PALS- Pediatric Advanced Life Support

The PALS systemic approach algorithm begins with the initial impression. This is an assessment of which 3 characteristics? - 1. Consciousness 2. Breathing 3. Color The right branch of the systemic approach algorithm focuses on what sequence to prevent cardiopulmonary arrest? - Evaluate, Identify, Intervene The evaluate portion of the sequence consists of three assessment tools: - 1. Primary 2. Secondary 3. Diagnostic What is included in the primary assessment of a patient? - A B C D E Vitals What is included in the secondary assessment of a patient? - Focused history and a focused physical exam The initial impression of the PALS systematic approach algorithm includes which of the following characteristics? (Choose all correct answers.) 1. Appearance 2. Breathing 3. Restlessness 4. Color 5. Pain - 1, 2, 4 The second box of the PALS systematic approach algorithm contains a question. (Fill in the blank to complete the question.) Is the child ____________ or is immediate intervention needed? - unresponsive In the PALS systematic approach algorithm, if the child is determined to be unresponsive or immediate intervention is needed what will be your next step? 1. Start CPR 2. Apply breathing with a bag valve mask 3. Activate emergency response 4. Check for a pulse - 3. After the emergency response is activated, the next intervention is to ____________. 1. Lightly shake the child's shoulders. 2. Look, listen, and feel. 3. Open the airway. 4. Check for breathing and a pulse - 4. After it is determined that the child has no pulse, what should be done? 1. Call for help 2. Begin CPR 3. Provide 2 rescue breaths 4. Start an IV - 2. A child is unresponsive and is not breathing. You have activated the emergency response system and your pulse check reveals that the child has a pulse. What should you do now? 1. Perform a brief head to toe assessment. 2. Place the child in the recovery position. 3. Give epinephrine 1mg IV push 4. Open the airway and provide ventilations and oxygen. - 4. A child is unresponsive and is not breathing. Emergency response was activated and now a pulse check shows that the child does have a pulse. You then open the airway, provide age-appropriate ventilations, and 100% oxygen with a bag valve mask. The child's pulse is 60/min, and the child has signs of poor perfusion. What is your next intervention? 1. Begin CPR 2. Provide a 500ml NS bolus 3. Perform an ABG. 4. Intubate the patient. - 1. The right branch of the PALS systematic approach algorithm is a sequence of three actions. In the proper sequence, the three actions are: (Fill in the blanks) __________, __________, __________ - evaluate, identify, intervene The evaluate portion of the evaluate-identify-intervene sequence consists of what clinical assessment tools? (Choose all correct answers) 1. Diagnostic tests 2. Pain assessment 3. Secondary assessment 4. Primary assessment - 1, 3, 4 (True or False) The sequence of evaluate-identify-intervene should be used before and after each intervention and should continue until the child is stable. 1. True 2. False - 1.