1 | Adenosine | | _____ | ventricle not pumping effectively, insufficient cardiac output |
2 | Atropine | | _____ | synchronized cardioversion, IV amiodarone, tx underlying cause |
3 | Dobutamine | | _____ | death or gradual recovery |
4 | Dopamine | | _____ | inotropic, inc CO, BP and renal perfusion, for brady cardia, hypotension and poor cardiac output |
5 | Epinephrine | | _____ | antiarrhythmic, administer rapidly, for SVT |
6 | Glucose | | _____ | acetylcystenine (Mucomyst) |
7 | Lidocaine | | _____ | used for SVT, V-tach with a pulse, synchronized on R waves |
8 | Narcan | | _____ | hepatic stage, pain in upper right quadrant |
9 | CPR | | _____ | one person 30:2, two person 15:2, fingers and thumb at the nipple line |
10 | CPR infant | | _____ | estimates wgt of child based on length |
11 | CPR child | | _____ | anticholinergic, inc CO, dries secretions, for sinus bradycardia, asystole, PEA, don't mix with sodium bicarbonate |
12 | Defibrillation | | _____ | catecholamine, inc myocardial contractility and HR, mgt of shock |
13 | Cardioversion | | _____ | no palpable pulse or signs of perfusion, Asystole, PEA |
14 | Automated External Defib | | _____ | fever, pain, fear; physiologic causes such as hypoxia and hypovolemia, focus on underlying cause |
15 | Broselow tape | | _____ | vagal maneuvers such as ice to face of blowing through a straw, adenosine |
16 | Shock | | _____ | HR <60 and signs of altered perfusion |
17 | Hypovolemic shock | | _____ | antagonizes action of narcotic agents, watch for respirator despression |
18 | Septic shock | | _____ | caused by impaired cardiac output or impaired SVR |
19 | Septic shock: warm shock | | _____ | result in loss of SVR; hypovolemia occurs with neurogenic injury-related shock and anaphylaxis |
20 | Septic shock: cold shock | | _____ | systemic inflammatory response |
21 | Cardiogenic shock | | _____ | adenosine or synchronized cardioversion |
22 | Distributive shock | | _____ | inc CO and low SVR |
23 | Altered microcirculatory status | | _____ | compensatory mechanisms activated in response to decreased blood flow |
24 | Bradyarrhythmias: Sinus bradycardia | | _____ | determine if SVT or VT |
25 | Bradyarrhythmias: Bradycardia related to heart block | | _____ | indicated for childern over 1 who have experienced sudden witnessed collapse and have no pulse |
26 | Bradyarrhythmias: Serious, life threatening | | _____ | regular rhythm and extremely rapid rate, problem with conduction system, genetic problem |
27 | Bradyarrhythmias management | | _____ | used to depolarize myocardial cells to terminate abnormal life threatening rhythm, used in conjunction with oxygen, CPR and medications |
28 | Tachyarrhthmias: Sinus tachycardia | | _____ | systemic perfusion decreses due to inadquate intravascular volume, occurs in association with fluid losses |
29 | Tachyarrhthmias: SVT | | _____ | one person 30:2, two person 15:2, heel of hand or two hands pressing on sternum at the nipple line |
30 | Tachyarrhthmias: VT | | _____ | elevated HR and wide QRS; abnormal rapid firing of ventricles |
31 | Tachyarrhthmias management | | _____ | oxygen, ventilate, EPINEPHRINE, ATROPINE, antidotes to toxins |
32 | Tachyarrhthmias management Compensated SVT | | _____ | HR < 60 bpm, two person no pauses for ventilation |
33 | Tachyarrhthmias mnagement Uncompensated SVT | | _____ | dec CO and high SVR |
34 | Tachyarrhthmias mnagement VT | | _____ | antidysrhythmic, dec automaticity of conduction tissues of heart, for ventricular arrhythmias, contraindicated in complete heart block |
35 | Collapsed rhythms (pulse-less rhythm) | | _____ | inc blood glucose level, for hypoglycemia |
36 | V Fib | | _____ | adrenergic, inc HR and SVR, for bradycardia, anaphylaxis |
37 | Acetaminophen Overdose: 3-7 days after or longer | | _____ | brief dips can be normal such as when child has vagal response; recovers with or without stimulation and no signs of altered perfusion |
38 | Acetaminophen Overdose: Final stage | | _____ | ineffective pumping of the hear causing decrease in stroke volume |
39 | Acetaminophen Overdose intervention | | _____ | exhibit poor feeding, tachypnea in young children, fatigue, dizziness, and syncope in older children |