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Which topics are included in the PALS course ? - CORRECT ANSWER-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 ...

Initial assessment of a Peds patient includes? - CORRECT ANSWER-Appearance, work of breathing, and circulation Peds patient with no normal breathing, but a pulse? - CORRECT ANSWER-Maintain airway through rescue breathing, Oxygen, and apply monitors. If a pulse is <60/min with poor perfusion despite oxygenation and ventilation, what is the next step? - CORRECT ANSWER-CPR What are the signs of septic shock of a Peds patient? - CORRECT ANSWER--Altered mental status -Tachycardia or bra...

Single Rescuer - CORRECT ANSWER-Check for responsiveness Check pulse Infant: palpate brachial Child:palpate a carotid or femoral pulse Compression placement Infant: 2 fingers chest compression or 2 thumb encircling hand technique. Child: 1 or 2 hands mid chest compression Depth: Infant: 1/3 the AP diameter of the infant's check (1 1/2") Child: approximately 2" Rate: 100-120 Ratio: 30:2 Two or more Rescuer - CORRECT ANSWER-Same Ratio: 15:2 If the infant or child has normal breat...

How long should assessing for breathing and a pulse take? A) no longer than 20 seconds B) no longer than 10 seconds C) no longer than 15 seconds D) no longer than 5 seconds - CORRECT ANSWER-B) no longer than 10 seconds What should you do to check for breathing? A) look for chest rise and fall B) place your hand on the chest C) look at the nose to check for nasal flaring D) listen for lung sounds - CORRECT ANSWER-A) look for chest rise and fall Where do you check a pulse on an infan...

CPR - CORRECT ANSWER-If no pulse or hr <60 START 1 rescuer- 30:2 2 rescuer- 15:2 Rate- 100-120 Depth 5 cm 2 inches Q2 mins change compressors, check pulse, check rhythm, weight broslo tape Assessment - CORRECT ANSWER-Airway Breathing Circulation Disability -level of consciousness Exposure- temp 2nd assessment - CORRECT ANSWER-Signs Allergies Meds Pmh Last meal Events airway - CORRECT ANSWER-Sat 94-99 5 point auscultation c02-yellow Waveform cap >10 A...

What do weak central pulses indicate a need for immediate intervention to prevent? - CORRECT ANSWER-Cardiac arrest What is the best example of the Team Leader role? - CORRECT ANSWER-Models excellent team behavior What happens when airway resistance increases? - CORRECT ANSWER-Work of breathing increase Which of the following describes laminar or normal airflow? - CORRECT ANSWER-Low airway resistance and a small driving pressure Conditions that ..... air resistance lead to increased r...

You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min) associated with respiratory distress. The bradycardia persists despite establishment of an effective airway, oxygenation, and ventilation. There is no heart block present. Which is the first drug you should administer? - CORRECT ANSWER-Epinephrine Initial impression of a 2yo girl shows her to be alert with mild breathing difficulty during inspiration and pale skin color. On primary assessment, she m...

A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency department by her parents. During your assessment, you find that the infant responds only to painful stimulation. The infant has good bilateral breath sounds, cool extremities, and a capillary refill time of more than 5 seconds. The infant's blood pressure is 85/65 mmHg and glucose is 30 mg/dL. You administer 100% oxygen via face mask and start an IV. Which treatment is the most appropriate for this ...

Conditions that [blank] air resistance lead to increased respiratory [blank]. - CORRECT ANSWER-Increased Effort What are the signs of increased respiratory effort that can lead to fatigue & respiratory failure? - CORRECT ANSWER-Nasal flaring Retractions Head bobbing Seesaw respirations Determine the respiratory rate by counting the number of times the chest rises in [blank] seconds & multiplying by [blank]. - CORRECT ANSWER-30 2 Tachypnea is often the first sign of respiratory [bla...

