PALS HeartCode
After supporting the airway & adequately oxygenating & Administer Naloxone
ventilating a child w/ a suspected opioid OD, what is the
next most appropriate treatment?
The appropriate flow rate for a simple mask is [blank] to 6
[blank] L/min. 10
As more time passes between the onset of signs of shock & Worse
the restoration of adequate oxygen delivery & organ
perfusion, the outcome is [blank].
Bag-mask ventilation has been used on a child w/ lower Risk of lung collapse
airway obstruction. Decreased blood supply to the heart
Which complications may occur?
A child presents w/ audible wheezing, a heart rate greater Severe
than 120/min, a respiratory rate of 36/min, & the inability to
talk in sentences.
What is the severity of this presentation?
, PALS HeartCode
A child presents with a barking cough, good air entry Administer oxygen & nebulized epinephrine
during auscultation, a pulse oximetry reading of 93% on Consider dexamethasone
room air, & retractions at rest.
What are appropriate initial interventions?
A child presents with a barking cough, good air entry Moderate croup
during auscultation, a pulse oximetry reading of 93% on
room air, & retractions at rest.
What is the severity of the child's presentation?
Conditions that [blank] air resistance lead to increased Increased
respiratory [blank]. Effort
Determine the respiratory rate by counting the number of 30
times the chest rises in [blank] seconds & multiplying by 2
[blank].
, PALS HeartCode
During the secondary assessment, the parents share that Croup
the barking cough started a couple of hours ago & the
child has been afebrile. They contacted their pediatrician,
who advised them to call an ambulance. the parents
reported that their son has no allergies & takes no
medications.
Breathing Assessment:
Increased work of breathing & occasional barking cough.
The respiratory rate is 33/min w/ nasal faring & high-
pitched noises from the airway. You see retractions & the
use of accessory muscles. The patient's SpO2 is 93% on
room air.
Circulatory Assessment:
The circulatory assessment indicates the following: skin
flushed, warm, & dry; HR 161/min; BP 78/55 mm Hg &
capillary refill is less than 2 seconds. His temperature is 38
degrees C [100.4 degrees F].
Disability & Exposure Assessment:
No significant findings
Based on your findings, what is a most likely diagnosis for
this patient?
, PALS HeartCode
For a nonrebreathing mask to be effective, the oxygen flow 10
rate must be at least [blank] L/min.
For general shock management, administer an isotonic 20
crystalloid bolus of [blank] mL/kg over [blank] to [blank] 5
minutes. 20
For septic shock, how soon should fluid resuscitation Within 10 - 15 minutes after recognizing shock
begin?
For stable patients w/ a regular wide complex, & Adenosine
monomorphic tachycardia, consider
The gas flow rate for a nebulizer treatment is [blank] to 5
[blank] L/min. 6
High-flow oxygen systems reliably deliver an oxygen 60
concentration of greater than [blank] %.
After supporting the airway & adequately oxygenating & Administer Naloxone
ventilating a child w/ a suspected opioid OD, what is the
next most appropriate treatment?
The appropriate flow rate for a simple mask is [blank] to 6
[blank] L/min. 10
As more time passes between the onset of signs of shock & Worse
the restoration of adequate oxygen delivery & organ
perfusion, the outcome is [blank].
Bag-mask ventilation has been used on a child w/ lower Risk of lung collapse
airway obstruction. Decreased blood supply to the heart
Which complications may occur?
A child presents w/ audible wheezing, a heart rate greater Severe
than 120/min, a respiratory rate of 36/min, & the inability to
talk in sentences.
What is the severity of this presentation?
, PALS HeartCode
A child presents with a barking cough, good air entry Administer oxygen & nebulized epinephrine
during auscultation, a pulse oximetry reading of 93% on Consider dexamethasone
room air, & retractions at rest.
What are appropriate initial interventions?
A child presents with a barking cough, good air entry Moderate croup
during auscultation, a pulse oximetry reading of 93% on
room air, & retractions at rest.
What is the severity of the child's presentation?
Conditions that [blank] air resistance lead to increased Increased
respiratory [blank]. Effort
Determine the respiratory rate by counting the number of 30
times the chest rises in [blank] seconds & multiplying by 2
[blank].
, PALS HeartCode
During the secondary assessment, the parents share that Croup
the barking cough started a couple of hours ago & the
child has been afebrile. They contacted their pediatrician,
who advised them to call an ambulance. the parents
reported that their son has no allergies & takes no
medications.
Breathing Assessment:
Increased work of breathing & occasional barking cough.
The respiratory rate is 33/min w/ nasal faring & high-
pitched noises from the airway. You see retractions & the
use of accessory muscles. The patient's SpO2 is 93% on
room air.
Circulatory Assessment:
The circulatory assessment indicates the following: skin
flushed, warm, & dry; HR 161/min; BP 78/55 mm Hg &
capillary refill is less than 2 seconds. His temperature is 38
degrees C [100.4 degrees F].
Disability & Exposure Assessment:
No significant findings
Based on your findings, what is a most likely diagnosis for
this patient?
, PALS HeartCode
For a nonrebreathing mask to be effective, the oxygen flow 10
rate must be at least [blank] L/min.
For general shock management, administer an isotonic 20
crystalloid bolus of [blank] mL/kg over [blank] to [blank] 5
minutes. 20
For septic shock, how soon should fluid resuscitation Within 10 - 15 minutes after recognizing shock
begin?
For stable patients w/ a regular wide complex, & Adenosine
monomorphic tachycardia, consider
The gas flow rate for a nebulizer treatment is [blank] to 5
[blank] L/min. 6
High-flow oxygen systems reliably deliver an oxygen 60
concentration of greater than [blank] %.
