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Paediatric Als Quiz And Answers

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2024/2025 Written for academic year
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Course PAEDIATRIC NURSING
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Lorazepam/midazolam dosing - Answers-Lorazepam/midazolam 0.1-0.2mg/kg IV/IO/IM (wait 5 min for effect) OR 0.3mg/kg buccally (wait 10 min for effect) Adrenaline dosing (cardiac arrest situation) - Answers-0.1mL/kg or 1:10,000 adrenaline Glucose dosing (hypoglycaemia) - Answers-2-2.5mL/kg of 10% glucose (vs. 50% glucose) Normal RR for children - Answers-Age (yrs): RR 1 : 30-40 1-2 : 25-35 2-5: 25-30 5-12: 20-25 12: 15-20

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PAEDIATRIC ALS QUIZ AND ANSWERS.
What are the three main differences between paediatric and adult ALS? - Answers-1.
Drugs (doses)
2. Ratio of compressions to breaths (15:2)
3. Joules for defibrillation (4 joules/kg)

ALS pathway for infants + children - Answers-1. CPR (15:2)
2. Attach defibrillator/monitor
3. Ax Rhythm
4a. Shockable --> shock + CPR (2 mins)
4b. Non-shockable --> adrenaline + CPR (2 mins)
5a. Return of spontaneous circulation --> post-resuscitation care
5b. NO return of spontaneous circultaion --> step 3 (Ax rhythm)

WET FLAG
(Quick determination of weight-based drugs & equipment for APLS in paeds) - Answers-
W - weight (formula)
E - electricity for defibrillation
T - tube size (ETT)

F - fluid dosing
L - lorazepam/midazolam dosing
A - adrenaline dosing
G - glucose dosing

Weight - Answers-General formula
Est. wt = (age + 4) x 2

'Larger' countries
Est. wt = (age x 3) + 7

Otherwise, ask parents/Broselow tape

Electricity - Answers-Generally Defibrillation = 4 joules/kg
- You may need to go higher
- AEDs can be used for kids

Endotracheal tube size - Answers-Size:
- Birth (at Term) = Size 3.5 (+/-0.5)
- 1 year approximately size 4.0 tube
- Beyond 1 year = Age / 4 + 4

Endotracheal tube length - Answers-Length:
- At birth = 9cm

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