mg/kg
- Methylprednisolone 2 mg/kg IV
MED CONTROL - IV/IO
- Albuterol
- Mag Sulfate
8
Q
Asystole/ PEA
A
- BLS
- Secure Airway
- Monitor
- IV/IO 20 ml/kg
- Epi 1:10,000 IV/IO .01 mg/kg q 3-5 min
- If tension pneumo; Needle D
- If hypovolemia; 20ml/kg fluid bolus; MAX 60 ml/kg
- Hyperkalemia/ TCA OD; Sodium bicarb 1 mEq/kg IV/IO
MED CONTROL - Sodium Bicarb
- Needle D
- Epi 1:1,000
- Glucagon
- Calcium Chloride
- Dextrose
- Discontinuation of resuscitation
9
Q
V-FIb/ Pulseless V-Tach
A
- BLS
- Monitor
- D-Fib 2 J/kg
- Secure Airway
- IV/IO
- Epi 1:10,000 .01 mg/kg q 3-5 min
- D-Fib 4 J/kg
- Amiodarone 5 mg/kg IV/IO bolus; repeat one time
- D-Fib 4 J/kg
MED CONTROL - D-Fib 4 J/kg- 10 J/kg
- Mag Sulfate
- Sodium Bicarb
- Epi 1:1,000
10
Q
Hypoglycemia
A
- If AMS
- IV NS KVO
- D25% .5 g/kg
- IV access not available; Glucagon per Broselow tape (x2)
- Monitor
11
Q
Hyperkalemia
A
- BLS
- Secure Airway
- IV/IO 20 ml/kg
12
Q
Hypoperfusion
A
- BLS
- Airway
- Monitor
- IV 20 ml/kg
- Cardiogenic shock; MED CONTROL
- Adrenal Insufficiency;
- Hydrocortisone Sodium Succinate 2 mg/kg bolus IV/IM, MAX 100 mg
OR - Methylprednisolone .4 mg/kg IV/IM, MAX 125 mg
- repeat 20 ml/kg fluid bolus
- repeat 20 ml/kg IVP
MED CONTROL - Epi drip
- Norepi infusion
13
Q
Major Trauma
A
- BLS
- Transport Determination
- Airway management
- IV/IO NS 20 ml/kg wide open
- Monitor
- Repeat NS fluid bolus 20 ml/kg; may repeat 1 additional time at MAX of 60 ml/kg
- If Tension Pneumo; Needle D
- Additional IV/IO
14
Q
Opiate OD
A
- Secure Airway
- SpO2, ETCO2
- Monitor
- BGL
- If Hypoventilation and Respiratory Distress;
- Naloxone .1 mg/kg IM/IN; may repeat 2 mg total dose
- IV/IO NS
15
Q
Pain Management
A
- BLS
- Airway Management
- Document pain
- Monitor
- IV NS
- Morphine .1 mg/kg IV; repeated once to MAX dose of 10 mg
OR - Fentanyl 1 mcg/kg slow IV/IM/IN
- Ondansetron 4 mg IV/IM (if >4yo), between 2-4yo, 2 mg IV/IM
MED CONTROL - Diphenhydramine
