AHA PALS FINAL EXAM SET 2 UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
◉ Septic Shock 1 Hour Goals Continued Signs Shock. Answer: Expert
Consultation & Vasoactive Drugs:
If cold ext., delay cap refill, hypotensive - EPI (dopamine is backup)
If warm ext., flash cap refill, low DBP
Norepinephrine (Levo) (higher dose dopamine if no levo)
◉ Septic Shock In Critical Care Environment. Answer: Central
Access, Arterial Line
Evaluate cortisol - risk for adrenal insufficiency, consider
hydrocortisone
Goals of Therapy: Scv02 >= to 70%, adequate BP, normalized HR,
good CO/CI
If >= 70%:
Shock Signs Resolved: ICU, support functions, treat infection source
, Poor Perfusion, Warm extremities despite Levo (norepi) gtt:
IVF Boluses, Continue Levo, Additional pressors
If <70%:
Poor Perfusion, cold extremities despite epi gtt:
IVF Boluses, Hgb <10 - transfuse,
If BP Low: Add Levo if diastolic BP low
If BP Adequate: Add milrinone, consider vasodilator or inotropic
drug
◉ Systematic Approach Algorithm Initial Impression. Answer:
appearance, breathing, circulation
◉ Systematic Approach Algorithm After Immediate Intervention.
Answer: Evaluate
Primary Assessment, Secondary, Diagnostics
Identify
Intervene, Repeat
ACTUAL QUESTIONS AND CORRECT ANSWERS
◉ Septic Shock 1 Hour Goals Continued Signs Shock. Answer: Expert
Consultation & Vasoactive Drugs:
If cold ext., delay cap refill, hypotensive - EPI (dopamine is backup)
If warm ext., flash cap refill, low DBP
Norepinephrine (Levo) (higher dose dopamine if no levo)
◉ Septic Shock In Critical Care Environment. Answer: Central
Access, Arterial Line
Evaluate cortisol - risk for adrenal insufficiency, consider
hydrocortisone
Goals of Therapy: Scv02 >= to 70%, adequate BP, normalized HR,
good CO/CI
If >= 70%:
Shock Signs Resolved: ICU, support functions, treat infection source
, Poor Perfusion, Warm extremities despite Levo (norepi) gtt:
IVF Boluses, Continue Levo, Additional pressors
If <70%:
Poor Perfusion, cold extremities despite epi gtt:
IVF Boluses, Hgb <10 - transfuse,
If BP Low: Add Levo if diastolic BP low
If BP Adequate: Add milrinone, consider vasodilator or inotropic
drug
◉ Systematic Approach Algorithm Initial Impression. Answer:
appearance, breathing, circulation
◉ Systematic Approach Algorithm After Immediate Intervention.
Answer: Evaluate
Primary Assessment, Secondary, Diagnostics
Identify
Intervene, Repeat
