TeeGrades

in cardiac arrest when do you first introduce medical intervention? which drug? - after 2 rounds of CPR/shock after 2nd shock give 1 mg epinephrine every 3-5 minutes when do you introduce amiodarone during cardiac arrest? - after the 3rd shock give 300 mg bolus of amiodarone if second dose is needed give 150mg as second dose what rhythms are shockable in cardiac arrest - VF VT what rhythms are not shockable in cardiac arrest - asystole PEA if you are in an unshockable...

What element of a system of care is represented by properly functioning resuscitation equipment? - Structure What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival? - Activation of emergency reponse What are signs of clinical deterioration that would prompt the activation of rapid response system? - Symptomatic hypertension Seizure Unexplained agitation What is the primary purpose of a rapid response team (RRT) or medical emergency team (MET)? ...

the HR is 92/min RR is 14/min, BP is 130/86 mmhg, spo2 is 97% and atrial fibrillation is on the monitor what additional assessment and stabilization activities should be completed ? - check glucose, perform validated prehospital stroke screen and stroke severity tool, provide prehospital notification to the receiving hospital, initiate stroke protocol, establish time of symptom onset ( last known normal) what needs to be completed for this patient within 20 minutes after hospital arriv...

4 elements of "Integrated System of Care" - -provides links of "Chain of Survival" -Determines "strength" of each link of the "chain" -Determines "ultimate outcome" -Provides collective support and organization -People -Education -Equipment - 4 elements of "Integrated System of Care": -"Structure"...composed of _____________ ? -Protocols -Policies -Procedures - 4 elements of "Integrated System of Care": -"Process"...composed of _____________ ? -P...

For poor perfusion with Bradycardia Treat with which first line treatment? - Atropine 1mg IV (repeat to a total of 3mg IV) For poor perfusion with Bradycardia Treat, if the first line of treatment is ineffective, what should be provided and what med should be given? - Transcutaneous pacing Dopamine 5-20mcg/kg/minute infusion OR Epinephrine 2-10mcg/min infusion What is the first line drug for acute stable bradycardia and how do you administer it? - Atropine given as 1mg IV q...

PALS EXAM 2024 PACKAGE DEAL

Snoring and gurgling are a result of _____ airway obstruction. - Upper In infants, the abdomen may _____________ than the chest - more In the primary assessment, how should you open the airway of a child who is NOT suspected of having a cervical spine injury? - With a head tilt-chin lift How is the airway assessed? - Determine if the airway is open/patent The primary assessment includes the ABCDE approach. What does it assess? - Airway, breathing, circulation, disabili...

Sinus tachycardia Sinus bradycardia Supraventricular tachycardia Asystole Wide-complex tachycardia Ventricular fibrillation with successful defibrillation and resumption of organized rhythm Sinus bradycardia Pulseless electrical activity Torsades de pointes Ventricular fibrillation Wide-complex tachycardia SVT converting to sinus rhythm after adenosine administration Normal sinus In asystole, what is the effect of epi? stimulate spontaneous co...

SVT converting to sinus rhythm after adenosine administration Sinus bradycardia Sinus bradycardia - version 2 Normal sinus rhythm Asystole Wide complex tachycardia Wide complex tachycardia - version 2 Torsades de pointes Supraventricular tachycardia VF with successful defib and resumption of organized rhythm Pulseless electrical activity Ventricular fibrillation Sinus tachycardia A previously healthy infant with a history of vomiting and diarrh...

A 6 mo old infant is unresponsive. You begin checking for breathing at the same time you check for the infant's pulse. Which is the max time you should spend when trying to simultaneously check for breathing and palpate the infant's pulse before starting CPR? - 10 secs A 4 yr old child is brought to the emergency department for seizures. The seizures stopped a few minutes ago, but the child continues to have slow and irregular respirations. Which condition is consistent with your assessm...

