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PALS (AHA)
PALS American Heart Association Study Guide 2016
45
Health Care
Professional
04/11/2016

Additional Health Care Flashcards

 


 

Cards

Term
What is the Initial Assessment to perform on a patient?
Definition

C-B-C

 

1. Consciousness

2. Breathing

3. Color

Term
What is the Primary Assessment to perform on a patient?
Definition

A-B-C-D-E

 

A- Airway (chest rise, auscultation)

B- Breathing (resp. rate, effort, WOB)

C- Circulation (HR, pulses, rhythm, BP, color, temp.)

D- Disability (neuro. function, LOC, seizures, pupils)

E- Exposure (uncover child to observe body)

Term
What is the Secondary Assessment to perform on a patient?
Definition

S-A-M-P-L-E

 

S. Signs & Symptoms at start of illness

A. Allergies

M. Medications

P. Past Medical History

L. Last Meal

E. Events

Term
Why must you always check blood glucose in children?
Definition
Children in crisis burn their glucose stores rapidly; watch for hypoglycemia.
Term
What are the four main upper airway obstructions?
Definition

1. Croup

2. Anaphylaxis

3. FBAO

4. Epiglottitis

Term
What is the main symptom to look for involving an upper airway obstruction?
Definition
Stridor
Term
What are the best treatments for Croup?
Definition

1. O2

2. Racemic Epi.

3. Dexamethasone

4. ETT

Term
What are the best treatments for Anaphylaxis?
Definition

1. IM Epi

2. Nebulizers

3. IVF

4. Epi drip

5. Benadryl

6. H2 blocker

7. Corticosteroids

Term
What are the best treatments for FBAO?
Definition

1. Back slaps

2. CPR

Term
What are the two main lower airway obstructions?
Definition

1. Bronchiolitis (RSV)

2. Acute Asthma

Term
What are the main treatments for a child with RSV?
Definition

1. Suction

2. Nebulized Epi.

3. Albuterol

Term
What are the main treatments for a child with Acute Asthma?
Definition

1. O2

2. Nebulized Epi.

3. Albuterol

4. Corticosteroids

5. Magnesium Sulfate

6. ETT

7. Terbutaline

8. ABG

Term
What kind of airway obstruction is most common with wheezing?
Definition

Lower Airway Obstructions

 

(RSV and Asthma)

Term
What color is considered bad when reviewing capnography?
Definition
Purple
Term
What color is considered good when reviewing capnography?
Definition
Yellow
Term
Which medications can be given via the ETT?
Definition

L-E-A-N

 

L. Lidocaine

E. Epinephrine

A. Atropine

N. Naloxone and Vasopressin

Term
When do you start an I.O.?
Definition
When you have failed to establish Rapid I.V. access after 90 seconds.
Term
What should you administer to a child in hypovolemic shock?
Definition
Fluids
Term
What are the most common fluids to give a child in hypovolemic shock?
Definition

1. Isotonic Crystalloids

2. L.R's

3. Normal Saline

Term
How much Isotonic Crystalloid can you give a child at one time?
Definition
20 mL/kg over 5-10 minutes
Term
When treating bradycardia, how much Epi can you give via IV/IO?
Definition
0.01 mg/kg every 3-5 minutes
Term
What rate is considered sinus tachycardia in an infant under the age of 1?
Definition
HR less than 220
Term
What rate is considered sinus tachycardia in an infant age 1 to 12?
Definition
HR less than 180
Term
What rate is considered an SVT in an infant under the age of 1?
Definition
HR greater than or equal to 220
Term
What rate is considered an SVT in a child ages 1 to 12?
Definition
HR greater than or equal to 180
Term
When a child is in SVT, what do you do if the child is stable?
Definition
Attempt a vagal maneuver
Term
When a child is in SVT, what do you do if the child is unstable?
Definition
Perform an immediate synchronized cardioversion
Term
What joule is used on a child who is in SVT and is determined as being unstable?
Definition

1st synch.dose-- 0.5-1 joule/kg

 

2 or more synch. doses-- 2 joules/kg

Term
What are the two shockable rhythms?
Definition

1. VT (ventricular tachy.)

2. VF (ventricular fib.)

Term
What are the steps to take when a child is in pulseless VT or VF?
Definition

1. Start CPR

2. Assess cardiac rhythm

3. Shock immediately IF VT or VF (2 j/kg)

4. Establish IV access

5. Shock (4j/kg)

6. Epi. (0.1 mL/kg every 3-5 minutes)

7. Amiodarone (5 mg/kg)

Term
If a child is in a shockable rhythm, how do you deliver a shock?
Definition

1st shock-- 2 j/kg

 

2nd+ shock-- 4 j/kg

Term
How often can you shock a child with a shockable rhythm?
Definition
Every 2 minutes
Term
How far apart can you give Epi/Amio in a child with a shockable rhythm?
Definition
Every 3-5 minutes
Term
What are the two non-shockable rhythms?
Definition

1. Asystole

2. PEA

Term
What are the steps to take for a child with a non-shockable rhythm?
Definition

1. Start CPR

2. Assess cardiac rhythm

3. Epi (0.1mL every 3-5 minutes)

4. Identify and treat reversible causes

Term
What are the 'H's in H&Ts?
Definition

1. Hypovolemia

2. Hypoxia

3. Hypoglycemia

4. Hydrogen ion (acidosis)

5. Hyper-hypokalemia

6. Hypothermia

Term
What are the 'T's in the H&Ts?
Definition

1. Tension pneumothorax

2. Tamponade

3. Toxins

4. Thrombosis

Term
If a patient is intubated, how can you confirm ETT placement?
Definition

D-O-P-E

 

D. Displacement

O. Obstruction

P. Pneumothorax

E. Equipment

Term
How can you determine a child's lowest systolic blood pressure?
Definition
(Age x 2) +70
Term
What is the main thing to check if a child is lethargic and unresponsive?
Definition
Blood Sugar
Term
How many doses of Amiodarone can be given to a child?
Definition
Up to 2 doses
Term
When a child is in shock and all saline bolus' have been given, what medication should you give and why?
Definition

Dopamine;

 

Epi can be too tachycardic for the patient.

Term
What should you do when in doubt?
Definition
Reassess patient
Term
What medication should you give to a child with an SVT and a rate lower than 220?
Definition
Adenosine
Term
What is the main thing to check with children and infants with bradycardia?
Definition
Check for toxins
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