Heart code PALS/ 112
Questions & Correct
Answers
, The infant is placed on the ambulance stretcher and responds with a groan when
stimulated and has a temperature of 36.3 C (97.3 F) - CORRECT ANSWERS--Monitor
and support ABCs
-Establish IV/IO access
-Monitor heart rate, blood pressure, and pulse oximetry
-Call for assistance if needed
When you evaluate the patient, you find the lungs are clear, skin is cool and mottled,
glucose is 97 mg/dL and capillary refill time is 5 seconds. What are the warning signs
that the patient is progressing from compensated shock to hypotensive shock? -
CORRECT ANSWERS--Hypotension (late sign)
-Increasing tachycardia
The patient still has a blood pressure of 58/38 mm Hg. Her condition would be classified
as ___________ shock. - CORRECT ANSWERS-Hypotensive
What should be included in the initial treatment for this patient? - CORRECT
ANSWERS--Rapid fluid bolus administration
-Establishing IV/IO access
The mother does not recall the infant's most recent weight. What is the most appropriate
way to rapidly determine her weight and calculate correct medication? - CORRECT
ANSWERS-Measure her by using color-coded length-based tape
You measure the infant to be 7 kg and prepare to administer a fluid bolus of what type?
- CORRECT ANSWERS-Normal saline 20 mL/kg
What is the most appropriate method of delivering rapid fluid boluses to this patient? -
CORRECT ANSWERS-A syringe and 3-way stopcock
After the first fluid bolus is administered, the child is reassessed and her vital signs are
HR 167, BP 58/44 mm Hg, RR 56/min and SpO2 92%. Her skin is still cool and pale
and she is still lethargic and weak.
What should be the next intervention? - CORRECT ANSWERS-Deliver a second fluid
bolus of 20 mL/kg and reassess
When should vasoactive therapy be considered be considered in managing distributive
shock? - CORRECT ANSWERS-If the child remains hypotensive and poorly perfused
despite rapid bolus fluid administration
Questions & Correct
Answers
, The infant is placed on the ambulance stretcher and responds with a groan when
stimulated and has a temperature of 36.3 C (97.3 F) - CORRECT ANSWERS--Monitor
and support ABCs
-Establish IV/IO access
-Monitor heart rate, blood pressure, and pulse oximetry
-Call for assistance if needed
When you evaluate the patient, you find the lungs are clear, skin is cool and mottled,
glucose is 97 mg/dL and capillary refill time is 5 seconds. What are the warning signs
that the patient is progressing from compensated shock to hypotensive shock? -
CORRECT ANSWERS--Hypotension (late sign)
-Increasing tachycardia
The patient still has a blood pressure of 58/38 mm Hg. Her condition would be classified
as ___________ shock. - CORRECT ANSWERS-Hypotensive
What should be included in the initial treatment for this patient? - CORRECT
ANSWERS--Rapid fluid bolus administration
-Establishing IV/IO access
The mother does not recall the infant's most recent weight. What is the most appropriate
way to rapidly determine her weight and calculate correct medication? - CORRECT
ANSWERS-Measure her by using color-coded length-based tape
You measure the infant to be 7 kg and prepare to administer a fluid bolus of what type?
- CORRECT ANSWERS-Normal saline 20 mL/kg
What is the most appropriate method of delivering rapid fluid boluses to this patient? -
CORRECT ANSWERS-A syringe and 3-way stopcock
After the first fluid bolus is administered, the child is reassessed and her vital signs are
HR 167, BP 58/44 mm Hg, RR 56/min and SpO2 92%. Her skin is still cool and pale
and she is still lethargic and weak.
What should be the next intervention? - CORRECT ANSWERS-Deliver a second fluid
bolus of 20 mL/kg and reassess
When should vasoactive therapy be considered be considered in managing distributive
shock? - CORRECT ANSWERS-If the child remains hypotensive and poorly perfused
despite rapid bolus fluid administration
