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Heartcode Pals Questions And Correct Answers

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HEARTCODE PALS QUESTIONS AND CORRECT ANSWERS

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HEARTCODE PALS QUESTIONS AND
CORRECT ANSWERS

TheA2infantA2isA2placedA2onA2theA2ambulanceA2stretcherA2andA2respondsA2withA2aA2groanA
2whenA2stimulatedA2andA2hasA2aA2temperatureA2ofA236.3A2CA2(97.3A2F)A2-A2Ans---
MonitorA2andA2supportA2ABCs
-EstablishA2IV/IOA2access
-MonitorA2heartA2rate,A2bloodA2pressure,A2andA2pulseA2oximetry
-CallA2forA2assistanceA2ifA2needed

WhenA2youA2evaluateA2theA2patient,A2youA2findA2theA2lungsA2areA2clear,A2skinA2isA2coolA2an
dA2mottled,A2glucoseA2isA297A2mg/
dLA2andA2capillaryA2refillA2timeA2isA25A2seconds.A2WhatA2areA2theA2warningA2signsA2thatA2th
eA2patientA2isA2progressingA2fromA2compensatedA2shockA2toA2hypotensiveA2shock?A2-
A2Ans---HypotensionA2(lateA2sign)
-IncreasingA2tachycardia

TheA2patientA2stillA2hasA2aA2bloodA2pressureA2ofA258/38A2mmA2Hg.A2HerA2conditionA2would
A2beA2classifiedA2asA2___________A2shock.A2-A2Ans--Hypotensive


WhatA2shouldA2beA2includedA2inA2theA2initialA2treatmentA2forA2thisA2patient?A2-A2Ans---
RapidA2fluidA2bolusA2administration
-EstablishingA2IV/IOA2access

TheA2motherA2doesA2notA2recallA2theA2infant'sA2mostA2recentA2weight.A2WhatA2isA2theA2mo
stA2appropriateA2wayA2toA2rapidlyA2determineA2herA2weightA2andA2calculateA2correctA2medi
cation?A2-A2Ans--MeasureA2herA2byA2usingA2color-codedA2length-basedA2tape

YouA2measureA2theA2infantA2toA2beA27A2kgA2andA2prepareA2toA2administerA2aA2fluidA2bolusA
2ofA2whatA2type?A2-A2Ans--NormalA2salineA220A2mL/kg


WhatA2isA2theA2mostA2appropriateA2methodA2ofA2deliveringA2rapidA2fluidA2bolusesA2toA2thisA
2patient?A2-A2Ans--AA2syringeA2andA23-wayA2stopcock


AfterA2theA2firstA2fluidA2bolusA2isA2administered,A2theA2childA2isA2reassessedA2andA2herA2vit
alA2signsA2areA2HRA2167,A2BPA258/44A2mmA2Hg,A2RRA256/
minA2andA2SpO2A292%.A2HerA2skinA2isA2stillA2coolA2andA2paleA2andA2sheA2isA2stillA2lethargic
A2andA2weak.


WhatA2shouldA2beA2theA2nextA2intervention?A2-A2Ans--
DeliverA2aA2secondA2fluidA2bolusA2ofA220A2mL/kgA2andA2reassess

WhenA2shouldA2vasoactiveA2therapyA2beA2consideredA2beA2consideredA2inA2managingA2di
stributiveA2shock?A2-A2Ans--

, IfA2theA2childA2remainsA2hypotensiveA2andA2poorlyA2perfusedA2despiteA2rapidA2bolusA2fluid
A2administration


HowA2doesA2theA2clinicalA2presentationA2ofA2distributiveA2shockA2compareA2withA2hypovol
emicA2shock?A2-A2Ans--
DistributiveA2shockA2hasA2moreA2variableA2presentationA2thanA2thatA2ofA2hypovolemicA2sh
ock

ForA2generalA2shockA2management,A2administerA2anA2isotonicA2crytalloidA2bolusA2ofA2__A2
mL/kgA2overA2__A2toA2__A2minutesA2-A2Ans--
ForA2generalA2shockA2management,A2administerA2anA2isotonicA2crytalloidA2bolusA2ofA220A2
mL/kgA2overA25A2toA220A2minutes

WhatA2signsA2distinguishA2anaphylacticA2shockA2fromA2otherA2typesA2ofA2shock?A2-
A2Ans---AngioedemaA2(swellingA2ofA2theA2face,A2lipsA2andA2tongue)
-UrticariaA2(hives)
-RespiratoryA2distressA2withA2stridor,A2wheezingA2orA2both

inA2aA2childA2withA2anaphylacticA2shock,A2whatA2isA2theA2mostA2appropriateA2initialA2treatm
ent?A2-A2Ans--IMA2epinephrine

HowA2soonA2afterA2exposureA2doA2symptomsA2typicallyA2occurA2inA2anaphylacticA2shock?
A2-A2Ans--SecondsA2toA2minutes


WhatA2shouldA2youA2evaluateA2toA2recognizeA2septicA2shock?A2-A2Ans---Temp
-HeartA2rate
-SystemicA2perfusion
-BloodA2pressure
-ClinicalA2signsA2ofA2end-organA2perfusion

WhenA2shouldA2antibioticsA2beA2administeredA2inA2septicA2shock?A2-A2Ans--
WithinA2theA2firstA2hour

WhatA2areA2theA2initialA2assessmentA2findingsA2forA2septicA2shock?A2-A2Ans---Fever
-Hypothermia
-Normal,A2elevatedA2orA2decreasedA2WBC

ForA2septicA2shock,A2howA2soonA2shouldA2fluidA2resuscitationA2begin?A2-A2Ans--
WithinA210A2toA215A2minutesA2afterA2recognizingA2shock

WhatA2isA2theA2recommendationA2forA2fluidA2bolusA2ofA2isotonicA2crystalloidsA2inA2cardioge
nicA2shock?A2-A2Ans--5A2toA210A2mL/kgA2overA210A2toA220A2minutes

WhatA2isA2theA2focusA2ofA2theA2initialA2managementA2ofA2distributiveA2shock?A2-A2Ans---
CorrectingA2hypovolemia
-FillingA2expandedA2dilatedA2vascularA2space

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