PALS Certification| 45 Questions| Correct Answers

Previously healthy infant w hx of vomting and diarrhea. Infant only responts to painful stimulation. RR is 40, central pulses rapid and weak. Good bilatearl breath sounds, cool extremities, and cap refill time > 5 seconds. BP 85/65 mm Hg, glucose 30 mg/dL. You give 100% O2 via face mask and start an IV. Which tx is the most appropriate? A. D10W 20 mL/kg bolus over 5 minutes B. LR solution 20 mL/kg bolus over 15 minutes C. D50W 0.45% NaCl 20 mL/kg bolus over 15 minutes D. Bolus of isotonic crystalloid 20 mL/kg over 5 - 20 minutes, and D25W2 to 4 mL/kg IV - ANSWER D. Bolus of isotonic crystalloid 20 mL/kg over 5 - 20 minutes, and D25W2 to 4 mL/kg IV Which statement is correct about endotracheal drug administration during resuscitative efforts for peds pt? A. It is the preferred route of drug administration B. it is the least desirable route of administration C. the IV drug dose should be used D. The drug does used is lower than the IV drug - ANSWER B. it is the least desirable route of administration Which statement is correct about the use of calcium chloride in peds patients? A. It has the same bioavailability of elemental Calcium as calcium gluconate B. it is indicated for hypercalcemia, hypokalemia, and hypomanesemia C. the recommended dose is 1 to 2 mg/kg D. Routine administration is not indicated during cardiac arrest - ANSWER D. Routine administration is not indicated during cardiac arrest You are part of a team attempting to resuscitate a child with V fib cardiac arrest. You gave 2 unsynchronized shocks. IO access is obtained, you give Epinephirne 0.01 mg/kg IO. At next rhythm check, persistent V fib. You administer 4-J/kg shock and resume CPR. What drug and dose should be administered next? A. Mag sulfrate 25 - 50 mg/kg IO B. Epinephirne 0.1 mg/kg IO