PALS - Written Test & Case Study Review Material with Complete Solutions

Algorithm: Pediatric Septic Shock First hour... - ANSWER-Oxygen & support ventilation Establish IV, draw labs (glucose, blood cultures) Begin resuscitation Push repeated 20 mL/kg isotonic crystalloid (3-4) unless rales, resp distress, hepatomegaly Correct hypo-glycemia/calcemia Admin 1st dose antibiotics STAT STAT vasopressor drip/stress-dose hydrocortisone Establish 2nd IV Algorithm: Pediatric Septic Shock Fluid Responsive? - ANSWER-Yes - ICU No - Vasoactive drug & titrate for normotension Normo: begin dopamine Hypo/warm: norepi Hypo/cold: epi Adenosine (slows HR) - ANSWER-SVT 0.1 mg/kg - dose 1 0.2 mg/kg - dose 2 max = 6 mg RAPID push Amiodarone (antiarrythmic) - ANSWER-VF/VT (pulseless) 5 mg/kg Bolus max = 300 mg SVT, VT (with pulses) 5 mg/kg over 20-60 mins max = 300 mg