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A PALS resuscitation team is preparing to defibrillate a child
experiencing cardiac arrest. For which rhythm(s) would this action be
appropriate?
VF and pVT are shockable cardiac arrest rhythms.
A provider is assessing a child with suspected shock. Which
statement correctly describes hypotension and shock?
Hypotension is not a consistent feature of shock;
A provider is caring for a 4-year-old child in the urgent care clinic.
Primary assessment reveals difficulty breathing and an oxygen
saturation of 91%. The provider administers oxygen by nasal cannula
with the goal of improving the child’s oxygen saturation above what
percentage?
Supplemental oxygen should be administered as needed to maintain
an oxygen saturation above 94%.
, An 11-year-old soccer player is brought to the emergency
department. After a quick assessment, the team realizes this patient
is experiencing a severe asthma exacerbation. Which medication
would the team administer first?
Albuterol plus ipratropium bromid
A child in the pediatric step-down unit is exhibiting signs of
respiratory distress. When assessing this child, which circulation
finding might be present?
Pallor is a circulation finding that may be seen in patients with
respiratory distress.
A healthcare provider is performing a primary assessment of a child
in respiratory distress. The provider documents increased work of
breathing when which findings are observed?
Nasal flaring, use of accessory muscles to breathe and intercostal,
substernal or suprasternal retractions are all indicators of increased
work or effort of breathing. Grunting and inspiratory stridor are
abnormal breath sounds.
An 11-year-old child develops unstable wide-complex tachycardia.
Assessment reveals signs of significant hemodynamic compromise,
but the child has a pulse. The PALS team would prepare the child for
which intervention?
First-line treatment for unstable wide-complex tachycardias consists of
synchronized electrical cardioversion, particularly when signs of
hemodynamic compromise are apparent.