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A 7-month-old patient presents with supraventricular tachycardia. The patient is
hemodynamically stable. The best method of a vagal maneuver is:
ANS: Application of a cold stimulus to the face (e.g., a washcloth soaked in iced
water, cold pack, or crushed ice mixed with water in a plastic bag or glove) for up
to 10 seconds.
A child with an upper airway obstruction caused by infection-induced edema
should not receive suction and instead be placed in a comfortable position and
given what medication?
ANS: Nebulized e
A consideration of treatment for a pediatric patient with acute fulminant
myocarditis who is in cardiac arrest or at a high risk of cardiac arrest is:
ANS: Extracorporeal membrane oxygenation (ECMO)
A diagnostic test that shows acidosis, tissue hypoxia, anaerobic respiration, and/or
high glucose is:
ANS: Arterial lactate
A mnemonic that aids in performing a primary assessment is:
ANS: ABCDE
A sign of congestive heart failure with SVT is:
ANS: Distended jugular veins indicate congestive heart failure.
After administering two fluid boluses to a patient who was initially hypotensive,
the patient is still extremely lethargic. What would your next diagnostic test be?
ANS: glucose
An accepted initial therapy for a patient with suspected croup is:
ANS: Nebulized epinephrine
, An effective, non-invasive method of detecting hypoxia is _____________.
ANS: pulse oximetry
Anemic hypoxia results from:
ANS: Anemic hypoxia results from the amount of functional hemoglobin is too
small, and hence the capacity of the blood to carry oxygen is too low
Atropine is indicated for:
ANS: Symptomatic bradycardia
Cardiogenic shock results from:
ANS: Poor heart contractions
Children's demand for oxygen is ___________ adults.
ANS: greater
Consideration for _____________ through devices such as BiPAP or CPAP is
indicated for infants or children with suspected lung tissue disease.
ANS: Continuous PEEP
Define shock:
ANS: When oxygen and nutrient supply to body tissue is insufficient compared to
metabolic tissue needs
Define tachypnea:
ANS: Tachypnea is defined as an elevated breathing rate for age
Distributive shock results from:
ANS: abnormal distribution of blood
During a resuscitation, it is important that all members of the team understand the
concept of:
ANS: Each member of the team caring for a pediatric patient must understand his
role and the role of other members. In most pediatric resuscitation efforts, there is
one team leader who will ensure that everything gets done by the right person at
the right time.
Emergently using a paralytic agent such as succinylcholine for securing the airway
in a pediatric patient may cause bradycardia. What medication and dose would you