HEART CODE PALS SHOCK NEWEST FINAL SUMMARIES UPDATED FOR 2025
ACTUAL QUESTIONS WITH 100% VERIFIED SOLUTIONS 2023-2025
The infant is placed on the ambulance stretcher and responds with a groan when stimulated
and has a temperature of 36.3 C (97.3 F)
-Monitor and support ABCs
-Establish IV/IO access
-Monitor heart rate, blood pressure, and pulse oximetry
-Call for assistance if needed
When you evaluate the patient, you find the lungs are clear, skin is cool and mottled, glucose is
97 mg/dL and capillary refill time is 5 seconds. What are the warning signs that the patient is
progressing from compensated shock to hypotensive shock?
-Hypotension (late sign)
-Increasing tachycardia
The patient still has a blood pressure of 58/38 mm Hg. Her condition would be classified as
___________ shock.
Hypotensive
What should be included in the initial treatment for this patient?
-Rapid fluid bolus administration
-Establishing IV/IO access
The mother does not recall the infant's most recent weight. What is the most appropriate way
to rapidly determine her weight and calculate correct medication?
Measure her by using color-coded length-based tape
,You measure the infant to be 7 kg and prepare to administer a fluid bolus of what type?
Normal saline 20 mL/kg
What is the most appropriate method of delivering rapid fluid boluses to this patient?
A syringe and 3-way stopcock
After the first fluid bolus is administered, the child is reassessed and her vital signs are HR 167,
BP 58/44 mm Hg, RR 56/min and SpO2 92%. Her skin is still cool and pale and she is still
lethargic and weak.
What should be the next intervention?
Deliver a second fluid bolus of 20 mL/kg and reassess
When should vasoactive therapy be considered be considered in managing distributive shock?
If the child remains hypotensive and poorly perfused despite rapid bolus fluid administration
How does the clinical presentation of distributive shock compare with hypovolemic shock?
Distributive shock has more variable presentation than that of hypovolemic shock
For general shock management, administer an isotonic crytalloid bolus of __ mL/kg over __ to
__ minutes
For general shock management, administer an isotonic crytalloid bolus of 20 mL/kg over 5 to 20
minutes
What signs distinguish anaphylactic shock from other types of shock?
, -Angioedema (swelling of the face, lips and tongue)
-Urticaria (hives)
-Respiratory distress with stridor, wheezing or both
in a child with anaphylactic shock, what is the most appropriate initial treatment?
IM epinephrine
How soon after exposure do symptoms typically occur in anaphylactic shock?
Seconds to minutes
What should you evaluate to recognize septic shock?
-Temp
-Heart rate
-Systemic perfusion
-Blood pressure
-Clinical signs of end-organ perfusion
When should antibiotics be administered in septic shock?
Within the first hour
What are the initial assessment findings for septic shock?
-Fever
-Hypothermia
-Normal, elevated or decreased WBC
For septic shock, how soon should fluid resuscitation begin?
Within 10 to 15 minutes after recognizing shock
What is the recommendation for fluid bolus of isotonic crystalloids in cardiogenic shock?
5 to 10 mL/kg over 10 to 20 minutes
What is the focus of the initial management of distributive shock?
ACTUAL QUESTIONS WITH 100% VERIFIED SOLUTIONS 2023-2025
The infant is placed on the ambulance stretcher and responds with a groan when stimulated
and has a temperature of 36.3 C (97.3 F)
-Monitor and support ABCs
-Establish IV/IO access
-Monitor heart rate, blood pressure, and pulse oximetry
-Call for assistance if needed
When you evaluate the patient, you find the lungs are clear, skin is cool and mottled, glucose is
97 mg/dL and capillary refill time is 5 seconds. What are the warning signs that the patient is
progressing from compensated shock to hypotensive shock?
-Hypotension (late sign)
-Increasing tachycardia
The patient still has a blood pressure of 58/38 mm Hg. Her condition would be classified as
___________ shock.
Hypotensive
What should be included in the initial treatment for this patient?
-Rapid fluid bolus administration
-Establishing IV/IO access
The mother does not recall the infant's most recent weight. What is the most appropriate way
to rapidly determine her weight and calculate correct medication?
Measure her by using color-coded length-based tape
,You measure the infant to be 7 kg and prepare to administer a fluid bolus of what type?
Normal saline 20 mL/kg
What is the most appropriate method of delivering rapid fluid boluses to this patient?
A syringe and 3-way stopcock
After the first fluid bolus is administered, the child is reassessed and her vital signs are HR 167,
BP 58/44 mm Hg, RR 56/min and SpO2 92%. Her skin is still cool and pale and she is still
lethargic and weak.
What should be the next intervention?
Deliver a second fluid bolus of 20 mL/kg and reassess
When should vasoactive therapy be considered be considered in managing distributive shock?
If the child remains hypotensive and poorly perfused despite rapid bolus fluid administration
How does the clinical presentation of distributive shock compare with hypovolemic shock?
Distributive shock has more variable presentation than that of hypovolemic shock
For general shock management, administer an isotonic crytalloid bolus of __ mL/kg over __ to
__ minutes
For general shock management, administer an isotonic crytalloid bolus of 20 mL/kg over 5 to 20
minutes
What signs distinguish anaphylactic shock from other types of shock?
, -Angioedema (swelling of the face, lips and tongue)
-Urticaria (hives)
-Respiratory distress with stridor, wheezing or both
in a child with anaphylactic shock, what is the most appropriate initial treatment?
IM epinephrine
How soon after exposure do symptoms typically occur in anaphylactic shock?
Seconds to minutes
What should you evaluate to recognize septic shock?
-Temp
-Heart rate
-Systemic perfusion
-Blood pressure
-Clinical signs of end-organ perfusion
When should antibiotics be administered in septic shock?
Within the first hour
What are the initial assessment findings for septic shock?
-Fever
-Hypothermia
-Normal, elevated or decreased WBC
For septic shock, how soon should fluid resuscitation begin?
Within 10 to 15 minutes after recognizing shock
What is the recommendation for fluid bolus of isotonic crystalloids in cardiogenic shock?
5 to 10 mL/kg over 10 to 20 minutes
What is the focus of the initial management of distributive shock?
