Shock
The last phase of shock. When the condition has progressed to a terminal stage.
Irreversable
What it the target temperature management for a patient that has ROSC?
32-36 Celcius
At what HR, should CPR be started in a pediatric?
60 or less
Why is ETCO2 important in CPR/Resuscitation
A good indicator of ROSC, and access effectiveness of CPR and Respirations.
What is cardiogenic shock?
When the heart is unable to properly perfuse the organs with oxygen enriched blood.
What are the primary differences between compensated and decompensated shock?
Blood pressure and Mental status
What are the pediatric defibrillation dosages?
2J/kg then 4J/kg
If no child defibrillation pads are available, what should be done?
Use the adult ones bro.
Once an Advanced airway is placed, what is the rate of respirations used for an adult.
10 Breaths/min, Once every 6 seconds.
What are some code team member roles for CPR?
What are some treatments for anaphylactic shock?
Epi, Benadryl, Airway control, Oxygen
What is the correct dosage of Epinephrine used for a patient in Cardiac arrest? How often do you give it?
1mg every 3-5 minutes
For CPR, what is the appropriate compression rate AND depth for an adult.
100-120 with a depth of 2 inches. Allow chest to fully rebound to allow refill of blood.
What is a first step post ROSC
Advanced Airway Placement
Age in years divided by 4 + 4. (3.5 for Uncuffed)
Name 4 types of shock
Septic, Neurogenic, Anaphlyaxis, Psychogenic, Hypovolemic, Respiratory
What are the correct dosages of Amiodarone and Licodaine?
Amiodarone - 300mg then 150mg.
Lidocaine - 1 to 1.5mg/kg then half for 2nd dose.
What are priority treatments according to ACLS, that should be done if you have obtained ROSC.
An advanced airway, 12 lead, normalizing BP.
What is an effect of excessive ventilation
Decreased Cardiac output
What is MAP? How is it calculated?
Mean Arterial Pressure. Calculated multiple ways. SBP + 2(DBP) then divided by 3
Pediatrics can compensate, even when they have lost up to __% of their total blood volume
35%
Why is escalating energy during CPR important, rather than starting at a maximum dosage of Joules
Minimized initial damage to heart. Reduces risk of tissue injury.
What is the minimum systolic BP one should try to obtain in post ROSC pt with fluid administration or vasoactive agents?
90mm Hg
Oxygen in the alveoli moves into the blood through a passive process called
Diffusion
What are the H's and T's. Theres 10, name 8.
Hypovolemia, Hypoxia, Hydrogen Ions(Acidosis), Hyper/hypokalemia, Hypo/hyperglycemia, Hypothermia, Toxins, Tamponade, Tension Pneumo, Thrombosis.