Pediatric Cardiac Arrest Flashcards
Protocol-
High quality CPR is fundamental to the management of all cardiac arrest rhythms. Periodic pauses in CPR should be as brief as possible and only as necessary to _______ rhythm, shock _____, perform a _____check when an _______ rhythm is detected, or place an ________.
check VF/VT pulse organized advanced airway
To serve as the pediatric treatment standard for _______, _____, ______, and _______.
Asystole PEA VT VF VT
Protocol- CPR must be performed with a _____________ sequence to emphasize the importance of maintaining ______ with _________
CAB
blood flow
good compressions
Performing CPR while a _____ is readied for use is strongly recommended for all pt in _______
Defibrillator
Cardiac Arrest
Protocol- Oral Tracheal tube placement should be confirmed with ____________.
continuous waveform Capnography
Protocol - Vascular access, drug delivery, and advanced airway placement should not cause _________ interruption in ______ or delay ________
significant
chest compressions
defibrillation
Pediatric Cardiac Arrest -CPR Quality: Push hard (_______ diameter of chest) and fast (at least ______) and allow complete __________. Minimize interruptions in compressions. Avoid excessive ventilations. If no advanced airway. _____ compression- ventilation ratio. If advanced airway. _______ breaths per minute with continuous compressions.
>or equal 1/3 100/min chest recoil 15:2 8-10 breaths per minute
Advanced Airway: ________ to confirm and monitor ET tube placement.
waveform Capnography
Pediatric Cardiac Arrest - Reversible Causes - H& T’s
Hypovolemia Hypoxia Hydrogen ion Hypoglycemia Hypo/hyperkalemia Hypothermia Tension Pneumo Tamponade Toxin Thrombosis Thrombosis
Pediatric Cardiac Arrest -Post Resuscitation Considerations
- Iv fluids should be placed _____ unless ______ is present
TKO
Hypotension
Pediatric Cardiac Arrest -Post Resuscitation Considerations
- Post resuscitation bradycardia, hypotension and shock:
a) _________, see brady protocol
b) _________ /Shock
Bradycardia
Hypotension
Pediatric Cardiac Arrest -Post Resuscitation Considerations
Hypotension
1) Normal Saline ________ may repeat ______, reassess vital signs after each bolus.
2) To determine if shock is present, assess ______ and ______ and _________ (___,___,____)
3) Systolic blood pressure parameters for pediatric patients older than one year can be approximated by the following formulas:
a. ________
b. _________
20ml/kg
once
capillary refill (
Pediatric Cardiac Arrest -Post Resuscitation Considerations
Base Hospital Order Only
Dopamine - 10mcg/kg/min if hypotensive
Pedi Cardiac Arrest
Shock Dosage
2J/kg
4J/kg
Pedi Cardiac Arrest - EPI Dose
1:10,000- 0.01mg/kg IV/IO q 3-5 min
