PALS Precourse Test
Parents of a 1-yr-antique girl phoned EMS after they picked up their daughter from the
babysitter. Paramedics perform an preliminary affect revealing an obtunded toddler with
abnormal breathing, bruises over the abdomen, belly distension, and cyanosis. Assisted
bag-masks air flow with 100% oxygen is initiated. On number one assessment heart price is
36/min, peripheral pulses can not be palpated, and critical pulses are barely palpable. Cardiac
screen suggests sinus bradycardia. Chest compressions are commenced at 15:2. In the ED the
infant is intubated and ventilated, and IV get entry to is established. The coronary heart fee is
now up to 150/min, but there are weak important pulses and no distal pulses. Systolic BP is
seventy four. Of the following, which would be maximum useful in management of this little one?
A. Synchronized cardioversion
B. Epinephrine 0.01 mg/kg (zero.1 mL/kg of 1:10,000 dilution) IV
C. Rapid bolus of 20 mL/kg of isotonic crystalloid
D. Atropine zero.02 mg/kg IV
C
You input a room to carry out an preliminary influence of a previously strong 10-yr-antique male
and find him unresponsive and apneic. A code is referred to as and bag-masks air flow is
performed with one hundred% oxygen. The cardiac reveal shows a huge-complicated
tachycardia. The boy has no detectable pulses so compressions and ventilations are provided.
As soon as the defibrillator arrives you supply an unsynchronized shock with 2 J/kg. The rhythm
test after 2 mins of CPR reveals VF. You then supply a shock of four J/kg and resume
immediately CPR beginning with compressions. A team member has mounted IO get right of
entry to, so you supply a dose of epi, 0.01 mg/kg (0.1 mL/kg of one:10,000 dilution) IO after 2nd
surprise. At the next rhythm test, persistent VF is present. You administer another four J/kg
surprise and resume CPR. Based at the PALS Pulseless Arrest Algorithm, what is the
subsequent drug and dose to manage when CPR is restarted?
A. Magnesium sulfate 25-50 mg/kg IO
B. Atropine zero.02 mg/kg IO
C. Epinephrine 0.1 mg/kg of one:10,000 dilution IO
D. Amiodarone five mg/kg IO
D
, We have an professional-written method to this hassle!
Which of the following statements about calcium is authentic?
A. Calcium chloride 10% has the identical bioavailability of elemental calcium as calcium
gluconate in seriously sick youngsters
B. The encouraged dose is 1-2 mg/kg of calcium chloride.
C. Indications for administration of calcium encompass hypercalcemia, hypokalemia, and
hypomagnesemia.
D. Routine administration of calcium isn't indicated in the course of cardiac arrest.
D
We have an expert-written method to this problem!
Initial impression of a 9-yr-vintage male with elevated work of respiration famous the boy to be
agitated and leaning forward on the bed with apparent respiratory distress. You administer one
hundred% oxygen by using nonrebreathing mask. The patient is speakme in brief phrases and
tells you that he has asthma but does not carry an inhaler. He has nasal flaring, intense
suprasternal and intercostal retractions, and decreased air movement with extended expiratory
time and wheezing. His SpO2 is 96% (on nonrebreathing mask). What is the subsequent
medical remedy to provide to this patient?
A. Adenosine 0.1 mg/kg
B. Amiodarone 5 mg/kg IV/IO
C. Albuterol by means of nebulization
D. Procainamide 15 mg/kg IV/IO
C
We have an professional-written way to this problem!
You are called to assist resuscitate an little one with excessive symptomatic bradycardia related
to respiratory misery. The bradycardia persists regardless of established order of an effective
airway, oxygenation, and air flow. There is no heart block gift. Which of the following is the first
drug you should administer?
A. Dopamine
B. Adenosine
Parents of a 1-yr-antique girl phoned EMS after they picked up their daughter from the
babysitter. Paramedics perform an preliminary affect revealing an obtunded toddler with
abnormal breathing, bruises over the abdomen, belly distension, and cyanosis. Assisted
bag-masks air flow with 100% oxygen is initiated. On number one assessment heart price is
36/min, peripheral pulses can not be palpated, and critical pulses are barely palpable. Cardiac
screen suggests sinus bradycardia. Chest compressions are commenced at 15:2. In the ED the
infant is intubated and ventilated, and IV get entry to is established. The coronary heart fee is
now up to 150/min, but there are weak important pulses and no distal pulses. Systolic BP is
seventy four. Of the following, which would be maximum useful in management of this little one?
A. Synchronized cardioversion
B. Epinephrine 0.01 mg/kg (zero.1 mL/kg of 1:10,000 dilution) IV
C. Rapid bolus of 20 mL/kg of isotonic crystalloid
D. Atropine zero.02 mg/kg IV
C
You input a room to carry out an preliminary influence of a previously strong 10-yr-antique male
and find him unresponsive and apneic. A code is referred to as and bag-masks air flow is
performed with one hundred% oxygen. The cardiac reveal shows a huge-complicated
tachycardia. The boy has no detectable pulses so compressions and ventilations are provided.
As soon as the defibrillator arrives you supply an unsynchronized shock with 2 J/kg. The rhythm
test after 2 mins of CPR reveals VF. You then supply a shock of four J/kg and resume
immediately CPR beginning with compressions. A team member has mounted IO get right of
entry to, so you supply a dose of epi, 0.01 mg/kg (0.1 mL/kg of one:10,000 dilution) IO after 2nd
surprise. At the next rhythm test, persistent VF is present. You administer another four J/kg
surprise and resume CPR. Based at the PALS Pulseless Arrest Algorithm, what is the
subsequent drug and dose to manage when CPR is restarted?
A. Magnesium sulfate 25-50 mg/kg IO
B. Atropine zero.02 mg/kg IO
C. Epinephrine 0.1 mg/kg of one:10,000 dilution IO
D. Amiodarone five mg/kg IO
D
, We have an professional-written method to this hassle!
Which of the following statements about calcium is authentic?
A. Calcium chloride 10% has the identical bioavailability of elemental calcium as calcium
gluconate in seriously sick youngsters
B. The encouraged dose is 1-2 mg/kg of calcium chloride.
C. Indications for administration of calcium encompass hypercalcemia, hypokalemia, and
hypomagnesemia.
D. Routine administration of calcium isn't indicated in the course of cardiac arrest.
D
We have an expert-written method to this problem!
Initial impression of a 9-yr-vintage male with elevated work of respiration famous the boy to be
agitated and leaning forward on the bed with apparent respiratory distress. You administer one
hundred% oxygen by using nonrebreathing mask. The patient is speakme in brief phrases and
tells you that he has asthma but does not carry an inhaler. He has nasal flaring, intense
suprasternal and intercostal retractions, and decreased air movement with extended expiratory
time and wheezing. His SpO2 is 96% (on nonrebreathing mask). What is the subsequent
medical remedy to provide to this patient?
A. Adenosine 0.1 mg/kg
B. Amiodarone 5 mg/kg IV/IO
C. Albuterol by means of nebulization
D. Procainamide 15 mg/kg IV/IO
C
We have an professional-written way to this problem!
You are called to assist resuscitate an little one with excessive symptomatic bradycardia related
to respiratory misery. The bradycardia persists regardless of established order of an effective
airway, oxygenation, and air flow. There is no heart block gift. Which of the following is the first
drug you should administer?
A. Dopamine
B. Adenosine
