PALS (100% correct answers)

Initial assessment of a Peds patient includes? correct answers Appearance, work of breathing, and circulation Peds patient with no normal breathing, but a pulse? correct answers Maintain airway through rescue breathing, Oxygen, and apply monitors. If a pulse is <60/min with poor perfusion despite oxygenation and ventilation, what is the next step? correct answers CPR What are the signs of septic shock of a Peds patient? correct answers -Altered mental status -Tachycardia or bradycardia -Fever or hypothermia -Altered perfusion -Hypotension Within the first 10-15 minutes of determining septic shock, what do you need to do? correct answers -ABCs -Place monitors -Establish IV/IO access -Fluid boluses: Give 10-20mL/kg isotonic crystalloid boluses. 10mL/kg for neonates. Within the first 1 hour of determining septic shock, what do you do? correct answers -Blood cultures & additional labs -Broad spectrum antibiotics -Monitor fluid boluses. Repeat boluses as needed to treat shock. Stop if rales, respiratory distress, or hepatomegaly develops What are the goals of treatment for septic shock? correct answers -Improve mental status -Normalization of heart rate & temp