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ALS Protocols > Peds > Flashcards

Peds Flashcards

1
Q

What is MR SOPA?

A

If neonate HR < 100

Mask
Reposition head/airway
Suction
Open mouth, jaw forward
Pressure increase every few BVM until chest rise
Artificial Airway (ETT, LMA)
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2
Q

How often reassess on neonate interventions (ex. Bagging, CPR)

A

Every minute.

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3
Q

When do you give meds to an infant/neonate arrest?

A

After about 3min of active interventions (3 cycles of 1min CPR)

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4
Q

Best IO sites for neonates

A

Above or below knee

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5
Q

Minimum glucose for <1yr old pt

A

45mg/dL

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6
Q

Preferred site for SPO2 on babies

A

R wrist or hand

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7
Q

Mom has gestational diabetes, what do you expect of the baby when it comes out

A

Larger than normal baby. Extreme hypoglycemia risk after cutting cords

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8
Q

What is the risk of giving narcan to a baby

A

Seizures

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9
Q

Best IV size for a neonate/infant

A

24g

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10
Q

Best IV sites for babies (preferred VS last resort)

A

Preferred: Foot, leg

Last resort: Scalp

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11
Q

Ped sepsis criteria

A

Suspected infection w/ 2+ of the following
- or high risk w/ 1 of following

  • Tachy or weak thready pulse
  • tachypnea or ETCO2 < or = 30
  • hypotensive, cap refill <3s or mottled skin
  • acuted decrease mental or altered from baseline
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12
Q

Peds sepsis Rx

A

IV or IO

  • fluids
  • Epi drip if SBP still low
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13
Q

How fluids and how to give to peds in sepsis

A

Use hand tevy

- re-assess after 10ml/kg and repeat x 1 if no improvement

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14
Q

When should you be careful when giving fluids to a sepsis ped. What should you do?

A

Cardiac hx. Consult med control for second bolus after initial 10ml/kg dose

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15
Q

How is ped asthma Rx different from adults? How many doses of epi

A

Everything same except use handtevy for doses. Give epi asap if pt looks like shit on contact (repeat x1 after 3-5min pRN)

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16
Q

How does a ped medical arrest differ from adult?

A

“Restart the Heart- ABCDE in 5 min”.

- infinite epi’s (not just 3)

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17
Q

What must you do onscene prior to transporting a ped arrest?

A

CPR, BVM, electrical & pharmacologic Rx

18
Q

How does ped rosc differ from adult/?

A
  • Epi instead of norepi pressor

- norepi = OLMC

19
Q

When do you do APGAR on a neonate?

A

1min and 10min

20
Q

When do you give epi to a neonate during ressucitation?

A

If HR stays <60 despite CPR

21
Q

When do you follow bradycardia Rx vs CPR when a ped HR is <60

A

Peds <1yr = CPR

Peds 1+ = brady algorithym

22
Q

Ped bradycardia Rx

A

MOVAB

  • Reversible causes (hypoxia, OD, hypoglycemia)
  • then, epi IO/IV repeat every 3-5min PRN
  • atropine if AV block, vagal tone, cholinergic
  • pace = 3rd degree
  • NS repeat x1 PRN
23
Q

When would you pace a ped

A

Brady due to 3rd degree block

24
Q

When do you give atropine to a bradycardic ped

A

If Due to AV block , vagal tone, cholinergic drug

25
Q

Rx for a tachycardic ped (SVT)

A

MOVAB

- determine if stable or unstable and follow algorithym

26
Q

Rx for stable SVT (narrow or wide)

A
  • NS
  • vagal
  • adenosine x2
  • amio drip over 20min
27
Q

What rate is SVT for infants or peds

A

Infant = or > 220

Ped = or >180

28
Q

What Rx of unstable SVT

A
  • Synchronized cardiovert PRN
  • consider versed
  • find underlying cause
29
Q

Whats the epi drip dose for anaphylaxis in peds?

A

1-4mcg/min

30
Q

How many times can you narcan a ped?

A

2 times

31
Q

When can you tube a kid?

A

After all immediate reversible causes treated and BVM ineffective

32
Q

What are the hypoglycemia values for peds?

A

Neonate <45

All peds <60

33
Q

How often can you repeat med doses for hypoglycemic kids?

A

Can repeat x1 after 5-10 min

34
Q

Pediatric drowning Rx

A

ABC & MOVAB

  • CPAP for rales
  • albuterol for wheeze
35
Q

Can hot packs directly touch the skin?

A

No

36
Q

How often can you give zofran to kids

A

Can repeat dose x1

37
Q

Max single dose IV vs IN fentanyl in kids. Max total dose?

A

IV = 50mcg single dose. Max total 3mcg/kg

IN = 100mcg, repeat every 5min until max 3mcg/kg

38
Q

Seizure Rx in peds

A
  • Versed IN, repeat x1

- IN doesn’t work = IV (repeat x1)

39
Q

Lowest age for a sager splint

A

> 4 Yrs

40
Q

What are high risk conditions for sepsis

A

Catheters, immunosuppression/compromise

ALS Protocols (4 decks)

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