You are caring for a child who was resuscitated after a drowning event. The child is intubated and ventilated with 100% oxygen with equal breath sounds and exhaled CO2 detected. The heart rate is slow and the monitor shows sinus bradycardia. The skin is cool, mottled, and moist; distal pulses are not palpable and the central pulses are weak. Intravenous access has been established. The core temperature is 37.3oC. Based on the PALS bradycardia algorithm, which of the following should be provided ...

Parents of a 1-year-old female phoned EMS when they picked up their daughter from the babysitter. Paramedics perform an initial impression revealing an obtunded infant with irregular breathing, bruises over the abdomen, abdominal distension, and cyanosis. Assisted bag-mask ventilation with 100% oxygen is initiated. On primary assessment heart rate is 36/min, peripheral pulses cannot be palpated, and central pulses are barely palpable. Cardiac monitor shows sinus bradycardia. Chest compressions a...

Best location for performing a pulse check for a child is the: - Carotid artery Best location for performing a pulse check for an infant up to age 1 is: - Brachial pulse Compression to ventilation ratio: - 30:2 Proper compression technique requires the right rate and depth of compressions as well as full ______ - Chest recoil Taking your weight off your hands and allowing the chest to come back to its normal position during CPR allows for: - Full chest recoil Full c...

BLS Assessment Verify scene safety Check for responsiveness Shout for help Active the emergency response system Where are pulses checked on a child? Carotid or femoral Where are pulses checked on an infant? Brachial An infant has normal breathing and a pulse, what is the next step? Monitor until emergency responders arrive An infant or child does not have normal breathing but has a pulse, what is the next step? Give 1 breath every 2-3 seconds (about 20-30 breaths/minu...

Where can you check a pulse on an infant and child? infant - brachial child - femoral What are signs of increased respiratory effort that can lead to fatigue and respiratory failure? Select all that apply nasal flaring unlabored breathing apnea seesaw respirations retractions head bobbing nasal flaring seesaw respirations retractions head bobbing Determine the respiratory rate by counting the number of times the chest rises in _____ seconds and multiplying by _____. 30 ...

Which topics are included in the PALS course ? - ️️PALS includes the following: (1) Overview of assessment (2) Recognition and management of respiratory distress and failure (3) Recognition and management of shock (4) Recognition and management of cardiac arrhythmias (5) Recognition and management of cardiac arrest (6) Postresuscitation management of patients with pulmonary and cardiac arrest (7) Review of pharmacology What should be the primary focus of the clinician on preventio...

1. A 5-year-old child presents with lethargy, increased work of breathing, and pale color. The primary assessment reveals that the airway is open and the respiratory rate is 30/min, with crackles heard on auscultation. The cardiac monitor shows sinus tachycardia at a rate of 165/min. The pulse oximeter displays an oxygen saturation of 95% and a pulse rate of 93/min. On the basis of this information, which of the following provides the best interpretation of the oxygen saturation of 95% by pulse ...

10 seconds - ️️A 6 month old infant is unresponsive. You begin checking for breathing at the same time you check for the infants pulse. Which is the maximum time you should spend when trying to simultaneously check for breathing and palpate the infants pulse before starting CPR? Disordered Control of Breathing - ️️A 4 year old child is brought to the emergency department for seizures. The seizures stopped a few minutes ago, but the child continues to have slow and irregular respiratio...

A 4-month old infant is brought to the emergency department in cardiac arrest. Which condition would the team identify as the most common cause of cardiac arrest in an infant of this age? - ️️sudden infant death syndrome is the most common cause in infants younger than 6 months of age. The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which result best determines the adequacy of the team's chest compressions? - ️️End-tidal carbon dioxide level bet...

Which of the following situation may IO access be used? An extremity with slow capillary refill time. A 2 week old infant is being evaluated for irritability and poor feeding. His blood pressure is 55/40 mm Hg, and capillary refill time is 5 seconds. Which statement best describes your assessment of this infant's blood pressure? It is hypotensive. You are caring for patient's in the emergency department. Which 2-year-old child requires immediate intervention? A child who is grunti...