Heartcode PALS Questions with Correct
Answers
Why do children with cardiac tamponade improve temporarily with fluid administration?
✔️✔️Fluids augment cardiac and tissue perfusion until pericardial drainage can be performed
What is the initial dose of epinephrine in the treatment of symptomatic bradycardia? ✔️✔️0.01
mg/kg IV/IO
In which patients would bradycardia be an expected finding and not be considered problematic?
✔️✔️-A healthy child who is sleeping
This is due to reduced metabolic demand
-A well-conditioned athlete
This is due to high stroke volume and increased vagal tone
What is the IV/IO dose of atropine for pediatric bradycardia? ✔️✔️0.02 mg/kg
What should your next steps be? ✔️✔️-Maintains a patent airway
-Apply cardiac monitor to identify rhythm and monitor pulse, blood pressure, and oximetry
-Complete the initial and primary assessment
During the initial assessment, you find that the infant is unresponsive and has an HR of less than
60/min.
,What should be your next action? ✔️✔️Begin CPR
CPR has been ongoing and IV access has been established. A pulse and rhythm check are done.
He has the rhythm.
What intervention would be most appropriate at this time? ✔️✔️Administer epinephrine
What is the proper dosing for epinephrine (IV/IO) administration during CPR? ✔️✔️-0.01
mg/kg IO/IV
-Repeat every 3 to 5 minutes.
After 2 more minutes of CPR, you notice the patient is moving and his skin color improves. his
vital signs are 114 RR 8/min and temperature 37.9 C (100.2 F). The infant is still slow to respond
but is moving.
What should be the next steps for this patient? ✔️✔️-Continue oxygen
-Obtain expert consultation
-Support ABC's
-Identify and treat underlying causes
What clinical findings may be presented in a child with a tachyarrhythmia? ✔️✔️-Palpitations
-Light-headedness
-Syncope
, How is tachycardia defined in pediatric patients? ✔️✔️A heart rate that is fast compared with
the normal heart rate for the child's age
Where do tacharrhythmias originate? ✔️✔️Atria or ventricles
How are tachycardia and tacharrhythmias classifed? ✔️✔️By the width of the QRS complex
What is initial treatment for pediatric bradycardia with cardiopulmonary compromise?
✔️✔️Provide bag-mask ventilation with 100% oxygen
if bradycardia persists after initial treatment and the heart rate remains less than 60/min, what
action should be taken next? ✔️✔️Begin CPR
What are the characteristics of ventricular tachycardia? ✔️✔️-It is a wide QRS complex
generated within the ventricles
-The rapid rate may deteriorate into pulseless ventricular tachycardia or ventricular fibrillation
-A rapid rate compromises ventricular filling
Why does sinus tachycardia typically develop? ✔️✔️The body needs increased cardiac output
Answers
Why do children with cardiac tamponade improve temporarily with fluid administration?
✔️✔️Fluids augment cardiac and tissue perfusion until pericardial drainage can be performed
What is the initial dose of epinephrine in the treatment of symptomatic bradycardia? ✔️✔️0.01
mg/kg IV/IO
In which patients would bradycardia be an expected finding and not be considered problematic?
✔️✔️-A healthy child who is sleeping
This is due to reduced metabolic demand
-A well-conditioned athlete
This is due to high stroke volume and increased vagal tone
What is the IV/IO dose of atropine for pediatric bradycardia? ✔️✔️0.02 mg/kg
What should your next steps be? ✔️✔️-Maintains a patent airway
-Apply cardiac monitor to identify rhythm and monitor pulse, blood pressure, and oximetry
-Complete the initial and primary assessment
During the initial assessment, you find that the infant is unresponsive and has an HR of less than
60/min.
,What should be your next action? ✔️✔️Begin CPR
CPR has been ongoing and IV access has been established. A pulse and rhythm check are done.
He has the rhythm.
What intervention would be most appropriate at this time? ✔️✔️Administer epinephrine
What is the proper dosing for epinephrine (IV/IO) administration during CPR? ✔️✔️-0.01
mg/kg IO/IV
-Repeat every 3 to 5 minutes.
After 2 more minutes of CPR, you notice the patient is moving and his skin color improves. his
vital signs are 114 RR 8/min and temperature 37.9 C (100.2 F). The infant is still slow to respond
but is moving.
What should be the next steps for this patient? ✔️✔️-Continue oxygen
-Obtain expert consultation
-Support ABC's
-Identify and treat underlying causes
What clinical findings may be presented in a child with a tachyarrhythmia? ✔️✔️-Palpitations
-Light-headedness
-Syncope
, How is tachycardia defined in pediatric patients? ✔️✔️A heart rate that is fast compared with
the normal heart rate for the child's age
Where do tacharrhythmias originate? ✔️✔️Atria or ventricles
How are tachycardia and tacharrhythmias classifed? ✔️✔️By the width of the QRS complex
What is initial treatment for pediatric bradycardia with cardiopulmonary compromise?
✔️✔️Provide bag-mask ventilation with 100% oxygen
if bradycardia persists after initial treatment and the heart rate remains less than 60/min, what
action should be taken next? ✔️✔️Begin CPR
What are the characteristics of ventricular tachycardia? ✔️✔️-It is a wide QRS complex
generated within the ventricles
-The rapid rate may deteriorate into pulseless ventricular tachycardia or ventricular fibrillation
-A rapid rate compromises ventricular filling
Why does sinus tachycardia typically develop? ✔️✔️The body needs increased cardiac output
