cpr 1. what is the correct compression/ventilation ratio for all ages? 2. is there an exception to...
TRANSCRIPT
![Page 1: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/1.jpg)
CPRCPR
1.1. What is the correct What is the correct compression/ventilation ratio for all compression/ventilation ratio for all ages?ages?
2.2. Is there an exception to this rule?Is there an exception to this rule?
![Page 2: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/2.jpg)
CPRCPR
1.1. 30:230:2
2.2. Yes—15:2 for infants and children Yes—15:2 for infants and children with 2 health care providerswith 2 health care providers
![Page 3: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/3.jpg)
CPRCPR
Interruptions to chest compressions Interruptions to chest compressions should be limited to how long?should be limited to how long?
![Page 4: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/4.jpg)
CPRCPR
<10 seconds (unless necessary to <10 seconds (unless necessary to intubate or perform another intubate or perform another “advanced” skill)“advanced” skill)
![Page 5: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/5.jpg)
CPRCPR
Why is it important to allow for Why is it important to allow for complete chest recoil when complete chest recoil when performing compressions?performing compressions?
![Page 6: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/6.jpg)
CPRCPR
It maximizes venous return of blood to It maximizes venous return of blood to the heartthe heart
![Page 7: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/7.jpg)
ACLSACLS
List at least 5 signs or symptoms you would associate with “symptomatic” bradycardia.
![Page 8: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/8.jpg)
ACLSACLS
• Chest pain
• SOB
• “Wet” lung sounds (why?)
• Cool, clammy skin
• Decreased LOC
• Hypotension
• Weakness or fatigue
![Page 9: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/9.jpg)
ACLSACLS
List 5 signs or symptoms you would associate with “symptomatic” tachycardia.
![Page 10: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/10.jpg)
ACLSACLS
• Chest pain• SOB• “Wet” lung sounds (why?)• Cool, clammy skin• Decreased LOC• Hypotension• Weakness or fatigue
Does this list look familiar?!
![Page 11: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/11.jpg)
ACLSACLS
What is the treatment regimen (including doses) for symptomatic bradycardia?
![Page 12: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/12.jpg)
ACLSACLS
• ABC’s (don’t 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)
![Page 13: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/13.jpg)
ACLSACLS
List 5 H’s to consider as reversible causes
![Page 14: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/14.jpg)
ACLSACLS
• Hypovolemia
• Hypoxia
• Hypo/hyperkalemia
• Hypoglycemia
• Hypothermia
• Hydrogen ion (acidosis)
![Page 15: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/15.jpg)
ACLSACLS
What is the treatment plan (including doses) for narrow complex regular tachycardia with pulses?
![Page 16: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/16.jpg)
ACLSACLS
• ABC’s
• O2, IV, monitor
• Vagal maneuvers
• Adenosine (6 mg, followed by 12 mg, and another 12 mg)
• Cardioversion if patient is symptomatic
![Page 17: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/17.jpg)
ACLSACLS
List 5 T’s to consider as reversible causes
![Page 18: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/18.jpg)
ACLSACLS
• Toxins
• Tamponade
• Tension pneumothorax
• Thrombosis (coronary or pulmonary)
• Trauma
![Page 19: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/19.jpg)
ACLSACLS
After determining that a patient is pulseless and not breathing and in VF/VT, list the treatment sequence
![Page 20: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/20.jpg)
ACLSACLS
• 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
![Page 21: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/21.jpg)
ACLSACLS
After determining that a pulseless, non-breathing patient is in asystole, list the treatment sequence
![Page 22: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/22.jpg)
ACLSACLS
• 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
![Page 23: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/23.jpg)
PALS
What is the defibrillation dosing sequence for pediatric patients?
![Page 24: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/24.jpg)
PALS
2 joules/kg, followed by 4 joules/kg, followed by 4 joules/kg
![Page 25: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/25.jpg)
PALS
What is the “normal” fluid bolus to use for hypotensive infants or children?
![Page 26: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/26.jpg)
PALS
20 cc/kg
![Page 27: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/27.jpg)
PALS
What is the formula for determining “normal” BP for children over age 1?
![Page 28: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/28.jpg)
PALS
(Age [in years] x 2) + 70
![Page 29: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/29.jpg)
PALS
What is the formula for determining uncuffed ETT size in pediatrics?
Cuffed tubes?
![Page 30: CPR 1. What is the correct compression/ventilation ratio for all ages? 2. Is there an exception to this rule?](https://reader035.vdocuments.mx/reader035/viewer/2022070323/56649dd35503460f94aca03c/html5/thumbnails/30.jpg)
PALS
• (Age [in years] divided by 4) + 4 (uncuffed)
• (Age [in years] divided by 4) + 3 (cuffed)