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Exam (elaborations)

PALS AHA QUESTIONS WITH CORRECT ANSWERS.

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PALS AHA QUESTIONS WITH CORRECT ANSWERS.

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Pals
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Pals

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PALS AHA QUESTIONS WITH CORRECT ANSWERS.

Signs of compensated shock - a. Tachycardia
b. Increased RR
c. Altered mental status
d. Change in pulses
e. Prolonged capillary refill
f. Skin color changes
g. Skin temperature


Hypovolemic/Distributive Shock-- Fluid Resuscitation - 20 ml/kg bolus of NS over 5-20 min
repeat boluses to restore BP/Tissue perfusion


Cardiogenic shock or Poisioning -- Fluid Resuscitation - 5-10 ml/kg bolus of NS over 10-20 min


DKA w/ Compensated Shock -- Fluid Resuscitation - 10-20 ml/kg over 1 hr


Cardiogenic shock - A state in which not enough oxygen is delivered to the tissues of the body, caused by
low output of blood from the heart. It can be a severe complication of a large acute myocardial infarction,
as well as other conditions.


Defibrillation - Use largest pads w/o touching
- 1st shock = 2 J/kg
- 2nd shock = 4 J/kg
- 3rd+ shock ≥ 4 J/kg
- Max = 10 J/kg or adult dose


How do you find the right ET tube size? - 16 + age / 4


Synchronized cardioversion - Unstable SVT or VT w/Pulse

, Use largest pads w/o touching
-1st Zap 0.5-1 J/kg
-2nd Zap 2 J/kg


Primary Assessment - A- airway
B- Breathing
C- Circulation
D- Disability (LOC,Seizures)
E- Exposure (Hypothermia,Bleeding)


AVPU - A- alert
V- voice
P- pain
U- unresponsive


Infant <1yr -- Norm RR - 30-60/min


Toddler 1-3yr -- Norm RR - 24-40/min


Preschool 4-5yr -- Norm RR - 22-34/min


School Age 6-12yr -- Norm RR - 18-30/min


Adolescent 13-18 -- Norm RR - 12-16/min


Hypotension (SBP) - Neonate 0-28day -- <60
Infant 1-12mn -- <70
Child 1-10yr -- <70+ Age in yr x2
Child >10yr -- <90

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Pals

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