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Terms in this set (48)
You are caring for a child who Epinephrine IV
was resuscitated after a
drowning event. The child is
intubated and ventilated with
100% oxygen with equal
breath sounds and exhaled
CO2 detected. The heart rate
is slow and the monitor
shows sinus bradycardia. The
skin is cool, mottled, and
moist; distal pulses are not
palpable and the central
pulses are weak. Intravenous
access has been established.
The core temperature is
37.3oC. Based on the PALS
bradycardia algorithm, which
of the following should be
provided first?
Epinephrine IV
Transcutaneous pacing
Atropine IV
Dobutamine IV infusion
,You are caring for a 5year-old Provide synchronized cardioversion at 0.5 to 1 J/kg
patient with supraventricular
tachycardia (heart rate =
220/min). The child is
lethargic. The skin is pale and
cool with delayed capillary
refill. Distal pulses are not
palpable. Which of the
following would be the best
treatment to provide
without delay?
Place cold packs on the
distal upper and lower
extremities
Ask the child to blow
through a small straw Exert
light pressure on the eyes
bilaterally
Provide synchronized
cardioversion at 0.5 to 1
J/kg
,You are initiating treatment Administer repeated fluid boluses of isotonic crystalloid
for a child with septic shock
and hypotension. While
administering high-flow
oxygen you determine
that the child's respirations
are adequate and SpO2 is
100%. You have just
established vascular access
and obtained blood samples.
Which of the following is the
next most appropriate
therapy to support systemic
perfusion?
Administer repeated fluid
boluses of isotonic colloid
Administer repeated fluid
boluses of isotonic crystalloid
Begin immediate
dopamine infusion Begin
immediate dobutamine
infusion
, You are treating an 8year-old Consider possible metabolic and toxicologic causes
with ventricular tachycardia
with pulses and adequate
perfusion. You attempted
synchronized cardioversion
without success. While
seeking expert consultation,
it would be most appropriate
to:
Administer a loading dose of
milrinone Consider possible
metabolic and toxicologic
causes
Initiate overdrive pacing
transcutaneously
Deliver an unsynchronized
shock