PALS skills exam questions with
complete solutions5
CPR rate, depth, how often to change - ANSWERS-100-120 bpm, > 1/2 AP diameter of chest,
every 2 mins
Compression-ventilation ratio for 2 rescuer pediatric CPR without advanced airway - ANSWERS-
15:2
Compression-ventilation ratio for 2 rescuer pediatric CPR with advanced airway - ANSWERS-Give
a breath every 2-3 seconds
Iniitial and subsequent shocks for defibrillation - ANSWERS-2 J/kg first shock, 4 J/kg 2nd shock, >
4 J/kg to max 10 J/kg
epinephrine dose IV/IO, max dose, how often - ANSWERS-0.01 mg/kg of the 0.1 mg/ml
concentration (max dose 1 mg), q 3-5 mins
What is amiodarone given for, dose? - ANSWERS-refractory VF, pulseless VT, 5 mg/kg bolus
Dose for lidocaine - ANSWERS-1 mg/kg loading dose
What is used to confirm ET tube placement - ANSWERS-capnography
What are the 6 Hs and how to recall them? - ANSWERS-Think about VS and labs: hypoxia,
hypovolemia, hypothermia, hypo/hyperkalemia, hypoglycemia, hydrogen ion (acidosis)
, What are the 5 Ts? - ANSWERS-Tension pneumothorax, tamponade cardiac, Toxins, Thrombosis
pulmonary/cardiac
What is the formula for calculating the inside diameter (ID) of an uncuffed endotracheal tube
based on age? - ANSWERS-(16 + age in years) / 4
What is the formula for calculating the inside diameter (ID) of a cuffed endotracheal tube based
on age? - ANSWERS-16 + age in years / 3.5
First steps if patient found down - ANSWERS-1. Bag-mask ventilation and give oxygen
2. Attach monitor/ defibrillator: identify rhythm
What does rhythm for VF look like? - ANSWERS-
What is the treatment for VF/ pVT - ANSWERS-1. Give a shock immediately
2. Give CPR for 2 minutes
3. Get IV access, consider advanced airway
4. Check the rhythm: if shockable, shock, resume CPR, give epi q 3-5 mins
SHOCK-CPR-SHOCK-CPR-EPI Q 3-5
What should you do if VF, pVT not resolving with shock/cpr/shock/cpr/epi - ANSWERS-Consider
Hs and Ts (hypovolemia, hypoxia, hyperthermia, hypoglycemia, hyper/hypokalemia; tension
pneumo, toxins, tamponade, thrombosis- card/pulm
What conditions are on the cardiac arrest algorithm? - ANSWERS-VF/p VT (shockable), asystole,
PEA
What does ventricular tachycardia look like on ECG? - ANSWERS-
complete solutions5
CPR rate, depth, how often to change - ANSWERS-100-120 bpm, > 1/2 AP diameter of chest,
every 2 mins
Compression-ventilation ratio for 2 rescuer pediatric CPR without advanced airway - ANSWERS-
15:2
Compression-ventilation ratio for 2 rescuer pediatric CPR with advanced airway - ANSWERS-Give
a breath every 2-3 seconds
Iniitial and subsequent shocks for defibrillation - ANSWERS-2 J/kg first shock, 4 J/kg 2nd shock, >
4 J/kg to max 10 J/kg
epinephrine dose IV/IO, max dose, how often - ANSWERS-0.01 mg/kg of the 0.1 mg/ml
concentration (max dose 1 mg), q 3-5 mins
What is amiodarone given for, dose? - ANSWERS-refractory VF, pulseless VT, 5 mg/kg bolus
Dose for lidocaine - ANSWERS-1 mg/kg loading dose
What is used to confirm ET tube placement - ANSWERS-capnography
What are the 6 Hs and how to recall them? - ANSWERS-Think about VS and labs: hypoxia,
hypovolemia, hypothermia, hypo/hyperkalemia, hypoglycemia, hydrogen ion (acidosis)
, What are the 5 Ts? - ANSWERS-Tension pneumothorax, tamponade cardiac, Toxins, Thrombosis
pulmonary/cardiac
What is the formula for calculating the inside diameter (ID) of an uncuffed endotracheal tube
based on age? - ANSWERS-(16 + age in years) / 4
What is the formula for calculating the inside diameter (ID) of a cuffed endotracheal tube based
on age? - ANSWERS-16 + age in years / 3.5
First steps if patient found down - ANSWERS-1. Bag-mask ventilation and give oxygen
2. Attach monitor/ defibrillator: identify rhythm
What does rhythm for VF look like? - ANSWERS-
What is the treatment for VF/ pVT - ANSWERS-1. Give a shock immediately
2. Give CPR for 2 minutes
3. Get IV access, consider advanced airway
4. Check the rhythm: if shockable, shock, resume CPR, give epi q 3-5 mins
SHOCK-CPR-SHOCK-CPR-EPI Q 3-5
What should you do if VF, pVT not resolving with shock/cpr/shock/cpr/epi - ANSWERS-Consider
Hs and Ts (hypovolemia, hypoxia, hyperthermia, hypoglycemia, hyper/hypokalemia; tension
pneumo, toxins, tamponade, thrombosis- card/pulm
What conditions are on the cardiac arrest algorithm? - ANSWERS-VF/p VT (shockable), asystole,
PEA
What does ventricular tachycardia look like on ECG? - ANSWERS-
