synchronized DC cardioversion
pt shock
heart failure
precordial thump
pt acute arrest from ventricular fibrillation
SVT(supraventricular tachycardia) first line tt
- stimulate vagus nerve : carotid massage, immersion face in cold water, voluntary straining
- rapid IV adenosine
meconium
fetal stool mostly composed of desquamated cells from the gastrointestinal tract admixed with enough bile to give the soft stool a greenish color
infants have placental insufficiency result of
- maternal preeclampsia
- HTN
- postmaturity
cause of neonatal depression
maternal analgesic narcotic drug administration
neonatal depression from maternal analgesic narcotic drug mgmt
- ABCs
- Naloxone 0.1 mg/kg IM, IV
- or endotracheal
hypernatremia SxS
- mainly neurologic, include lethargy, AMS, irritability and seizure,
- muscle cramps, muscle weakness, decreased deep tendon reflexes
hypovolemic hypernatremia develops
- secondary to renal losses (diuretic use, glycosuria)
- extrarenal loss (gastrointestinal upset, excessive sweating)
hypervolemic hypernatremia due to
exogenous Na intake or mineralocorticoid excess (hyperaldosteronism)
tt infant w hypernatremia and dehydration (GOAL: stabilize w fluid resus)
IV isotonic solutions such as normal saline or lactated Ringer’s
initial resus in severe hypovolemic hypernatremia
Isotonic solutions such as normal saline
complication of supracondylar humerus fracture
Compartment Sd : severe pain, pallor, poikilothermia, paresthesias and the late finding of pulselessness and paralysis
