PALS part 8 and 9 + (100% solved)

Is interosseous access a first choice, second, or third? correct answers Any of the above; may be the initial attempt in situations such as cardiac arrest or severe shock with vasoconstriction What are three common places to try for interosseous access? correct answers You can try for .... in an emergency in the proximal tibia, distal tibia over medial malleoulus, or the anterior-superior iliac spine If you don't get IO access the first time, where do you go next? correct answers For ....you can't use the same bone you tried before. How do you position the child for tibial access? correct answers For .....placement, use slight external rotation; identify tibial tuberosity just below knee; insertion is about 1 finger width below and medial to the prominence, in a flat area How should you secure the stylet and the leg during IO attempts? correct answers Leave the stylet in the needle during insertion; put the leg on a firm suface and hold, but NOT with hand BEHIND leg. How do you do the actual insertion for IO? correct answers Insert needle through the skin over the anteromedial surface, and perpendicular to the tibia; use a twisting motion; continue inserting until there is a decrease in resistance as it enters the marrow space. How do you know your IO needle is in correctly? correct answers One clue to correct....placement is that the needle stands independently, and infusion is easy and without swelling. What do you do after you have the IO needle in place? correct answers Remove stylet, attach a syringe, aspirate bone marrow and blood to confirm...., infuse a small volume of saline to test..., use directly with syringe or iv to deliver meds