PALS Algorithms Study Review Test.

PALS Algorithms Study Review Test. 1. Cardiac arrest (pulseless), first steps 2. Cardiac arrest (pulseless), first decision point 3. Cardiac arrest (pulseless), first shock dose (and subsequent) 4. Cardiac ar- rest (pulseless), shockable algo- rithm 5. Cardiac ar- rest (pulseless), call for help; start CPR; attach O2; attach defibrillator rhythm shockable? VT/VF - Yes; asystole/PEA - No 2 J/kg, increase by 2 J/kg each subsequent dose to max 10 J/kg CPR; rhythm check ASAP, shock and treat known/likely causes; CPR 2 min- utes; rhythm check+shock; CPR+epinephrine 2 minutes (consider ETT); rhythm check+shock; CPR+amiodarone 2 minutes (treat reversible causes empirically); rhythm check+shock; then repeat 2 minutes cycles of CPR+ alternating epi/amio with shocks between med doses CPR; rhythm check ASAP, identify non-shockable rhythm; CPR+epi 2 minutes (con- sider ETT); rhythm check; CPR 2 minutes (treat reversible causes); rhythm check; non-shockable al- CPR+epi 2 minutes (consider ETT); CPR with rhythm check every 2 minutes, epi gorithm 6. Cardiac arrest (pulseless), com- pression quality indicators 7. Cardiac ar- rest (pulse- less), compres- sion:breath ratio every 4 minutes (after alternating rhythm checks) 1/3 of AP diameter, 100 BPM, complete chest recoil, minimize interruptions, change compressors frequently; goal ETCO2 10 15:2 if no ETT (30:2 in adults or single rescuer); 8-10 breaths per minute if ETT 8. Cardiac arrest (pulseless), drug doses epinephrine 0.01 mg/kg IV bolus (0.1mL/kg 1:10,000); epinephrine 0.1 mg/kg Et bolus (0.1mL/kg 1:1000); amiodarone 5 mg/kg IV bolus, may give second dose 9. Reversible causes Hypovolemia, Hypoxia, Hydrogen ions, Hyper/hypokalemia, Hypoglycemia, Hy- of arrest 10. Epinephrine, car- diac arrest dose Amiodarone, car- diac arrest