By Guy H. Haskell, Marianne Gausche-Hill
- Updated to fulfill the 2005 American middle organization Guidelines
- Market: Emergency drugs Technicians, Paramedics, Nurses, Physicians
- Quick-hit query & solution variety reinforces evidence for simple memorization -- in basic terms right solutions are given so improper solutions won't ever accidently be remembered
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Additional resources for PALS (Pediatric Advanced Life Support) Review: Pearls of Wisdom
What must be adjusted to achieve ventilation with the anesthesia ventilation system? Fresh gas ﬂow, outlet control valve, and proper facemask ﬁt. ❍ What happens if the fresh gas ﬂow rate is increased? Decreased rebreathing of carbon dioxide, preventing hypercarbia. ❍ CHAPTER 4 Airway and Ventilation 35 Why can anesthesia ventilation systems be used during spontaneous respiration? No ﬂow valves need to be opened. ❍ What are some of the advantages of ventilation via an endotracheal tube? The airway is isolated Potential for aspiration is reduced Ventilations and chest compressions can be interposed efﬁciently Inspiratory time and peek pressures can be controlled PEEP can be delivered ❍ What are the six indications for intubation?
What two devices are commonly used for peripheral access? Over-the-needle catheters and butterﬂy needles. ❍ Which is preferred? Over-the-needle catheters. These are either straight catheters with a clear hub or have butterﬂy grips and are attached to tubing. Some of these can be converted to a central catheter. ❍ Of what value are butterﬂy needles? Butterﬂy needles are straight steel needles that are inserted into the vein. They are often used for scalp veins but are more prone to lacerate the vein and inﬁltrate than a catheter.
What are the causes of acute deterioration during positive pressure ventilation? Endotracheal tube obstruction (mucus, blood, secretions), displacement (into the esophagus, pharynx, or right main stem bronchus), tension pneumothorax, and mechanical equipment failure. These causes may be remembered by the DOPE mnemonic: D—dislodgement O—obstruction P—pneumothorax E—equipment failure ❍ How does respiratory distress or failure develop during seizures? Poor chest wall movement occurs during generalized tonic seizures leading to hypoventilation.