PALS - Written Test and Case Study Review Material 2023

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1. CPR Sequence: C-A-B Circulation-Airway-Breathing 2. Algorithm: Pediatric Septic Shock First hour...: Oxygen & support ventilation Establish IV, draw labs (glucose, blood cultures) Begin resusc ... itation Push repeated 20 mL/kg isotonic crystalloid (3-4) unless rales, resp distress, hepatomegaly Correct hypo-glycemia/calcemia Admin 1st dose antibiotics STAT STAT vasopressor drip/stress-dose hydrocortisone Establish 2nd IV 3. Algorithm: Pediatric Septic Shock Fluid Responsive?: Yes - ICU No - Vasoactive drug & titrate for normotension Normo: begin dopamine Hypo/warm: norepi Hypo/cold: epi2 / 8 4. Adenosine (slows HR): SVT 0.1 mg/kg - dose 1 0.2 mg/kg - dose 2 max = 6 mg RAPID push 5. Amiodarone (antiarrythmic): VF/VT (pulseless) 5 mg/kg Bolus max = 300 mg SVT, VT (with pulses) 5 mg/kg over 20-60 mins max = 300 mg 6. Atropine (increases HR): Bradycardia 0.02 mg/kg may repeat once [Show More]

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