tailieunhanh - Vital Signs and Resuscitation - part 8

Tắc nghẽn một phần của cơ quan nước ngoài ở trẻ có thể đặt ra một vấn đề bởi vì hoàn cảnh không có bằng chứng thường và dấu hiệu có thể gây nhầm lẫn. Nghẹt thở, ho và nôn có thể xảy ra, sau đó giảm dần khi đối tượng đi vào một đường dẫn | 118 Vital Signs and Resuscitation BLS Algorithm Assess and support ABCs as needed Provide oxygen Attach monltor deflbrillator No Observe Support ABCs Consider transfer or transport to ALS facility Is bradycardia causing severe cardiorespiratory compromise poor perfusion. hypo tension respiratory difficulty altered consciousness 7 During CPR AttempVverify Tracheal intubation and vascular access Check Electrode position and contact Paddle position and contact Pacer position and contact Give Epinephrine every 3 to 5 minutos and consider alternate medications epinephrine or dopamine infusions Identify and treat possible causes Hypoxemia Hypothermia Head injury Hea t block Heart transplant special situation Toxins potsons drugs I Consider cardiac pacing I I Give atropine first lor bradycaidia due to suspected I increased vagal tone or prima y AV Woe I If pulseless arrest develops see Pulseless Arrest Algorithm Fig. . Pediatric Bradycardia Algorithm. Reprinted with permission from Guidelines for 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care American Heart Association. reflux and infantile botulism. Treatment hospitalization for an apnea workup. The infant is then sent home with an apnea monitor. Upper Respiratory Emergencies Obstruction complete obstruction is discussed in Chapter 8 Partial obstruction by a foreign body in the child may pose a problem because the circumstance is often unwitnessed and signs may be confusing. Choking coughing and gagging may occur then subside as the object passes into a smaller airway usually the right mainstem bronchus the anatomical Pediatric Vitals 119 continuation of the trachea . This may later produce coughing wheezing or stridor in any combination a foreign body in the upper esophagus causes stridor drooling and dysphagia . The diagnosis is made by a high index of suspicion and various x-ray techniques among them bilateral decubitus chest x-rays. The normal chest shows decreased relative volume on the