PALS CERTIFICATION COURSE 1 WITH THE FULL PACK SOLUTIONS

PALS CERTIFICATION
COURSE 1 WITH THE
FULL PACK SOLUTIONS




WhichBtopicsBareBincludedBinBtheBPALSBcourseB?B-BcorrectBanswer-
PALSBincludesBtheBfollowing:B
(1)BOverviewBofBassessment
(2)BRecognitionBandBmanagementBofBrespiratoryBdistressBandBfailure
(3)BRecognitionBandBmanagementBofBshock
(4)BRecognitionBandBmanagementBofBcardiacBarrhythmias
(5)BRecognitionBandBmanagementBofBcardiacBarrest
(6)BPostresuscitationBmanagementBofBpatientsBwithBpulmonaryBandBcardiacBarrest
(7)BReviewBofBpharmacology

WhatBshouldBbeBtheBprimaryBfocusBofBtheBclinicianBonBpreventionBofBcardiopulmon
aryBfailureB-BcorrectBanswer-
TheBclinicianBshouldBprimarilyBfocusBonBpreventionBofBcardiopulmonaryBfailureBthro
ughBearlyBrecognitionBandBmanagementBofBrespiratoryBdistress,BrespiratoryBfailure,
BandBshockBthatBcanBleadBtoBcardiacBarrestBfromBhypoxia,Bacidosis,BandBischemia.


WhatBisBtheBmainBcauseBofBcardiacBarrestsBinBchildren?B-BcorrectBanswer-
InBinfantsBandBchildren,BmostBcardiacBarrestsBresultBfromBprogressiveBrespiratoryBf
ailureBand/
orBshock,BthusBoneBofBtheBaimsBofBPALSBrapidBassessmentBmodelBisBtoBpreventBp
rogressionBtoBcardiacBarrest.

WhatBisBtheBpediatricBassessmentBtriangle?B-BcorrectBanswer-
BriefBvisualBandBauditoryBobservationBofBchild'sBoverallB(1)Bappearance,B(2)BworkBo
fBbreathing,B(3)Bcirculation

, WhatBareBtheBcomponentsBofBtheBprimaryBassessment?
BWhatBsignsBshouldBtheBclinicianBlookBfor?B-BcorrectBanswer-
TheBclinicianBshouldBinBrapidBsequenceBassess:
(1)BAirwayB(patent,BpatentBwithBmaneuvers/
adjuncts,BpartiallyBorBcompletelyBobstructed)
(2)BBreathingB(respiratoryBrate,Beffort,BtidalBvolume,BlungBsounds,BpulseBoximetry)
(3)BCirculationB(skinBcolorBandBtemperature,BheartBrateBandBrhythm,BbloodBpressur
e,BperipheralBandBcentralBpulses,BcapillaryBrefillBtime)
(4)BDisability:B(a)AVPUBpediatricBresponseBscale:BAlert,BVoice,BPain,BUnresponsive
;B(b)BPupillaryBresponseBtoBlight
(c)BPresenceBofBhypoglycemiaB(rapidBbedsideBglucoseBorBresponseBtoBempiricBad
ministrationBofBdextrose)B(d)BGlasgowBComaBScale

WhatBareBtheBcomponentsBofBtheBsecondaryBassessment?
BForBwhatBshouldBtheBclinicianBlookBforBduringBtheBsecondaryBassessment?B-
BcorrectBanswer-
ThisBportionBofBtheBevaluationBincludesBaBthoroughBheadBtoBtoeBphysicalBexaminati
on,BasBwellBasBaBfocusedBmedicalBhistoryBthatBconsistsBofBtheB"SAMPLE"Bhistory:

(S)BSignsBandBSymptomsB
(A)BAllergies
(M)BMedications
(P)BPastBmedicalBhistory
(L)BLastBmealB
(E)BEventsBleadingBtoBcurrentBillness

WhatBareBtheBcomponentsBofBtheBtertiaryBassessment?B-BcorrectBanswer-
InjuryBandBinfectionBareBcommonBcausesBofBlife-
threateningBillnessBinBchildren.BThus,BforBthisBstage,BancillaryBstudiesBareBfrequentl
yBdirectedBtowardsBidentifyingBtheBextentBofBtraumaBorBanBinfectiousBfocus.

ThereBareBmanyBcausesBofBacuteBrespiratoryBcompromiseBinBchildren.BTheBclinicia
nBshouldBstriveBtoBcategorizeBrespiratoryBdistressBorBfailureBintoBoneBorBmoreBofBth
eBfollowing:B-BcorrectBanswer-(1)BUpperBairwayBobstructionB(eg,Bcroup,Bepiglottitis)
(2)BLowerBairwayBobstructionB(eg,Bbronchiolitis,BstatusBasthmaticus)
(3)BLungBtissueB(parenchymal)BdiseaseB(eg,Bbronchopneumonia)
(4)BDisorderedBcontrolBofBbreathingB(eg,Bseizure,Bcoma,BmuscleBweakness)

WhatBisBtheBfocusBofBinitialBmanagementB-BcorrectBanswer-
TheBmainBfocusBofBinitialBmanagementBisBtoBsupportBairway,Bbreathing,BandBcircul
ation

HowBcanBtheBclinicianBsupportBtheBairway?B-BcorrectBanswer-
(1)BProvideB100BpercentBinspiredBoxygen
(2)BAllowBchildBtoBassumeBpositionBofBcomfortBorBmanuallyBopenBairway
(3)BClearBairwayB(suction)
(4)BInsertBanBairwayBadjunctBifBconsciousnessBisBimpairedB(eg,BnasopharyngealBair
wayBor,BifBgagBreflexBabsent,BoropharyngealBairway)