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Intreventions 2 > Pediatric Cardiopulmonary Resuscitation > Flashcards

Pediatric Cardiopulmonary Resuscitation Flashcards

1
Q

Bradycardia Algorithm

Bradycardia persists after CPR

A

Epinephrine

Atropine: For increased vagal tone or primary AV block

Consider thransthoracic pacing/transvenous pacing

Treat underlying cause

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2
Q

Bradycardia Algorithm

Epinephrine Dose

A

Give epinephrine if bradycardia persist despite effective CPR

0.01 mg/kg or 0.01mg/mL

Repeat every 3-5 min

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3
Q

Cardioversion

Indications

A

Unstable SVT

atrial Flutter

VT with a pulse

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4
Q

Cardioversion

Energy Dose

A

Start with 0.5-1 J/kJ for cardioversion then increase to 2J/kg

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5
Q

Adenosine Dose

A

0.1mg/kg (max 6 mg/kg) as a rapid IV bolus

Second dose is 0.2 mg/kg (max 12 mg)

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6
Q

Amiodarone Dose

A

Loading dose of 5 mg/kg (max 300mg)

Repeat dose of 5 mg/kg to a max 15 mg/kg as needed

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7
Q

Procainamide Dose

A

IV/IO

15 mg/kg

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8
Q

IBW <1 Year Old

A

(Age +9) / 2

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9
Q

IBW 1-6 years

A

(Age x2) + 8

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10
Q

IBW 7-11 Age

A

([Year x 7] -5) /2

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11
Q

Cardiac Arrest Alorigthm First Steps

A

1) Inital Impression (ABC)
2) Does the child need immediate intervention and if so call for help

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12
Q

Cardiac Arrest Alorigthm First Steps

Breathing and Pulse Assessment

A

No Breathing OR No pulse and gasping: Start CPR

No Breathing but pulse is present: Begin Ventilation

Breathing and Has a Pulse: Check for severe compromise in airway, circulation or perfusion and then move on to evaulation

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13
Q

Tube Depth

A

ETT Size x 3

OR

(Age/2) + 12

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14
Q

ETT Drugs How to administer

A

Give 5 Manual Ventilations

This is one of the only things we will stop comrpessions for

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15
Q

Cardiac Arrest Alorigthm

What rhythms are shockable

A

VF

Pulseless VT

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16
Q

Cardiac Arrest Alorigthm

What do you do after the shock

A

After the 1st shock: Get access, do CPR for 2 min and then reassess

After the 2nd shock: Give Epinephrine, then CPR for 2 min then reassess

After the 3rd shock: Give aminodarone or lidocaine, think of reversible causes, then CPR for 2 min then reassess and start over

17
Q

Cardiac Arrest Alorigthm

What Rhythms are Not Shockable and what do we do if we can not shock

A

Asytole and PEA are not shockable

We can give epinephrine every 3-5 min and consider a advanced airway

18
Q

Defibrillation Amounts

A

2 J / kg ►4J /kg ► not exeed 10 J/kg

19
Q

Bradycardia with a Pulse Algorithm

First Steps

A

1) Treat Underlying Cause
2) Check if there is Cardiopulmonary compromise and if CPR needs to be started.

20
Q

Lidocaine Dose

A

Initial: 1 mg/kg

Maintance: 20-50 mcg/kg

21
Q

Bradycardia with a Pulse Algorithm

If Bradycardia persist even with effective CPR

A

Consider epinephrine

Consider Atropine for increased vagal tone (primary AV block)

Consider trancutaneous pacing

22
Q

Atropine Dose

A

0.02 mg/kg

May repeat once

Minimum dose 0.1 mg and Max dose is 0.5 mg

23
Q

Tachycardia With a Pulse and Poor Perfusion

First Steps

A

1) Identify and Treat Underlying Cause
2) Evulate QRS Duration (Narrow is <0.09 and Wide is >0.09)

24
Q

Tachycardia With a Pulse and Poor Perfusion

Narrow (<0.09) what rhythm would it be

A

It could be Sinus Tachycardia or it could be Supraventricular Tachycardia

25
Q

Tachycardia With a Pulse and Poor Perfusion

Supraventricular Tachycardia

A

Compatible history that is vague and nonpsecific

P waves are absent/abnormal

Infants >220

Children >180

26
Q

Tachycardia With a Pulse and Poor Perfusion

Sinus Tachycardia

A

Compatible history with a known cause

P waves are present and normal

R-R is consistent

Infants <220

Children <180

27
Q

Tachycardia With a Pulse and Poor Perfusion

Supraventricular Tachycardia

Treatment

A

Consider Vagal Manoevuers

Adenosine

If adenosine is not working then consider cardioversion

28
Q

Tachycardia With a Pulse and Poor Perfusion

Sinus Tachycardia

Treatment

A

Search and treat causes

29
Q

Tachycardia With a Pulse and Poor Perfusion

Wide QRS Duration What rhythm could it be

A

Ventricular Tachycardia

30
Q

Tachycardia With a Pulse and Poor Perfusion

Ventricular Tachycardia What Should We Assess First

A

Cardiopulmonary Compromise

31
Q

Tachycardia With a Pulse and Poor Perfusion

Ventricular Tachycardia Treatment when there is cardiopulmonary Compromise

A

Synchronized Cardioversion

32
Q

Tachycardia With a Pulse and Poor Perfusion

Ventricular Tachycardia Treatment when there is not cardiopulmonary Compromise

A

Consider adenosine if rhythm is regular and QRS is monomorphic

Expert consultation and can consider aminodarone and procainamide

Intreventions 2 (19 decks)

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