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PALS 2024 study guide comprehensive/revision use, Study Guides, Projects, Research of Nursing

Cheyney University of PennsylvaniaNursing

PALS 2024 study guide comprehensive/revision use

Typology: Study Guides, Projects, Research

2024/2025

Available from 10/07/2024

tizian-mwangi
tizian-mwangi 🇺🇸

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PALS 2024 study guide comprehensive/revision use
1.CPR: If no pulse or hr <60 START
1rescuer- 30:2
2rescuer- 15:2
Rate- 100-120
Depth 5 cm 2 inches
Q2 mins change compressors, check pulse, check rhythm, weight broslo tape
2.Assessment: Airway
Breathing
Circulation
Disability -level of consciousness
Exposure- temp
3.2nd assessment: Signs
Allergies
Meds
Pmh
Last meal Events
4.airway: Sat 94-99
5 point auscultation c02-yellow
Waveform cap >10
After intubating cont compressions
Assess lung+heart sounds cap refill bp loc after any treatment given
5.Defibrillate: 1st- 2J/kg 2-
4j k/g
+ 2 until max 10
6.Synch cardiovert: *pt will have pulse* 1- 0.5-
1 j k/g
If not effective increase to 2 j k/g
Turn Zole to defib push SYNC
7.IO: If unable to access IV in 60 sec Distal femur
iliac crest, proximal tibia Make sure needle has one
black line 5mm
pf3
pf4
pf5

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1 / PALS 2024 study guide comprehensive/revision use

  1. CPR: If no pulse or hr <60 START 1 rescuer- 30: 2 rescuer- 15: Rate- 100- 120 Depth 5 cm 2 inches Q2 mins change compressors, check pulse, check rhythm, weight broslo tape
  2. Assessment: Airway Breathing Circulation Disability -level of consciousness Exposure- temp
  3. 2nd assessment: Signs Allergies Meds Pmh Last meal Events
  4. airway: Sat 94- 99 5 point auscultation c02-yellow Waveform cap > After intubating cont compressions Assess lung+heart sounds cap refill bp loc after any treatment given
  5. Defibrillate: 1st- 2J/kg 2- 4j k/g
  • 2 until max 10
  1. Synch cardiovert: pt will have pulse 1- 0.5- 1 j k/g If not effective increase to 2 j k/g Turn Zole to defib push SYNC
  2. IO: If unable to access IV in 60 sec Distal femur iliac crest, proximal tibia Make sure needle has one black line 5mm

2 / Flush 2-5ml watch for swelling, don't place hand behind during insertion

4 /

  1. Shock: Will require pulse ox, ecg, iv/Io, 02, glucose testing, continuous re- assessment
  2. Hypovelemic shock: Diarrhea, vomiting, hemorrhage, inadequate fluid, dka, large scale burns 20 ml k/g isotonic crystalloid (NS or LR) over 5-20 mins If known heart issues 10 ml k/g over 20-30 mins Assess vs heart and lung, cap refills, multiple blouses may be needed
  3. cardiogenic shock: Congenital heart dz, myocarditis, cardiomyopathy, arrhyth- mia, sepsis, poisoning, trauma Increase resp effort, retractions, grunting, nasal flaring from pulm edema Signs of CHF Jvd, pulm edema, hepatomegaly, cyanosis, from congenital heart dz pulm edema
  4. Txt cardiogenic shock: Be careful with fluid 5-10 ml/kg ns/lr 20-30 mins Monitor lung sounds and perfusion Cxr, echo, consult expert diuretic for pulm edema, inotropic or vasodilator Cc transfer to closest capable facility
  5. distributive shock: Septic- fever, hypothermia, petechial Txt- blood cultures then antibiotics Anaphylactic- angioadema, hives, edema Txt- IM epi 2nd dose 10-15 mins later if sever Albuterol Antihistamine + corticosteroids
  6. obstructive shock: Muffled decrease heart sounds, absent bs on affected side, tracheal deviation toward other side massive pulm embolism
  7. obstructive shock: Cardiac tamponade- pericardiocentesis, 20 ml/kg ns/lr Tension pnumo- needle decom, chest tube

5 / Massive pulm embolism- 20 ml/kg NS Thrombolitic, anticoagulants

  1. Rosc: Transfer icu, vitals, airway, labs, abg, cmp, cbc, cxr, 12 lead, waveform cap-35-
  2. TTM: 32-34 degrees C 2 days Is pt responding? TTM not needed Not responding- TTM asap
  3. H's: Hypovolemia Hypoxia Hydrogen ion Hypothermia Hypo/hyperkalemia Hypoglycemia
  4. T's: Toxins Cardiac tamponade Tension pneumothorax Thrombus coronary or pulm Trauma
  5. PEA or asystole NO PULSE: Epi 0.01 mg/kg (max dose 1mg) every 3-5 mins Consider advanced airway
  6. Vtach vfib NO PULSE: Start cpr, defibrillate 1- 2J k/g 2- 4 j k/g Increase by 2 max of 10 Airway management Epi 0.01 3-5 mins Amiodarone 5mg/kg bolus max 3 doses Lidocaine 1 mg/kg
  7. Svt, vtach WITH PULSE stable: Stable? Vagal, ice bag