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It is also used as a clinical reference. This digital manual includes information on the systematic approach to pediatric assessment, basic life support, PALS treatment algorithms, and effective resuscitation and team dynamics. If you are a student, please confirm with your Training Center that this is the appropriate product for your training.
Note: To ensure the best website and app functionality, please make sure to use the most recent browser version or operating system. Neuromuscular disease. Toxic poisoning. The Hs. The Ts. Slow heart rate, narrow QRS complex, acute dyspnea, history of chest trauma. Variable, prolonged QT interval, neuro deficits. Treatment Goal. Key Intervention s. Improving blood oxygenation. Easing oxygen demand. Reduce fever Treat pain Treat anxiety. Normalizing electrolyte and metabolic disturbances.
Improving volume and fluid distribution. Treatment depends on type of shock. Too little volume. Volume distributed to tissues. Heart problem. Cardiac outflow impediment. Potential Causes. Normal or Decreased. Increased rate No increased effort. Markedly increased effort. Rales and grunting. Systolic BP. May be normal compensated , but soon compromised without intervention.
Pulse Pressure. Increased Distant heart sounds. Peripheral Pulses. Bounding or Weak. Weak or absent Jugular vein distention. Capillary Refill. Urine Output. Irritable and anxious, early. Slightly dry buccal mucosa, increased thirst, slightly decreased urine output. Dry buccal mucosa, tachycardia, little or no urine output, lethargy, sunken eyes and fontanelles, loss of skin turgor.
Same as moderate plus a rapid, thready pulse; no tears; cyanosis; rapid breathing; delayed capillary refill; hypotension; mottled skin; coma. Broad Type. Specific Type. Fluid resuscitation, packed red blood cells. Fluid resuscitation. Septic Shock Algorithm. Epinephrine IM, fluid resuscitation. Fluid resuscitation, pressors. Bradycardia Algorithm. Tachycardia Algorithm. Heart Disease. Fluid resuscitation, pressors, expert consult. Ductus Arteriosis. PGE1 alprostadil , expert consult.
Tension Pneumo. Needle decompression, tube thoracostomy. Pulmonary Embolism. Fluid resuscitation, fibrinolytics, expert consult. Over min. Diabetic Ketoacidosis. Over 60 min. All types. Body Weight kg. Hourly Maintainence Fluid Rate.
Maintain oxygenation. Maintain ventilation. Intubate and use ventilator if needed. Monitor vital signs. Pulse oximetry, pO2, resp. Fentanyl or morphine as needed.
Maintain fluid volume. Use the Shock Algorithm or maintenance fluids. Treat arrhythmias. Use drugs or electrical therapy Bradycardia or Tachycardia Algorithms.
Avoid fever, do not re- warm a hypothermic patient unless the hypothermia is deleterious, consider therapeutic hypothermia if child remains comatose after resuscitation, neurologic exam, pupillary light reaction, blood glucose, electrolytes, calcium, lumbar puncture if child is stable to rule out CNS infection. Intracranial Pressure. Support oxygenation, ventilation and cardiac output Elevate head of bed unless blood pressure is low Consider IV mannitol for increased ICP.
Seizure Precautions and Treatment. Monitor urine output. Nasogastric tube. Maintain NG tube to low suction, watch for bleeding. Consider blood therapy. Sinus Tachycardia. Supraventricular tachycardia. Ventricular tachycardia. Usually stands at the foot of the bed. Stands in a position dictated by role. Competent in all ACLS duties. Competent in specific role at least. Directs Team Members in a professional, calm voice. Responds with eye contact and voice affirmation. Assigns roles.
Listens for confirmation from Team Member. Informs Team Leader when task is complete. Ask for ideas from Team Members when needed. Openly share suggestions if it does not disrupt flow. Critiques Team Performance after code. Provides constructive feedback after code. Documents resuscitation in patient chart. Provides information for documentation as needed. First Dose: 0. Supraventricular Tachycardia, Ventricular Tachycardia with Pulse. Ventricular Tachycardia Ventricular Fibrillation.
Use with caution in glaucoma, ulcer, hyperthyroidism. Ventricular dysfunction, Cardiogenic or distributive shock. Make sure to distinguish and account for and concentrations. Avoid in cocaineinduced ventricular tachycardia. Sunni masjid Lengare; Maharashtra ; India 6. Mosque Pare; Maharashtra ; India 9. Hotels ,Lodges in Palshi,Khanapur-vita. Shivam Cane juice center ; Maharashtra ; India 3. Neha Residency Sangli; Maharashtra ; India 8. Restaurants in Palshi,Khanapur-vita.
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