Competencies 2022 – PALS Questions
with Correct Answers 100%Pass
Shockable rhythms - ANSWER -ventricular fibrillation and pulseless ventricular
tachycardia.
Non-shockable rhythms - ANSWER -Asystole, PEA
Pediatric CPR - ANSWER -· Compressions greater than or equal to ½ of
anteroposterior diameter of chest
· 100-120/min, allowing for full recoil
· If no advanced airway, 15:2 compression:ventilation ratio
· If advanced airway, continuous compressions w breath every 2-3 sec
VF/Pulseless VT initial treatment - ANSWER -IV, O2, monitor, CPR
SHOCK (weight based)
Pediatric shock doses - ANSWER -First shock 2J/kg
Second shock 4 J/kg
MAX: 10J/kg
After first shock... - ANSWER -· Immediately continue CPR, establish IV/IO access
After 2min...rhythm shockable? - ANSWER -o If yes, shock and give epi q3-5min
o If no, and no ROSC, continue CPR + epi
Pediatric Epi dose - ANSWER -o 0.01mg/kg (0.1ml/kg of 0.1mg/ml concentration)
o Can give endotracheal dose of 0.1mg/kg (0.1 ml/kg of 1mg/ml concentration)
Next rhythm check: if rhythm shockable... - ANSWER -Amiodarone or lidocaine
Pediatric amiodarone dose - ANSWER -5mg/kg bolus
May repeat up to 3 total doses for refractory VF/pulseless VT
with Correct Answers 100%Pass
Shockable rhythms - ANSWER -ventricular fibrillation and pulseless ventricular
tachycardia.
Non-shockable rhythms - ANSWER -Asystole, PEA
Pediatric CPR - ANSWER -· Compressions greater than or equal to ½ of
anteroposterior diameter of chest
· 100-120/min, allowing for full recoil
· If no advanced airway, 15:2 compression:ventilation ratio
· If advanced airway, continuous compressions w breath every 2-3 sec
VF/Pulseless VT initial treatment - ANSWER -IV, O2, monitor, CPR
SHOCK (weight based)
Pediatric shock doses - ANSWER -First shock 2J/kg
Second shock 4 J/kg
MAX: 10J/kg
After first shock... - ANSWER -· Immediately continue CPR, establish IV/IO access
After 2min...rhythm shockable? - ANSWER -o If yes, shock and give epi q3-5min
o If no, and no ROSC, continue CPR + epi
Pediatric Epi dose - ANSWER -o 0.01mg/kg (0.1ml/kg of 0.1mg/ml concentration)
o Can give endotracheal dose of 0.1mg/kg (0.1 ml/kg of 1mg/ml concentration)
Next rhythm check: if rhythm shockable... - ANSWER -Amiodarone or lidocaine
Pediatric amiodarone dose - ANSWER -5mg/kg bolus
May repeat up to 3 total doses for refractory VF/pulseless VT
