PALS Red Cross Cardiac Arrest and Post-Cardiac Arrest Care [Pre-Assessment] 2021 Latest Reupdated

PALS Red Cross Cardiac Arrest and Post-Cardiac Arrest Care [Pre-Assessment] 2021 Latest Reupdated Which is the primary goal and focus of post-cardiac arrest care? - Preservation of neurologic function In children and infants, cardiac arrest most often arises from which complication? - Respiratory failure Which medications may be used in the cardiac arrest care of a patient with a "shockable" rhythm? - 1. Amiodarone 2. Epinephrine 3. Magnesium Sulfate 4. Lidocaine Which finding indicates adequate end-organ and tissue perfusion? - Urine output greater than 1 mL/kg/h A patient admitted to the pediatric emergency department is in cardiac arrest. The rhythm on the defibrillator monitor is ventricular fibrillation (VF). Which energy dose should the team leader order to administer an initial shock? - 2 J/kg Which statement correctly describes the completion of the primary assessment of a patient in cardiac arrest? - The primary assessment should be delayed in order to provide prompt, life-saving measures. A healthcare provider suspects that hyperkalemia may be the cause of the patient's cardiac arrest. Which should the provider order to confirm hyperkalemia? - Serum electrolyte panel The healthcare provider notes that an infant receiving post-cardiac arrest care has an increase in temperature. The provider understands treatment should be initiated if the temperature rises at least which amount above normal? - 1 degree increase The healthcare provider understands that an ischemia/reperfusion response during post-cardiac arrest syndrome (PCAS) is similar to which kind of shock? - Septic Which ECG rhythm is identified in the following image? - Polymorphic ventricular tachycardia (torsades de pointes) looks like scribbed signature mountain/upside down mountains The PALS team is actively attempting to resuscitate a 9-kg infant in cardiac arrest. The team leader instructs the monitor team member to administer a second defibrillation. How many joules should the team member administer? - 36 joules: 1. Activate emergency medical services, call a pediatric "code blue", obtain AED or defibrillator 2. Is the rhythm shockable? Rhythm IS shockable (ventricular fibrillation or unstable ventricular tachycardia) 1. Administer shock at 2 Joules/kg 2. Administer high-quality CPR for 2 minutes 3. Check rhythm If not shockable, move to asystole/PEA rhythm protocol If shockable, continue 4. Administer shock at 4 Joules/kg 5. Administer epinephrine 0.01 mg/kg IV or 0.1 mg/kg per ETT every 3-5 minutes 6. Administer high-quality CPR for 2 minutes 7. Check rhythm If not shockable, move to asystole/PEA rhythm protocol If shockable, continue 8. Administer shock at >4 Joules/kg 9. Administer amiodarone 5 mg/kg IV (repeat 2 times if needed) or lidocaine 1 mg/kg IV 10. Administer high-quality CPR for 2 minutes 11. Check rhythm If not shockable, move to asystole/PEA rhythm protocol If shockable, repeat steps 8-11 Rhythm IS NOT shockable (asystole or pulseless electrical activity) 1. Administer high-quality CPR for 2 minutes 2. Administer epinephrine 0.01 mg/kg IV or 0.1 mg/kg per ETT every 3-5 minutes 3. Check rhythm If shockable, move to VF/VT rhythm protocol If not shockable, continue 4. Administer high-quality CPR for 2 minutes 5. Check rhythm