pediatric cardiac

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cardiac arrest epinepherine dose?

.01 mg/kg epi 1:10000
6 H'S

hypoxic

hydrogen ions (acidosis)

hypo/hyperkalemia

hypovolemia

hypothermia

hyper/hypoglycemia
5 T's

toxins, tablets

tension pnuemothorax

cardiac tamponade

trauma

thrombosis- pulmonary, coronary
bradycardia less than 6 months ? bpm

less than 80 bpm
bradycardia older than 6 months ? bpm

60 bpm
poor perfusion or respiratory difficulty...if yes and heart rate less than 80 infant or 60 child...?

after oxygenation and ventilation begin chest compressions
ped brady protocol which drugs to admin and doses..?

epi .01 mg/kg (1:10000) every 3 to 5

atropine .02mg/kg (min .1mg)

max.. .5mg infant and 1mg child
never admin atropine on infant less than ? days old?

30 days old
PEA, Asystole intubate when?

cpr 2 minutes

give epi

cpr 2 minutes and then intubate
SVT for infants= ? bpm

greater than 220 bpm
SVT for child= ? bpm

greater than 180 bpm
unstable SVT algo?

o2

ekg

iv access

sedate versed .05mg/kg

synchronize cardiovert

.....do not delay cardioversion for iv access....
stable SVT algo?

02

ekg

iv access

adenosine 0.1 mg/kg (max 6mg)..rapid followed by 20cc flush bolus

adenosine 0.2mg/kg (max 12)..rapid followed by 20cc flush bolus

call further orders
ventricular ectopy PVC's

rare in children

medical direction before admin of meds

lidocaine 1mg/kg iv

repeat .5 mg/kg every 10 minutes (max 3mg/kg)

follow bolus therapy with maintenance infusion of 20-50 mcg/kg/min
? mg of lidocaine in 250cc NS yields ?

300 mg lido

20 mcg/kg/min
V-fib...Pulselss V-tach algo?

CPR

shock 2 j/kg

resume CPR immediately (5 cycles)

check pulse check monitor

2nd shock 4j/kg

epi every 3-5

cpr

lidocaine 1 mg/kg..every 3-5..(max 3mg/kg)

check rhythm...shockable?..repeat
unstable pulse producing v-tach algo?

sedate

immediate synchronize cardioversion

if conversion admin lido and hang drip

if unsuccessful admin lido and aden

...dont delay cardioversion of iv...
stable pulse producing v-tach algo?
consider adenosine

lidocaine 1mg/kg

repeat lido every 10 at .5mg/kg (max 3mg/kg)
- if conversion...maintenance infusion
- 20mcg/kg/min to 50
synchronize cardioversion joule setting?

1st.. .5j/kg

2nd.. 1 j/kg

3rd.. 2j/kg

4th.. 4j/kg
versed for sedation dose?

.05 mg/kg
v-tach ???? bpm

ventricular rate greater than 150
amiodorone dose

5mg/kg in 30 mls NS over 30 seconds..IV...single dose 300mg
infant pads used for ? age or ? kg's

less than 1yo

or less than 15kg (33lbs)

Author

firenole13

109620

Card Set

pediatric cardiac

Description

pediatric cardiac

Updated

2011-10-17T18:31:19Z