AHA PALS PRECOURSE ASSESSMENT
L
COMPLETE DETAILED CASE STUDY
- SVT converting to sinus rhythm after adenosine administration
- Sinus bradycardia
- Sinus bradycardia - version 2
- Normal sinus rhythm
- Asystole
- Wide complex tachycardia
- Wide complex tachycardia - version 2
- Torsades de pointes
- Supraventricular tachycardia
- VF with successful defib and resumption of organized rhythm
- Pulseless electrical activity
- Ventricular fibrillation
, - Sinus tachycardia
Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV -
A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency
department by her parents. During your assessment, you find that the infant responds only to painful
stimulation. The infant's respiratory rate is 40 breaths per minute, and central pulses are rapid and weak.
The infant has good bilateral breath sounds, cool extremities, and a capillary refill time of more than 5
seconds. The infant's blood pressure is 85/65 mmHg, and glucose is 30 mg/dL (1.65 mmol/L). You
administer 100% oxygen via face mask and start an IV. Which treatment is most appropriate for this
infant?
Albuterol (duh) - A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress.
The patient is speaking in short phrases and tells you that he has asthma but does not carry an inhaler.
He has nasal flaring, severe suprasternal and intercostal retractions, and decreased air movement with
prolonged expiratory time and wheezing. You administer 100% oxygen by a nonrebreathing mask. His
spO2 is 92%. Which med do you prepare to give to this patient?
Rapid bolus of 20ml/kg of isotonic crystalloid - Paramedics are called to the home of a 1yo child. Their
initial assessment reveals a child who responds only to painful stimuli and has irregular breathing, faint
central pulses, bruises over the abdomen, abdominal distention, and cyanosis. Bag-mask ventilation with
100% oxygen is initiated. The child's heart rate is 36/min. Peripheral pulses cannot be palpated, and
central pulses are barely palpable. The cardiac monitor shows sinus bradycardia. Two-rescuer CPR is
started. Upon arrival to the emergency department, the child is intubated and ventilated with 100%
oxygen, and IV access is established. The heart rate is now 150/min with weak central pulses but no
distal pulses. Systolic blood pressure is 74 mmHg. Which intervention should be provided next?
Epinephrine - You are called to help treat an infant with severe symptomatic bradycardia (heart rate
66/min) associated with respiratory distress. The bradycardia persists despite establishment of an
effective airway, oxygenation, and ventilation. There is no heart block present. Which is the first drug you
should administer?
Routine administration is not indicated during cardiac arrest - Which statement is correct about the use
of calcium chloride in pediatric patients?
It is the least desirable route of administration - Which statement is correct about endotracheal drug
administration during resuscitative efforts for pediatric patients?
L
COMPLETE DETAILED CASE STUDY
- SVT converting to sinus rhythm after adenosine administration
- Sinus bradycardia
- Sinus bradycardia - version 2
- Normal sinus rhythm
- Asystole
- Wide complex tachycardia
- Wide complex tachycardia - version 2
- Torsades de pointes
- Supraventricular tachycardia
- VF with successful defib and resumption of organized rhythm
- Pulseless electrical activity
- Ventricular fibrillation
, - Sinus tachycardia
Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV -
A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency
department by her parents. During your assessment, you find that the infant responds only to painful
stimulation. The infant's respiratory rate is 40 breaths per minute, and central pulses are rapid and weak.
The infant has good bilateral breath sounds, cool extremities, and a capillary refill time of more than 5
seconds. The infant's blood pressure is 85/65 mmHg, and glucose is 30 mg/dL (1.65 mmol/L). You
administer 100% oxygen via face mask and start an IV. Which treatment is most appropriate for this
infant?
Albuterol (duh) - A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress.
The patient is speaking in short phrases and tells you that he has asthma but does not carry an inhaler.
He has nasal flaring, severe suprasternal and intercostal retractions, and decreased air movement with
prolonged expiratory time and wheezing. You administer 100% oxygen by a nonrebreathing mask. His
spO2 is 92%. Which med do you prepare to give to this patient?
Rapid bolus of 20ml/kg of isotonic crystalloid - Paramedics are called to the home of a 1yo child. Their
initial assessment reveals a child who responds only to painful stimuli and has irregular breathing, faint
central pulses, bruises over the abdomen, abdominal distention, and cyanosis. Bag-mask ventilation with
100% oxygen is initiated. The child's heart rate is 36/min. Peripheral pulses cannot be palpated, and
central pulses are barely palpable. The cardiac monitor shows sinus bradycardia. Two-rescuer CPR is
started. Upon arrival to the emergency department, the child is intubated and ventilated with 100%
oxygen, and IV access is established. The heart rate is now 150/min with weak central pulses but no
distal pulses. Systolic blood pressure is 74 mmHg. Which intervention should be provided next?
Epinephrine - You are called to help treat an infant with severe symptomatic bradycardia (heart rate
66/min) associated with respiratory distress. The bradycardia persists despite establishment of an
effective airway, oxygenation, and ventilation. There is no heart block present. Which is the first drug you
should administer?
Routine administration is not indicated during cardiac arrest - Which statement is correct about the use
of calcium chloride in pediatric patients?
It is the least desirable route of administration - Which statement is correct about endotracheal drug
administration during resuscitative efforts for pediatric patients?
