Heartcode Pals Exam Questions And Answers

The infant is placed on the ambulance stretcher and responds with a groan when stimulated and has a temperature of 36.3 C (97.3 F) - Answer- -Monitor and support ABCs -Establish IV/IO access -Monitor heart rate, blood pressure, and pulse oximetry -Call for assistance if needed When you evaluate the patient, you find the lungs are clear, skin is cool and mottled, glucose is 97 mg/dL and capillary refill time is 5 seconds. What are the warning signs that the patient is progressing from compensated shock to hypotensive shock? - Answer- -Hypotension (late sign) -Increasing tachycardia The patient still has a blood pressure of 58/38 mm Hg. Her condition would be classified as ___________ shock. - Answer- Hypotensive What should be included in the initial treatment for this patient? - Answer- -Rapid fluid bolus administration -Establishing IV/IO access The mother does not recall the infant's most recent weight. What is the most appropriate way to rapidly determine her weight and calculate correct medication? - Answer- Measure her by using color-coded length-based tape You measure the infant to be 7 kg and prepare to administer a fluid bolus of what type? - Answer- Normal saline 20 mL/kg What is the most appropriate method of delivering rapid fluid boluses to this patient? - Answer- A syringe and 3-way stopcock 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? - Answer- Deliver a second fluid bolus of 20 mL/kg and reassess When should vasoactive therapy be considered be considered in managing distributive shock? - Answer- If the child remains hypotensive and poorly perfused despite rapid bolus fluid administration