Scheduled maintenance: Saturday, March 6 from 3–4 PM PST
Upgrade to remove ads
Only $2.99/month

Peds shock

Terms in this set (17)

Signs of Resp failure in peds
decreased LOC
grunting resp
inc work of breathing
poor air entry
decr breath sounds
bradycardia
apnea/slow resp
peds signs of resp arrest:

Appearance
abn tone
decr interactiveness
inconsolable
abnormal gaze
abnormal sppech/cry
peds signs of resp arrest:

Work of breathing
abn sounds and position
retractions
flaring
apnea/gasping
peds signs of resp arrest:
Circulation to skin
pallor
mottling
cyanosis
peds shock- hypotension occurs ___
late
BP is unreliable indicator of severity of shock
...
bradycardia is an ominous sign
...
Scvo2 > 70
low BP
warm shock
bolus fluids
NE
vasopressin
Scvo2 < 70
normal BP
poor perfusion
transfuse blood to Hgb 10
optimize O2
fluid bolus
nitroprusside

consider dobutamine
Scvo2 <70
low BP/poor perfusion
Cold shock
transfuse blood to Hgb 10
optimize O2
fluid bolus

Consider Epi
or Dobutamine AND NE
Epi for PEA or Vfib

Vfib=Dfib
amioderone or lidocaine
...
Managing anaphylactic shock

position
of comfort

hypotensive= legs elevatred unti lvasopresors and fluids restore BP
Managing anaphylactic shock O2
high flow rates

10-15 L
Managing anaphylactic shock
Epi
all pts with airway swelling
signs of shock
dif breathing
Managing anaphylactic shock
antihistamines
slowly IV or IM
Managing anaphylactic shock

H2 blockers
cimetidine 300 mg
Managing anaphylactic shock
Inhaled beta adrenergic agents
albuterol if bronchospasm is maj feature

hypotension= administer parenteral epi before albuterol to prevent poss decrease in BP

use Inhaled ipratropium for pt on Beta blockers (Tx of bronchospasms)
THIS SET IS OFTEN IN FOLDERS WITH...