Pharmacology
Dosage of Epinephrine for adults and children
0.3mg for adults, 0.15mg for children
What are the stages of shock?
Compensated - early stage
Decompensated - late stage
This may express the patient's wishes but these documents are not binding for all health care providers
Advanced Directives
POLST
Physician's Orders for Life-Sustaining Treatment
Shock
Inadequate perfusion
Fastest route to administer medication
Intravenous (IV)
In assessing the progression of shock, what is typically the last measurable factor?
Blood Pressure
Providing fast aggressive ventilations could result in
Gastric distention
In most cases, cardiac arrest in infants and children results from
respiratory arrests
Hemophilia
Congenital condition leading to abnormal blood clotting
Alpha 1
Vasoconstriction, increases blood pressure
Three Common Examples of Obstructive Shock
Cardiac tamponade, pulmonary embolism, tension pneumothorax
Rate of compression to ventilation for infants and children with two rescuers
15:2
Impedance Threshold Device
a valve device that helps to draw more blood back to the heart during chest compressions
CPR
Cardiopulmonary Resuscitation
Beta 1
Increase heart rate, increase myocardial contractility, increase lipolysis, increase renin
What situations should prompt suspicion of shock? (4)
Multiple severe fractures, abdominal/chest injury, spinal injury, severe infection, major heart attack, anaphylaxis
Four obvious signs of death
Rigor mortis, livor mortis, putrefaction, nonsurvivable injury
Heart, blood vessels, blood
Pharmacokinetics
Actions of body upon medication, how body absorbs, distributes, changes, eliminates
Beta 2
Vasodilation, causing bronchodilation, increased glucagon release
List the kinds of shock
Cardiogenic, septic, neurogenic, anaphylactic, psychogenic, hypovolemic
Six components of the AHA Chain of Survival
(In Order)
Recognition/activation of EMS, immediate high-quality CPR, rapid defibrillation, basic/advanced EMS, ALS and post arrest care, recovery
Glaucoma is a relative contradindication of
Epinephrine
Diffusion
A passive process where molecules move from high to low concentrations