Week 7 Chapter 51 Flashcards
Risk Factors for Respiratory Arrest in Children vs Adults
Smaller Airways
Underdeveloped immune systems
Lack motor coordination
Susceptible to choking on food and small objects
Higher risk for SIDS
Children are at greater risk for near drowning, poisoning, and traumatic injury compared to adults
Most pediatric arrests from respiratory failure or shock
True
Children who have cardiopulmonary arrest requiring resuscitative measures rarely fare well explains differences in each chain
True
AHA Chain or Survival
Adult
- EMS activation
- CPR
- Early defib
- Early access to advanced care
- Integrated postcardiac arrest care
Child
- Prevention of cardiac arrest and injuries
- Early CPR
- Early access to emergency response system
- PALS
- Integrated postcardiac and arrest care
Common Medical Treatments
Suctioning
Oxygen
BVM ventilation
Intubation
Needle Thoracotomy
IV Fluid Therapy
Blood Product Transfusion
Cervical Stabilization
Defib- V Fib and pulseless v tach
- Synchronized Cardioversion- SVTs V Tach with a pulse
AED uses only age above 1 and ?
Witnessed collapse
Common Laboratory and Diagnostic Tests
Electrolyte and glucose levels
CBC and basic metabolic
Blood cultures
Urinalysis
ABGs
Toxicology panel if needed
ECG
Chest Radiograph
Medication SVT
Adenosine
V tach and V fib
Amiodarone
Sinus Brady, asystole, PEA
Atropine
Adrenergic agent
Dobutamine
Inotropic agent
Dopamine
Vasopressor, inotropic
Epinephrine
Antidysrhythmic
Lidocaine
Opioid Antagonist
Naloxone
Drugs Administered through ETT
LEAN
L- Lidocaine
E- epinephrine
A- Atropine
N- Naloxone
ABCs of Life Support
ABC
Secondary Survey
- Disability
- Exposure
Increased respiratory rate
Tachypnea
Decreased in depth and rate of respiration
Hypoventilation
Regular breathing with occasional short pulses
Periodic Breathing
Use of intercostal muscles or presence of retractions
Increased work of breathing
Airway Devices and Ventilations Methods
Anesthesia bag or flow ventilation system
BVM or manual resuscitator
Laryngeal Mask Airway
Tracheal Intubation
Verify tracheal tube placement with
ETCO2
- Yellow color
- Symmetric rise and fall of chest
- Exhaled CO2 monitors as an indication of appropriate ventilation