Heartcode PALS
After 2 more minutes of CPR, you notice the patient is moving and his skin color improves. his
vital signs are 114 RR 8/min and temperature 37.9 C (100.2 F). The infant is still slow to
respond but is moving.
What should be the next steps for this patient? - questions and answers--Continue oxygen
-Obtain expert consultation
-Support ABC's
-Identify and treat underlying causes
After synchronized cardioversion of 6 J, the patient remains in a supraventricular tachycardia. A
second synchronized cardioversion.
What is the recommended energy selection? - questions and answers-12 J
After the chest tube is inserted, the patient's breathing and oxygenation are improved. Her vital
signs are HR 98/min, BP 108/72 mm Hg, RR 18/min, SpO2 98%.
How should proper chest tube placement be confirmed? - questions and answers-Obtain a
chest x-ray
After the first fluid bolus is administered, the child is reassessed and her vital signs are HR 167,
BP 58/44 mm Hg, RR 56/min and SpO2 92%. Her skin is still cool and pale and she is still
lethargic and weak.
What should be the next intervention? - questions and answers-Deliver a second fluid bolus of
20 mL/kg and reassess
After you attempt a vagal maneuver , the infrant's vital signs are HR 261/min, BP 72/50, RR
46/mm, SpO2 96% and he is crying. A 12 lead ECG is taken. What actions should be taken
next? (IMG_8684) - questions and answers-Administer adenosine
Ausculating the patient's lungs demonstrates clear lung sounds on the left but absent lung
sounds on the right.
What is the most likely diagnosis for this patient? - questions and answers-Tension
pneumothorax
Based on the child's blood pressure, what type of shock is the patient in? - questions and
answers-Hypotensive
CPR has been ongoing and IV access has been established. A pulse and rhythm check are
done. He has the rhythm.
, What intervention would be most appropriate at this time? - questions and answers-Administer
epinephrine
During the initial assessment, you find that the infant is unresponsive and has an HR of less
than 60/min.
What should be your next action? - questions and answers-Begin CPR
For general shock management, administer an isotonic crytalloid bolus of __ mL/kg over __ to
__ minutes - questions and answers-For general shock management, administer an isotonic
crytalloid bolus of 20 mL/kg over 5 to 20 minutes
For septic shock, how soon should fluid resuscitation begin? - questions and answers-Within 10
to 15 minutes after recognizing shock
For stable patients with a regular wide complex, and monomorphic tachycardia consider: -
questions and answers-Adenosine
How are tachycardia and tacharrhythmias classifed? - questions and answers-By the width of
the QRS complex
How do you know if a needle decompression is successful? - questions and answers-There is
gush of air when the needle is placed
How does the clinical presentation of distributive shock compare with hypovolemic shock? -
questions and answers-Distributive shock has more variable presentation than that of
hypovolemic shock
How is bradycardia defined in pediatric patients? - questions and answers-A heart rate that is
slow in comparison with a normal heart rate range for the child's age, level of activity and clinical
condition.
How is tachycardia defined in pediatric patients? - questions and answers-A heart rate that is
fast compared with the normal heart rate for the child's age
How should appropriate endotracheal tube placement be confirmed? - questions and
answers-End-tidal carbon dioxide or capnography
How should sinus tachycardia be treated? - questions and answers-By treating the underlying
cause
How soon after exposure do symptoms typically occur in anaphylactic shock? - questions and
answers-Seconds to minutes
After 2 more minutes of CPR, you notice the patient is moving and his skin color improves. his
vital signs are 114 RR 8/min and temperature 37.9 C (100.2 F). The infant is still slow to
respond but is moving.
What should be the next steps for this patient? - questions and answers--Continue oxygen
-Obtain expert consultation
-Support ABC's
-Identify and treat underlying causes
After synchronized cardioversion of 6 J, the patient remains in a supraventricular tachycardia. A
second synchronized cardioversion.
What is the recommended energy selection? - questions and answers-12 J
After the chest tube is inserted, the patient's breathing and oxygenation are improved. Her vital
signs are HR 98/min, BP 108/72 mm Hg, RR 18/min, SpO2 98%.
How should proper chest tube placement be confirmed? - questions and answers-Obtain a
chest x-ray
After the first fluid bolus is administered, the child is reassessed and her vital signs are HR 167,
BP 58/44 mm Hg, RR 56/min and SpO2 92%. Her skin is still cool and pale and she is still
lethargic and weak.
What should be the next intervention? - questions and answers-Deliver a second fluid bolus of
20 mL/kg and reassess
After you attempt a vagal maneuver , the infrant's vital signs are HR 261/min, BP 72/50, RR
46/mm, SpO2 96% and he is crying. A 12 lead ECG is taken. What actions should be taken
next? (IMG_8684) - questions and answers-Administer adenosine
Ausculating the patient's lungs demonstrates clear lung sounds on the left but absent lung
sounds on the right.
What is the most likely diagnosis for this patient? - questions and answers-Tension
pneumothorax
Based on the child's blood pressure, what type of shock is the patient in? - questions and
answers-Hypotensive
CPR has been ongoing and IV access has been established. A pulse and rhythm check are
done. He has the rhythm.
, What intervention would be most appropriate at this time? - questions and answers-Administer
epinephrine
During the initial assessment, you find that the infant is unresponsive and has an HR of less
than 60/min.
What should be your next action? - questions and answers-Begin CPR
For general shock management, administer an isotonic crytalloid bolus of __ mL/kg over __ to
__ minutes - questions and answers-For general shock management, administer an isotonic
crytalloid bolus of 20 mL/kg over 5 to 20 minutes
For septic shock, how soon should fluid resuscitation begin? - questions and answers-Within 10
to 15 minutes after recognizing shock
For stable patients with a regular wide complex, and monomorphic tachycardia consider: -
questions and answers-Adenosine
How are tachycardia and tacharrhythmias classifed? - questions and answers-By the width of
the QRS complex
How do you know if a needle decompression is successful? - questions and answers-There is
gush of air when the needle is placed
How does the clinical presentation of distributive shock compare with hypovolemic shock? -
questions and answers-Distributive shock has more variable presentation than that of
hypovolemic shock
How is bradycardia defined in pediatric patients? - questions and answers-A heart rate that is
slow in comparison with a normal heart rate range for the child's age, level of activity and clinical
condition.
How is tachycardia defined in pediatric patients? - questions and answers-A heart rate that is
fast compared with the normal heart rate for the child's age
How should appropriate endotracheal tube placement be confirmed? - questions and
answers-End-tidal carbon dioxide or capnography
How should sinus tachycardia be treated? - questions and answers-By treating the underlying
cause
How soon after exposure do symptoms typically occur in anaphylactic shock? - questions and
answers-Seconds to minutes
