10 seconds - answerA 6 month old infant is unresponsive. You begin checking for breathing at the
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same time you check for the infants pulse. Which is the maximum time you should spend when
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trying to simultaneously check for breathing and palpate the infants pulse before starting CPR?
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Disordered Control of Breathing - answerA 4 year old child is brought to the emergency department
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for seizures. The seizures stopped a few minutes ago, but the child continues to have slow and
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irregular respirations. Which condition is most consistent with your assessment?
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blood glucose - answerAn 8 year old child is brought to the emergency department with a 2 day
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history of lethargy and polyuria. The child has new onset rapid, deep, and labored breathing.
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Which diagnostic test should you order first?
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Reposition the patient, and insert an oral airway - answerAfter rectal administration of diazepam,
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an 8 year old boy with a history of seizures is no unresponsive to painful stimuli. His
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respirations are shallow, at a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen.
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On examination, the child is snoring with poor chest rise and poor air entry bilaterally. What
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action should you take next?
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Provide bag mask ventilation - answerAfter rectal administration of diazepam, an 8 year old boy
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with a history of seizures is no unresponsive to painful stimuli. His respirations are shallow, at
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a rate of 10/min. His Oxygen saturation is 94% on 2L of NC oxygen. On examination, the child
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is snoring with poor chest rise and poor air entry bilaterally. After repositioning the patient and
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you insert an Oral airway, the patient continues to deteriorate. What next step is the most
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appropriate?
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15:2 - answerA 6 year old child is found unresponsive, not breathing, and without a pulse. one
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health care worker leaves to activate the emergency response system and get the resuscitation
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equipment. You and another healthcare provider immediatly begin CPR. Which compression to
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ventilation ratio do you use?
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94%-99% - answerIn post resuscitation management after cardiac arrest, extra care should be
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taken to avoid repercussion injury. what should the ideal oxygen saturation range most likely
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be?
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, "resume compressions" - answerA 3 year old child is in cardiac arrest, and high quality CPR is in
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progress. You are the team leader. The first rhythm check reveals the rhythm shown here.
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Defibrillation is attempted with a shock dose of 2 J/kg. after administration of the shock, what
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should you say to you team members?
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2-4 J/kg - answerA 4 year old child in cardiac arrest is brought to the emergency department by
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ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm strip
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shown here. The estimated weight of the child is 20 kg. What dose range should you use for
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the initial defibrillation?
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40 Joules - answerA 4 year old child in cardiac arrest is brought to the emergency department
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by ambulance. High quality CPR is being performed. The cardiac monitor displays the rhythm
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strip shown here. The estimated weight of the child is 20 kg. As the team leader, how many
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joules do you tell your team member to use to perform initial Defib?
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Allowing complete chest wall recoil after each compression - answerYou are the team leader during a
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pediatric resuscitation attempt. which action is an element of high quality CPR?
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blood pressure - answerYou are caring for a 3 month old boy with a 2 day history of fever,
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vomiting and diarrhea. His parents state that he has been sleeping much more. His HR is
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190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min
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and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5 seconds,
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and he has mottled, cool extremities. The infant weighs 6 Kg. Which assessment finding
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indicates that the infant is in hypotensive shock?
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hypovolemic shock - answerYou are caring for a 3 month old boy with a 2 day history of fever,
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vomiting and diarrhea. His parents state that he has been sleeping much more. His HR is
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190/min, temp is 38.3 degrees C (101 F) blood pressure is 59/29 mmHg, Resp rate is 70/min
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and shallow, and oxygen sat is 94% on 100% oxygen. His capillary refills time is 4-5 seconds,
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and he has mottled, cool extremities. The infant weighs 6 Kg. On the basis of this infants
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presentation, which type of shock does this infant have?
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20 ml/kg normal saline - answerYou are caring for a 3 month old boy with a 2 day history of
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fever, vomiting and diarrhea. His parents state that he has been sleeping much more. His HR is
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190/min, temp
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