PALS - WRITTEN TEST AND CASE STUDY REVIEW MATERIAL QUESTIONS AND 100% CORRECT ANSWERS 2024

PALS - WRITTEN TEST AND CASE
STUDY REVIEW MATERIAL QUESTIONS
AND 100% CORRECT ANSWERS 2024
CPRISequenceI-IANSWERIC-A-B

Circulation-Airway-Breathing



Algorithm:IPediatricISepticIShock

FirstIhour...I-IANSWERIOxygenI&IsupportIventilation

EstablishIIV,IdrawIlabsI(glucose,IbloodIcultures)

BeginIresuscitation



PushIrepeatedI20ImL/kgIisotonicIcrystalloidI(3-4)IunlessIrales,IrespIdistress,Ihepatomegaly



CorrectIhypo-glycemia/calcemia

AdminI1stIdoseIantibioticsISTAT

STATIvasopressorIdrip/stress-doseIhydrocortisone

EstablishI2ndIIV



Algorithm:IPediatricISepticIShock

FluidIResponsive?I-IANSWERIYesI-IICU

NoI-IVasoactiveIdrugI&ItitrateIforInormotension



Normo:IbeginIdopamine

Hypo/warm:Inorepi

Hypo/cold:Iepi



AdenosineI(slowsIHR)I-IANSWERISVT

0.1Img/kgI-IdoseI1

,0.2Img/kgI-IdoseI2

maxI=I6Img

RAPIDIpush



AmiodaroneI(antiarrythmic)I-IANSWERIVF/VTI(pulseless)

5Img/kgI

Bolus

maxI=I300Img



SVT,IVTI(withIpulses)

5Img/kgI

overI20-60Imins

maxI=I300Img



AtropineI(increasesIHR)I-IANSWERIBradycardia

0.02Img/kg

mayIrepeatIonce



EpinepherineI(increasesIHR)I-IANSWERIBradycardia/PulselessIArrest

0.01Img/kgI(1:10,000)IeveryI3-5Imin



HypotensiveIShock

0.1-1Imcg/kgIperImin



Anaphylaxis

0.01Img/kgIeveryI3-5Imin



Algorithm:IPediatricICardiacIArrestI-IANSWERIShoutIforIhelp

CPR

, Oxygen,IAED

IfInoIshockI-ICPRIforI2Imin,IIV,IEpiIqI3-5Imin,Ireassess

IfIshockI-Iafter...CPRIforI2Imin,IIV,Ireassess

IfI2ndIshockI-ICPRIforI2Imin,IEpiIqI3-5Imin,Ireassess

IfI3rdIshockI-ICPRIforI2Imin,IAmiodarone,ItreatIcause,Ireassess...

PostIResuscitationICare



ShockIDosesI-IANSWERI1stIshockI-I2Ij/kg

2ndIshockI-I4Ij/kg

MaxI10Ij/kg



ReversibleICausesIofIPediatricICardiacIArrestI(H&T's)

6IH'sI

(G,K,T,V,X,DRO)I-IANSWERI1.IHypo-Glycemia

2.IHypo/hyper-Kalemia

3.IHypo-Thermia

4.IHypo-Volemia

5.IHypo-Xia

6.IHyDROgenIionI(acidosis)



ReversibleICausesIofIPediatricICardiacIArrestI(H&T's)

5IT'sI

(A,E,HC,HP,O)I-IANSWERI1.ITamponade,Icardiac

2.ITensionIpneumothorax

3.IThrombosis,Icoronary

4.IThrombosis,Ipulmonary

5.IToxins



RescueIBreathsI-IANSWERI1IeveryI6-8Isecs