PALS 2023 ARRHYTHMIAS (Graded A+)

Whenever a child has an abnormal heart rate or rhythm, you must quickly determine? correct answers Determine if the arrhythmia is causing hemodynamic instability or other signs of deterioration. What are the signs of instability in a patient with arrhythmias? correct answers Respiratory distress or failure Shock with poor end-organ perfusion, may occur with or without hypotension Irritability or decreased level of consciousness Irritability or decreased level of consciousness chest pain or vague feeling of discomfort in older children sudden collapse Priorities in initially managing arrhythmias are? correct answers The same as they are for all critically ill children: Support ABC and treat underlying cause Bradycardia correct answers A heart rate that is slow in comparison with a normal heart rate range for the childs age, level of activity and clinical condition What is the leading cause of symptomatic bradycardia in children? correct answers Tissue hypoxia Symptomatic Bradycardia correct answers Heart rate below 60/min associated with cardiopulmonary compromise