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Croup treatment (upper airway) ✔✔Nebulized epi Corticosteroids Anaphylaxis treatment (upper airway) ✔✔IM epi (auto injector) Albuterol Antihistamines Corticosteroids Bronchiolitis treatment (lower airway) ✔✔Nasal suctioning Bronchodilator trial Asthma treatment (lower airway) ✔✔Albuterol +/- ipratropium Corticosteroids SC epi Mg Sulfate Terbutaline
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Croup treatment (upper airway) ✔✔Nebulized epi Corticosteroids Anaphylaxis treatment (upper airway) ✔✔IM epi (auto injector) Albuterol Antihistamines Corticosteroids Bronchiolitis treatment (lower airway) ✔✔Nasal suctioning Bronchodilator trial Asthma treatment (lower airway) ✔✔Albuterol +/- ipratropium Corticosteroids SC epi Mg Sulfate Terbutaline
HR for SVT in: ✔✔- Infant: 220 bpm+
Defibrillation ✔✔Use largest pads w/o touching
AVPU ✔✔A- alert V- voice P- pain U- unresponsive Infant <1yr -- Norm RR ✔✔ 30 - 60/min Toddler 1 - 3yr -- Norm RR ✔✔ 24 - 40/min Preschool 4 - 5yr -- Norm RR ✔✔ 22 - 34/min School Age 6 - 12yr -- Norm RR ✔✔ 18 - 30/min Adolescent 13 - 18 -- Norm RR ✔✔ 12 - 16/min Hypotension (SBP) ✔✔Neonate 0-28day -- <
Mag Sulfate -- Torsafes or VT w/ Hypomag ✔✔ 25 - 50 mg/kg IV/IO MAX 2g over 10 - 20 min Faster push if in arrest Child/Infant CPR ✔✔10 sec pulse check Compression 100/min (1= 30:2) (2=15:2) Depth 1/3 AP Diameter 1.5-2in or 4-5cm Rotate q 2 min Head tilt Chin Lift Advance airway 1 breath q 6-8 sec Shock? -- Yes! Cont CPR Immediately Cardiac Arrest Drugs ✔✔Epi-- 0.01 mg/kg q 3 - 5 min 1: Amiodrone-- 5mg/kg Bolus Repeat 2x PRN Dopamine ✔✔ 10 - 20 mcg/kg per min Norepi ✔✔0.1- 2 mpg/kg per min
Maintence Fluids ✔✔<10kg (22lbs) 4 ml/kg per hr 10 - 20kg (22-44lbs) 40ml/h+2ml/kg per hr
20kg (44+lbs) 60ml/h+1ml/kg per hr Albuterol Neb ✔✔<20 kg (<44lb) 2.5 mg q 20 min 20 kg (>44lb) 5 mg q 20 min Dextrose ✔✔D50 1 - 2ml/kg D25 2-4ml/kg D10 5 - 10ml/kg Diphenhydramine ✔✔ 1 - 2 mg/kg q 4 - 6hr MAX 50 mg Ipratropium ✔✔ 250 - 500 mpg q 20 min Narcan ✔✔0.1mg/kg q 2 min IV/IO/IM/SC AEIOU-TIPS ✔✔A Alcohol