AHA PALS Pre-Course Assessment Study Exam.

AHA PALS Pre-Course Assessment Study Exam. 1. SVT converting to sinus rhythm after adenosine administration 2. Sinus bradycardia 3. Sinus bradycardia - version 2 4. Normal sinus rhythm 5. Asystole 6. Wide complex tachycardia 7. Wide complex tachycardia - version 2 8. Torsades de pointes 9. Supraventricular tachycardia 10. VF with successful defib and resumption of orga- nized rhythm 11. Pulseless electrical activity 12. Ventricular fibrillation 13. Sinus tachycardia 14. Administer a bolus of isotonic crystal- loid 20 ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV A previously healthy infant with a history of vom- iting and diarrhea is brought to the emergency department by her parents. During your assess- ment, you find that the infant responds only to painful stimulation. The infant's respiratory rate is 40 breaths per minute, and central pulses are rapid and weak. The infant has good bilateral breath sounds, cool extremities, and a capillary refill time of more than 5 seconds. The infant's blood pressure is 85/65 mmHg, and glucose is 30 mg/dL (1.65 mmol/L). You administer 100% oxygen via face mask and start an IV. Which treat- ment is most appropriate for this infant? 15. Albuterol (duh) A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress. The patient is speaking in short phrases and tells you that he has asthma but does not carry an inhaler. He has nasal flaring, severe suprasternal and inter- costal retractions, and decreased air movement with prolonged expiratory time and wheezing. You administer 100% oxygen by a nonrebreath- ing mask. His spO2 is 92%. Which med do you prepare to give to this patient? 16. Rapid bolus of 20ml/kg of isotonic crys- Paramedics are called to the home of a 1yo child. talloid Their initial assessment reveals a child who re- sponds only to painful stimuli and has irregular breathing, faint central pulses, bruises over the abdomen, abdominal distention, and cyanosis. Bag-mask ventilation with 100% oxygen is initi- ated. The child's heart rate is 36/min. Peripheral pulses cannot be palpated, and central pulses are barely palpable. The cardiac monitor shows sinus bradycardia. Two-rescuer CPR is started. Upon arrival to the emergency department, the child is intubated and ventilated with 100% oxy- gen, and IV access is established. The heart rate is now 150/min with weak central pulses but no distal pulses. Systolic blood pressure is 74 mmHg. Which intervention should be provided next? 17. Epinephrine You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min) as- sociated with respiratory distress. The bradycar- dia persists despite establishment of an ettective airway, oxygenation, and ventilation. There is no heart block present. Which is the first drug you should administer? 18. Routine administration is not indicated during cardiac arrest 19. It is the least desirable route of admin- istration Which statement is correct about the use of cal- cium chloride in pediatric patients? Which statement is correct about endotracheal drug administration during resuscitative ettorts for pediatric patients? 20. Humidified oxygen as tolerated Initial impression of a 2yo girl shows her to be alert with mild breathing diflculty during inspira-