PALS Quiz Questions with 100% Complete Solutions | Rated A+

Initial assessment of a Peds patient includes? - Appearance, work of breathing, and circulation Peds patient with no normal breathing, but a pulse? - Maintain airway through rescue breathing, Oxygen, and apply monitors. If a pulse is 60/min with poor perfusion despite oxygenation and ventilation, what is the next step? - CPR What are the signs of septic shock of a Peds patient? - -Altered mental status -Tachycardia or bradycardia -Fever or hypothermia -Altered perfusion -Hypotension Within the first 10-15 minutes of determining septic shock, what do you need to do? - -ABCs -Place monitors -Establish IV/IO access -Fluid boluses: Give 10-20mL/kg isotonic crystalloid boluses. 10mL/kg for neonates. Within the first 1 hour of determining septic shock, what do you do? - -Blood cultures & additional labs -Broad spectrum antibiotics -Monitor fluid boluses. Repeat boluses as needed to treat shock. Stop if rales, respiratory distress, or hepatomegaly develops What are the goals of treatment for septic shock? - -Improve mental status -Normalization of heart rate & temp -Adequate B/p -Improved perfusion During septic shock, if you gave 40-60mL/kg of total fluid or their is evidence of fluid overload, what is your next step? - - NO: Consider critical care consultation - YES: Obtain critical care consult & initiate titration of epinephrine or norepinephrine. -- Central venous access for monitoring -- Consider stress-dose hydrocortisone if hemodynamics remain inadequate. You find a pediatric patient in Cardiac Arrest. What is the next step? - Initiate CPR and find an AED or monitor. CARDIAC ARREST PATIENT: What are the two shockable rhythms? - Pulsless Ventricular Tachycardia & Ventricular Fibrillation CARDIAC ARREST PATIENT: After you shock the patient with pVT or VF, what is your next step if no ROSC? - CPR for 2 minutes and get IV/IO access CARDIAC ARREST PATIENT: After shocking the patient one time and performing CPR for 2 minutes/IV IO access, what is the next step if there is a shockable rhythm and if their is not a shockable rhythm? - If a shockable rhythm, shock again and resume CPR for 2 minutes. During this time Give Epinephrine every 3-5 minutes and consider an advanced airway. CARDIAC ARREST PATIENT: How much Epi per dose? - 0.01mg/kg (max 1mg) CARDIAC ARREST PATIENT: After the second round of CPR 2 minutes later and a dose of Epinephrine, the rhythm is shockable again. After the shock, what is the next step? - -CPR for 2 minutes and give Amiodarone or lidocaine. -Treat reversible causes. -Continue giving Epi every 3-5 minutes. CARDIAC ARREST PATIENT: What is the dose of Amiodarone? - 5mg/kg (max) CARDIAC ARREST PATIENT: What are the non-shockable rhythms? - Asystole & Pulseless Electrical Activity (PEA) CARDIAC ARREST PATIENT: If no shockable rhythm, what is the next step in care? - -If IV access, give Epinephrine ASAP 0.01mg/kg -CPR for 2 minutes -Gain IV/IO access -Epi every 3-5 minutes -Consider advanced airway and capnography