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PALS

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dinosaur1234's version from 2016-11-20 21:56

PALS

Question Answer
Depth of compression for children2”, 1/3 depth of the chest
If just giving breaths, give how often1 breath q3-5 seconds if no advanced airway (if you are giving pbreaths and no compressions)
Where to place padsUR and LL, or front and back
When to start CPR on a child/infantHR <60, and signs/symptoms
For unstable SVT synchronized cardioversion, what J0.5 to 1 J/kg fo unstable SVT synchronized cardioversion
Stable SVT treatmentgive adenosine 0.1 mg/kg; max dose 6 mg first time, 12mg 2nd round
Adenosine dose0.1 mg/kg, max of 6 mg on 1st round, 12 mg max on 2nd round
Stable, regular, vtach treatment w/ a pulseadenosine
Stable, irregular, vtach treatment w/ a pulseamiodarone
Unstable vtach treatment w/ a pulsesynchronized cardioversion
What to do if NO pulsestart CPR, then defibrillate
Defibrillation dose2 J/kg 1st shock, 4J/kg 2nd shock, 4-10 J//kG each subsequent shock
<1y min SBP70 mmHg is min SBP
>10 y min SBP90 mmHg is min SBP
Goal capillary refill<2 seconds
Isotonic crystalloidsNS, LR
Colloid solutionsalbumin
Initial fluid of choiceisotonic crystallods (NS, LR)
NS/LR dose20 mL/kg bolus ove 5-20 minues
NS/LR dose if myocardial dysfunction from cardiogenic shock5-10 mL/kg over a longer period of time
Epinephrine indicationcardiac arrest, symptomatic bradycardia unresponsive to ventilation and oxygen, hypotension unrelated to volume depletion (i.e. fluid resuscitation fails), anaphylaxis
Epinephrine dose0.01 mg/kg of 1:10,000 solution (or 0.1 mL/kg)
Epinephrine anaphylaxis dose0.01 mg/kg of 1:1,000 solution IM
Dopamine dose2-20 mcg/kg/min
Dobutamine dose2-20 mcg/kg/miin
Adenosine useSVT
Adenosine dose0.1 mg/kg rapid IV/IO (max is 6 mg first round); may repeat q1-2 min, 0.2 mg/kg (max 12 mg)
Drugs that can be given via ET tubeLEAN, lidocaine, epinephrine, atropine, naloxone
Amiodarone dose5 mg/kg bolus during cardiac arrest, may repeat up to 2 times
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