PALS Pre-Course Assessment:
Pharmacology
A 9-12 months-antique boy is agitated and leaning ahead on the mattress in obvious respiratory
distress. The affected person is talking in quick phrases and tells you that he has asthma
however does now not bring an inhaler. He has nasal flaring, extreme suprasternal and
intercostal retractions, and decreased air movement with extended expiratory time and
wheezing. You administer 100% oxygen by using a nonrebreathing masks. His Sp02 is ninety
two%. Which remedy do you give to this affected person?
A. Procainamide
b. Albuterol
c. Amiodarone
d. Adenosine - ANS-b. Albuterol
A formerly wholesome infant with a Hx of vomiting and diarrhea is brought to the ED with the aid
of her parents. During her assessment, you locate that the infant only responds to painful
stimulation. The infant's RR is forty breaths/minute, and significant pulses are rapid and weak.
The toddler has proper bilateral breath sounds, cool extremities, and a cap top off time of
greater than 5 seconds. Blood strain is 85/65 mm Hg, and glucose is 30 mg/dL (1.Sixty five
mmol/L). You administer 100% oxygen through face masks and begin an IV. Which treatment is
the maximum suitable for this toddler?
A. Administer D10W 20 mL/kg bolus over 5 mins
b. Administer a bolus of isotonic crystalloid 20 mL/kg over five to twenty mins, and also provide
D25W 2 to four mL/kg IV
c. Administer D50W zero.45% sodium chloride 20 mL/kg bolus over 15 minutes
d. Administer lactated Ringer's solution 20 mL/kg over 60 mins - ANS-b. Administer a bolus of
isotonic crystalloid 20 mL/kg over five to twenty mins, and also supply D25W 2 to 4 mL/kg IV
Initial impression of a 2yo female shows her to be alert with mild respiration problem at some
point of notion and faded pores and skin colour. On number one evaluation, she makes
excessive-pitched inspiratory sounds (mild stridor) whilst agitated; in any other case, her
respiration is quiet. Her spO2 is ninety two% on room air, and he or she has slight inspiratory
intercostal retractions. Lung auscultation reveals transmitted top airway sounds with good
enough distal breath sounds bilaterally. Which is the most appropriate preliminary intervention
for this toddler? - ANS-Humidified oxygen as tolerated
Paramedics are known as to the home of a 1yo child. Their preliminary evaluation
well-knownshows a baby who responds best to painful stimuli and has irregular respiration, faint
Pharmacology
A 9-12 months-antique boy is agitated and leaning ahead on the mattress in obvious respiratory
distress. The affected person is talking in quick phrases and tells you that he has asthma
however does now not bring an inhaler. He has nasal flaring, extreme suprasternal and
intercostal retractions, and decreased air movement with extended expiratory time and
wheezing. You administer 100% oxygen by using a nonrebreathing masks. His Sp02 is ninety
two%. Which remedy do you give to this affected person?
A. Procainamide
b. Albuterol
c. Amiodarone
d. Adenosine - ANS-b. Albuterol
A formerly wholesome infant with a Hx of vomiting and diarrhea is brought to the ED with the aid
of her parents. During her assessment, you locate that the infant only responds to painful
stimulation. The infant's RR is forty breaths/minute, and significant pulses are rapid and weak.
The toddler has proper bilateral breath sounds, cool extremities, and a cap top off time of
greater than 5 seconds. Blood strain is 85/65 mm Hg, and glucose is 30 mg/dL (1.Sixty five
mmol/L). You administer 100% oxygen through face masks and begin an IV. Which treatment is
the maximum suitable for this toddler?
A. Administer D10W 20 mL/kg bolus over 5 mins
b. Administer a bolus of isotonic crystalloid 20 mL/kg over five to twenty mins, and also provide
D25W 2 to four mL/kg IV
c. Administer D50W zero.45% sodium chloride 20 mL/kg bolus over 15 minutes
d. Administer lactated Ringer's solution 20 mL/kg over 60 mins - ANS-b. Administer a bolus of
isotonic crystalloid 20 mL/kg over five to twenty mins, and also supply D25W 2 to 4 mL/kg IV
Initial impression of a 2yo female shows her to be alert with mild respiration problem at some
point of notion and faded pores and skin colour. On number one evaluation, she makes
excessive-pitched inspiratory sounds (mild stridor) whilst agitated; in any other case, her
respiration is quiet. Her spO2 is ninety two% on room air, and he or she has slight inspiratory
intercostal retractions. Lung auscultation reveals transmitted top airway sounds with good
enough distal breath sounds bilaterally. Which is the most appropriate preliminary intervention
for this toddler? - ANS-Humidified oxygen as tolerated
Paramedics are known as to the home of a 1yo child. Their preliminary evaluation
well-knownshows a baby who responds best to painful stimuli and has irregular respiration, faint
