By Guy H. Haskell, Marianne Gausche-Hill
- Updated to satisfy the 2005 American center organization Guidelines
- Market: Emergency drugs Technicians, Paramedics, Nurses, Physicians
- Quick-hit query & solution variety reinforces proof for simple memorization -- in basic terms right solutions are given so fallacious solutions won't ever accidently be remembered
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Additional resources for PALS (Pediatric Advanced Life Support) Review: Pearls of Wisdom
Yes. However, keep in mind that intraosseous access becomes progressively more difﬁcult in older children. If intraosseous access must be attempted in older patients, needles with threaded tips and alternative sites (iliac crest) should be considered to ensure success. In addition, peripheral vascular access is likely to be successful in older children. ❍ Does a particular site insure more rapid delivery of medications to the central circulation during CPR? There is no signiﬁcant difference between peripheral, intraosseous or central access with respect to onset of drug action or peak drug levels.
Does a particular site insure more rapid delivery of medications to the central circulation during CPR? There is no signiﬁcant difference between peripheral, intraosseous or central access with respect to onset of drug action or peak drug levels. ❍ CHAPTER 5 Vascular Access 43 What should always be done immediately following a bolus infusion? It is important to follow medication delivery with a 5 cc ﬂuid bolus to ﬂush the drug to the central circulation. ❍ Q: What is the most important factor in determining route of intravenous access?
What is the most frequently used site for central venous cannulation and why? The femoral vein is the most frequently used central vein because it is large, anatomically reliable, and can be cannulated without interrupting resuscitation. ❍ T/F: A central line should always be attempted when the proper equipment is available. False. An experienced practitioner should attempt a central line. ❍ T/F: If a central line will soon be available, delay administering medications and ﬂuids until it is established.