CPR

1
CPR

• What is the correct compression/ventilation ratio
  for all ages?
• Is there an exception to this rule?

2
CPR

• 302
• Yes152 for infants and children with 2 health
  care providers

3
CPR

• Interruptions to chest compressions should be
  limited to how long?

4
CPR

• lt10 seconds (unless necessary to intubate or
  perform another advanced skill)

5
CPR

• Why is it important to allow for complete chest
  recoil when performing compressions?

6
CPR

• It maximizes venous return of blood to the heart

7
ACLS

• List at least 5 signs or symptoms you would
  associate with symptomatic bradycardia.

8
ACLS

• Chest pain
• SOB
• Wet lung sounds (why?)
• Cool, clammy skin
• Decreased LOC
• Hypotension
• Weakness or fatigue

9
ACLS

• List 5 signs or symptoms you would associate with
  symptomatic tachycardia.

10
ACLS

• Chest pain
• SOB
• Wet lung sounds (why?)
• Cool, clammy skin
• Decreased LOC
• Hypotension
• Weakness or fatigue
• Does this list look familiar?!

11
ACLS

• What is the treatment regimen (including doses)
  for symptomatic bradycardia?

12
ACLS

• ABCs (dont forget them!)
• O2, IV, monitor
• TCP (increase mA until capturing)
• Atropine (0.5 mg doses up to 3 mg. max)
• Dopamine (2-10 mcg/kg/min)
• Epi (2-10 mcg/min)

13
ACLS

• List 5 Hs to consider as reversible causes

14
ACLS

• Hypovolemia
• Hypoxia
• Hypo/hyperkalemia
• Hypoglycemia
• Hypothermia
• Hydrogen ion (acidosis)

15
ACLS

• What is the treatment plan (including doses) for
  narrow complex regular tachycardia with pulses?

16
ACLS

• ABCs
• O2, IV, monitor
• Vagal maneuvers
• Adenosine (6 mg, followed by 12 mg, and another
  12 mg)
• Cardioversion if patient is symptomatic

17
ACLS

• List 5 Ts to consider as reversible causes

18
ACLS

• Toxins
• Tamponade
• Tension pneumothorax
• Thrombosis (coronary or pulmonary)
• Trauma

19
ACLS

• After determining that a patient is pulseless and
  not breathing and in VF/VT, list the treatment
  sequence

20
ACLS

• 1 shock
• CPR x2 minutes
• Intubation and IV if not already done
• Epi 1 mg or Vasopressin 40 U
• Re-analyze rhythm and shock PRN
• Amio 300 mg or lidocaine 1.5 mg/kg

21
ACLS

• After determining that a pulseless, non-breathing
  patient is in asystole, list the treatment
  sequence

22
ACLS

• Intubation and IV if not already done
• CPR x2 minutes
• Epi 1 mg or Vasopressin 40 U
• Atropine 1 mg (up to 3 total doses)
• Check EKG cables and leads, complex size
• Consider termination of efforts

23
PALS

• What is the defibrillation dosing sequence for
  pediatric patients?

24
PALS

• 2 joules/kg, followed by 4 joules/kg, followed by
  4 joules/kg

25
PALS

• What is the normal fluid bolus to use for
  hypotensive infants or children?

26
PALS

• 20 cc/kg

27
PALS

• What is the formula for determining normal BP
  for children over age 1?

28
PALS

• (Age in years x 2) 70

29
PALS

• What is the formula for determining uncuffed ETT
  size in pediatrics?
• Cuffed tubes?

30
PALS

• (Age in years divided by 4) 4 (uncuffed)
• (Age in years divided by 4) 3 (cuffed)