PALS Algorithms Best Exam Questions
& Answers 2024/2025
Hypovolemic Shock
Nonhemorrhagic - CORRECT ANSWER-20 ml/kg NS/LR, repeat as needed
consider colloid
Hypovolemic Shock
Hemorrhagic - CORRECT ANSWER-Control external bleeding
20 ml/kg NS/LR, repeat 2 or 3x as needed
Transfuse PRBCs as indicated
Distributive Shock
Septic - CORRECT ANSWER-Septic Shock Management Algorithm
Distributive Shock
Anaphylactic - CORRECT ANSWER-IM Epi (or autoinjector)
Fluid boluses (20 ml/kg NS/LR)
Albuterol
Antihistamines, corticosteroids
Epinephrine infusion
Distributive Shock
Neurogenic - CORRECT ANSWER-20 ml/kg NS/LR bolus, repeat PRN
Vasopressor
Cardiogenic Shock
, Bradyarrhythmia/Tachyarrythmia - CORRECT ANSWER-Bradycardia Management
Algorithm
Tachycardia with Poor Perfusion Managment Algorithm
Cardiogenic Shock
Other (CHD, myocarditis, cardiomyopathy, poisoning) - CORRECT ANSWER-5-10
ml/kg NS/LR bolus, repeat PRN
Vasoactive infusion
Consider expert consultation
Obstructive Shock
Ductal Dependent (LV Outflow Obstruction) - CORRECT ANSWER-Prostaglandin E1
Expert Consultation
Obstructive Shock
Tension Pneumothorax - CORRECT ANSWER-Needle Decompression
Tube Thoracostomy
Obstructive Shock
Cardiac Tamponade - CORRECT ANSWER-Pericardiocentesis
20 ml/kg NS/LR bolus
Obstructive Shock
Pulmonary Embolism - CORRECT ANSWER-20 mL/kg NS/LR bolus, repeat PRN
Consider thrombolytics, anticoagulants
Expert consultation
Upper Airway Obstruction
Croup - CORRECT ANSWER-Nebulized epinephrine
& Answers 2024/2025
Hypovolemic Shock
Nonhemorrhagic - CORRECT ANSWER-20 ml/kg NS/LR, repeat as needed
consider colloid
Hypovolemic Shock
Hemorrhagic - CORRECT ANSWER-Control external bleeding
20 ml/kg NS/LR, repeat 2 or 3x as needed
Transfuse PRBCs as indicated
Distributive Shock
Septic - CORRECT ANSWER-Septic Shock Management Algorithm
Distributive Shock
Anaphylactic - CORRECT ANSWER-IM Epi (or autoinjector)
Fluid boluses (20 ml/kg NS/LR)
Albuterol
Antihistamines, corticosteroids
Epinephrine infusion
Distributive Shock
Neurogenic - CORRECT ANSWER-20 ml/kg NS/LR bolus, repeat PRN
Vasopressor
Cardiogenic Shock
, Bradyarrhythmia/Tachyarrythmia - CORRECT ANSWER-Bradycardia Management
Algorithm
Tachycardia with Poor Perfusion Managment Algorithm
Cardiogenic Shock
Other (CHD, myocarditis, cardiomyopathy, poisoning) - CORRECT ANSWER-5-10
ml/kg NS/LR bolus, repeat PRN
Vasoactive infusion
Consider expert consultation
Obstructive Shock
Ductal Dependent (LV Outflow Obstruction) - CORRECT ANSWER-Prostaglandin E1
Expert Consultation
Obstructive Shock
Tension Pneumothorax - CORRECT ANSWER-Needle Decompression
Tube Thoracostomy
Obstructive Shock
Cardiac Tamponade - CORRECT ANSWER-Pericardiocentesis
20 ml/kg NS/LR bolus
Obstructive Shock
Pulmonary Embolism - CORRECT ANSWER-20 mL/kg NS/LR bolus, repeat PRN
Consider thrombolytics, anticoagulants
Expert consultation
Upper Airway Obstruction
Croup - CORRECT ANSWER-Nebulized epinephrine
