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Flashcards in PALS Deck (28):
1

Lidocaine Vs Ami

No proof to prove difference

2

Epi

Improves survival prehospital but no proof for hospital discharge

3

eCPR

Oxygenate blood and out it back invbody

4

Compression depth

Infant 1 1/2
Child 2
Adult 2-2.4

5

Post Arrest

Noroxemia above 94% oxygen
Aggressive oxygen and don't let become hypercarbic (don't Breathing too fast)

6

Witnessed arrest for ped

911 then CPR.

7

Unwitnessed arrest

CPR 2 minutes then 911

8

Airway

Look in airway and position

9

Breathing

Look retractions
Listen noises
Feel tidal volume
Positions

10

Circulation

Color
Pulse

11

Disability

Mental Status
Lethargic, tired, reactive,
Pupils!
Glucose!

12

Exposure

Temperature
Warm or cold

13

Hypotension in 1 year to 12

Less than 70mmHg (age x 2)

14

Neonate

<45bgl

15

Infants and children

<60bgl

16

Hypovolemia Shock

Loss of volume due to bleeding, diarrhea and vomiting
Tachycardia and poor perfusion
BP may start high but then fall due to release of catecholamines

17

Distributive Shock

Septic Shock
Tachycardia
Warm flushed skin with fast refill
Vessels dialate
Anaphylaxis as well

18

Cardiogenic Schock

Poor heart perfusion
Arrhythmia, cardiomyopathy
Tachycardia
High BP
PULMONARY congestion

19

Obstructive Shock

Blood clot, air Embolism, thension pneumo, tamponade

20

Compensated shock

Adequate or high systolic BP

21

Hypotensive Shock

Ominous and requires immediate intervention

22

Fluid Resucitation

Rapid fluid bonuses unless cardiogenic Shock which should be given less rapidly
Cardiogenic 10ml/kg over 10-20 minutes
Other Shock 20ml/kg over 5-10 minutes

23

Sinus brady

BVM
<60 with poor perfusion start cpr

24

SVT

Abrupt increase in HR
Stable: vagal maneuver (ice to the face or blowing through straw)
Adenosine:
Unstable: pharmacological and electricity
Synchronized cardio version:
.5-1j/kg
Increase to 2j/kg for other doses

25

V-Tach

May result from heart disease or from normal hearts

26

H's and T's

Hypoglycemia Tension Pneumo
Hypovolemia Tamponade
Hypoxia Toxins
Hydrogen ion Thrombosis
Hyperkalemia
Hypokalemia
Hypothermia

27

Manual Defib

2-4j/kg
4j/kg
6j/kg
8j/kg

28

Post Arrest

Oxygenation ventilation and perfusion
5-10ml/kg over 10-20minutes
Hypothermia 32-34degrees Celcius