1. Which topics primary as- sessment? What signs should
are included the
in the PALS
course ?
2. What should
be the
primary fo-
cus of the
clin- ician on
preven- tion
of cardiopul-
monary
failure
3. What is the
main cause of
cardiac
arrests in chil-
dren?
4. What is the
pedi- atric
assessment
triangle?
5. What are the
components
of the
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45
, PALS Certification Course Study Test.
PALS includes the following: management of respiratory distress, respiratory failure, and shock that ca
(1) Overview of assessment lead to cardiac arrest from hypoxia, acidosis, and ischemia.
(2) Recognition and
management of respiratory
distress and failure
(3) Recognition and In infants and children, most cardiac arrests result from progressive
management of shock respiratory failure and/or shock, thus one of the aims of PALS rapid
(4) Recognition and assessment model is to prevent progression to cardiac arrest.
management of cardiac
arrhythmias
(5) Recognition and Brief visual and auditory observation of child's overall (1) appearance,
management of cardiac (2) work of breathing, (3) circulation
arrest
(6) Postresuscitation
management of patients with The clinician should in rapid sequence assess:
pulmonary and cardiac arrest
(1) Airway (patent, patent with maneuvers/adjuncts, partially or
(7) Review of pharmacology
completely ob- structed)
The clinician should primarily (2) Breathing (respiratory rate, ettort, tidal volume, lung sounds, pulse
oximetry)
focus on prevention of
(3) Circulation (skin color and temperature, heart rate and rhythm, blood
cardiopulmonary failure
pres-
through early recognition and
clinician look for? sure, peripheral and central pulses, capillary refill time)
(4) Disability: (a)AVPU pediatric response scale: Alert, Voice, Pain,
Unresponsive;
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, PALS Certification Course Study Test.
failure into one or more of the following:
6. What are the
components
of the
secondary as-
sessment? For
what should
the clinician
look for during
the sec-
ondary
assess- ment?
7. What are
the
components
of the
tertiary as-
sessment?
8. There are
many causes
of acute
respiratory
com- promise
in chil- dren.
The clini- cian
should strive to
categorize res-
piratory
distress or
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45
, PALS Certification Course Study Test.
(b) Pupillary response to lightSigns and Symptoms
(c) Presence of Allergies
hypoglycemia (rapid Medications
bedside glucose or Past medical history
response to empiric Last meal
administration of (E) Events leading to current illness
dextrose) (d) Glasgow
Coma Scale Injury and infection are common causes of life-threatening illness in
children. Thus, for this stage, ancillary studies are frequently directed
portion of the evaluation towards identifying the extent of trauma or an infectious focus.
includes a thorough head to
toe physical examina- tion,
as well as a focused (1) Upper airway obstruction (eg, croup, epiglottitis)
medical history that (2) Lower airway obstruction (eg, bronchiolitis, status asthmaticus)
consists of the "SAMPLE" (3) Lung tissue (parenchymal) disease (eg, bronchopneumonia)
history: (4) Disordered control of breathing (eg, seizure, coma, muscle weakness
9. The main focus of initial management is to support airway, breathing,
and circu- lation
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