PALS Algorithms Best Exam Questions & Answers 2024/2025

PALS Algorithms Best Exam Questions
& Answers 2024/2025

Hypovolemic Shock

Nonhemorrhagic - CORRECT ANSWER-20 ml/kg NS/LR, repeat as needed

consider colloid



Hypovolemic Shock

Hemorrhagic - CORRECT ANSWER-Control external bleeding

20 ml/kg NS/LR, repeat 2 or 3x as needed

Transfuse PRBCs as indicated



Distributive Shock

Septic - CORRECT ANSWER-Septic Shock Management Algorithm



Distributive Shock

Anaphylactic - CORRECT ANSWER-IM Epi (or autoinjector)

Fluid boluses (20 ml/kg NS/LR)

Albuterol

Antihistamines, corticosteroids

Epinephrine infusion



Distributive Shock

Neurogenic - CORRECT ANSWER-20 ml/kg NS/LR bolus, repeat PRN

Vasopressor



Cardiogenic Shock

, Bradyarrhythmia/Tachyarrythmia - CORRECT ANSWER-Bradycardia Management
Algorithm

Tachycardia with Poor Perfusion Managment Algorithm



Cardiogenic Shock

Other (CHD, myocarditis, cardiomyopathy, poisoning) - CORRECT ANSWER-5-10
ml/kg NS/LR bolus, repeat PRN

Vasoactive infusion

Consider expert consultation



Obstructive Shock

Ductal Dependent (LV Outflow Obstruction) - CORRECT ANSWER-Prostaglandin E1

Expert Consultation



Obstructive Shock

Tension Pneumothorax - CORRECT ANSWER-Needle Decompression

Tube Thoracostomy



Obstructive Shock

Cardiac Tamponade - CORRECT ANSWER-Pericardiocentesis

20 ml/kg NS/LR bolus



Obstructive Shock

Pulmonary Embolism - CORRECT ANSWER-20 mL/kg NS/LR bolus, repeat PRN

Consider thrombolytics, anticoagulants

Expert consultation



Upper Airway Obstruction

Croup - CORRECT ANSWER-Nebulized epinephrine