PALS Test Questions with 100% Complete Solutions| Graded A+

Single Rescuer - Check for responsiveness Check pulse Infant: palpate brachial Child:palpate a carotid or femoral pulse Compression placement Infant: 2 fingers chest compression or 2 thumb encircling hand technique. Child: 1 or 2 hands mid chest compression Depth: Infant: 1/3 the AP diameter of the infant's check (1 1/2") Child: approximately 2" Rate: 100-120 Ratio: 30:2 Two or more Rescuer - Same Ratio: 15:2 If the infant or child has normal breathing and a pulse is felt... - monitor until emergency responders arrive If the infant or child is not breathing or is only gasping and pulse is felt - provide rescue breathing If there is no breathing or only gasping and a pulse is not felt - start CPR In pedi patients: what is the KEY? - Oxygenation and Ventilation Initial Assessment: 3 - Appearance, Work of Breathing, Circulation (color) Initial Assessment: Appearance - Degree of interactivity, muscle tone, verbal response, or cry Initial Assessment: Work of Breathing - Tripod or sniffing position, retraction, audible breath sounds Initial Assessment: Circulation (Color) - Skin color, pallor, rash or signs of bleeding Primary Assessment: 5 - ABCDE Primary Assessment: Airway - head tilt chin lift, oropharyngeal airway, nasopharyngeal airway, intubation Primary Assessment: Breathing - cardiac arrest, administer 100% oxygen. Primary Assessment: Circulation - IV/IO, glucose, temperature, perfusion issues Primary Assessment: Disability - AVPU = Alert, Responsive to Voice, Responsive to Pain, Unresponsive, Glasgow Coma Scale, Pupil response to light, blood sugar test Primary Assessment: Exposure - naked patient to look for trauma to body. back and perineal area too. AVPU - Alert, Responsive to Voice, Responsive to Pain, Unresponsive. Secondary Assessment - SAMPLE Signs and Symptoms Allergies Medication Past Medical History Last meal consumed Events leading up to arrest H&T - Hypovolemia Hypoxia Hydrogen Ion (acidosis) Hypo/Hyperkalemia Hypothermia Tension pneumothorax Tamponade (cardiac) Toxins Thrombosis (pulmonary) Thrombosis (coronary) 2 most common underlying and potentially reversible causes of PEA - Hypovolemia and Hypoxia 3 year old child with NC, in diaper, lying on mother's chest. Whats your assessment? Respiratory failure, lower airway obstruction Respiratory distress, lung tissue disease Respiratory failure, lung tissue disease. Respiratory distress, lower airway obstruction2 - Resp distress, lung tissue disease. 3 year old child with NC, in diaper, lying on mother's chest. Which intervention is important to do next? Administer nebulized epinephrine Prepare for intubation Administer IV antibiotics Begin rescue breathing - Administer IV antibiotics. What should the first rescuer arriving on the scene of an unresponsive infant or child do? Verify scene safety, shout for help, and activate the emergency response system. Shout for help, check for responsiveness, and activate the emergency response system. Shout for help, verify scene safety, and activate the emergency response system. Verify scene safety, check for responsiveness, shout for help, and activate the emergency. - Verify scene safety, check for responsiveness, shout for help, and activate the emergency. How long should assessing for breathing and checking for a pulse take? No longer than 15 sec. No longer than 20 sec. No longer than 10 sec. No longer than 5 sec. - No longer than 10 sec. If the AED indicated no shock advised, what should be the next action? Call for help. Check for a pulse. Start chest compressions. Give 2 rescue breaths. - Start chest compressions. What is the compression to breath ratio for 1 and 2 rescuer CPR for children and infants? 1 rescuer, 15:2; 2 rescuer, 30:2. 1 rescuer, 30:2.; 2 rescuer, 30:2. 1 rescuer, 30:2; 2 rescuer, 15:2. 1 rescuer, 15:2; 2 rescuer, 15:2. - 1 rescuer, 30:2; 2 rescuer, 15:2.