Pediatric advanced life support practice questions 2022/2023 | real questions with complete solutions

Pediatric Advanced Life Support Recognize *supraventricular tachycardia* - Recognize *wide-complex tachycardia* - Recognize *SVT converting to sinus rhythm after adenosine administration* - What oxygen delivery system most reliably delivers a high (90% of greater) concentration of inspired oxygen to a 7-year-old child? - Nonrebreathing face mask You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min) associated with respiratory distress. Bradycardia persists despite establishment of an effective airway, oxygenation, and ventilation. There is no heart block present. What first drug should you administer? - *Epinephrine* You are part of a team attempting to resuscitate a child with ventricular fibrillation cardiac arrest. You deliver 2 unsynchronized shocks. A team member established IO access, so you give a dose of epinephrine, 0.01 mg/kg IO. At next rhythm check, persistent ventricular fibrillation is present. You administer a 4-J/kg shock and resume CPR. What drug and dose should be administered next? - *Amiodarone 5 mg/kg IO* - can be used for shock-refractory VF or pVT Initial impression of a 2-year-old girl shows her to be alert with mild breathing difficulty during inspiration and pale skin color. On primary assessment, she makes high-pitched inspiratory sounds (mild stridor) when agitated; otherwise, her breathing is quiet. Her SpO2 is 92% on room air, and she has mild inspiratory intercostal retractions. Lung auscultation reveals transmitted upper airway sounds with adequate distal breath sounds bilaterally. Most appropriate initial intervention for this child? - *Humidified oxygen as tolerated* 7-year-old boy found unresponsive, apneic, and pulseless. CPR is ongoing. Child is intubated, and vascular access is established. ECG monitor shows organized rhythm with heart rate of 45/min, but a pulse check reveals no palpable pulses. High-quality CPR is resumed, and an initial IV dose of epinephrine is administered. What intervention should you perform next? - *Identify and treat reversible causes*