How long should assessing for breathing and a pulse take? A) no longer than 5 seconds B) no longer than 15 seconds C) no longer than 20 seconds D) no longer than 10 seconds - CORRECT ANSWER-D What should you do to check for breathing? A) listen for lung sounds B) look at the nose to check for nasal flaring C) look for chest rise and fall D) hold a mirror over the mouth, looking for condensation - CORRECT ANSWER-C Where can you check a pulse on an infant? - CORRECT ANSWER-Bra...

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 ...

Hypovolemic Shock Nonhemorrhagic - CORRECT ANSWER-20 ml/kg NS/LR, repeat as needed consider colloid Hypovolemic Shock Hemorrhagic - CORRECT ANSWER-Control external bleeding 20 ml/kg NS/LR, repeat 2 or 3x as needed Transfuse PRBCs as indicated Distributive Shock Septic - CORRECT ANSWER-Septic Shock Management Algorithm Distributive Shock Anaphylactic - CORRECT ANSWER-IM Epi (or autoinjector) Fluid boluses (20 ml/kg NS/LR) Albuterol Antihistamines, corticosteroids Epinephrine i...

What is the depth of CPR for adults/children? - CORRECT ANSWER-5 cm / 2 inches What is the depth of CPR for infants? - CORRECT ANSWER-4 cm / 1 1/2 inches What are the site locations for IO access? - CORRECT ANSWER-Distal femur, iliac crest, proximal tibia, distal tibia How long are IO sites good for? - CORRECT ANSWER-24 hours How do you confirm placement for IO sites? - CORRECT ANSWER-There is no soft tissue swelling when flushing. You don't always get blood return What numbers t...

first thing you do in BLS - CORRECT ANSWER-tap and shout call for help check for pulse and breathing what do you do if pulse is less than 60 - CORRECT ANSWER-start compressions immediately how fast should compressions be - CORRECT ANSWER-100-120/minute how deep should compressions be - CORRECT ANSWER-1/3 depth of the chest , about 2 inches 1 rescuer CPR - CORRECT ANSWER-30:2 2 rescuer CPR - CORRECT ANSWER-15:2 SVT - CORRECT ANSWER-has a pulse if stable-vagal first- blow in ...

Adenosine - CORRECT ANSWER-o Blocks AV node conduction and depresses sinus node automaticity o Short acting, doesn't last long. Must give fast o Indications: SVT o Dose: 1st dose: 0.1mg/kg (max 6mg) rapid infusion; 2nd dose: 0.2mg/kg (max 12mg) o Will see flat line on EKG Albumin - CORRECT ANSWER-o Blood product derivative (plasma volume expander) o Indications: Shock, trauma, burns o Dose: 0.5 - 1g/kg rapid infusion (10 to 20ml/kg of 5% solution) Albuterol - CORRECT ANSWER-o Bronch...

Where can you check a pulse on an infant and a child? - CORRECT ANSWER-infant - brachial child - femoral What should you do to check for breathing? - CORRECT ANSWER-Look for chest rise and fall. How long should assessing for breathing and a pulse take? - CORRECT ANSWER-No longer than 10 seconds If the child does not have a normal breathing and a pulse of 64/min is present, you will need to - CORRECT ANSWER-Provide rescue breathing What is the preferred technique for infant compressi...

Goal of the PALS Provider Course? - CORRECT ANSWER-...is to improve outcomes for pediatric patients by preparing healthcare providers to recognize and intervene in pt's with respiratory emergencies, shock, and cardiopulmonary arrest using high-performance team dynamics and high-quality individual skills. AHA update for CPR sequence from A-B-C to C-A-B?? - CORRECT ANSWER-Compressions - Airway - Breathing Why is high quality CPS critical during cardiac arrest? - CORRECT ANSWER-To provide ad...

The first rescuer who arrives at the side of an unresponsive infant or child should quickly perform what steps? - CORRECT ANSWER-1. Verify scene safety 2. Check for responsiveness (Tap childs shoulder or infants heel while shouting are you ok) 3. If unresponsive shout for nearby help and activate the emergency response system via mobile device 4. 5. Assess infant or child for normal breathing and pulse What happens if there are two rescuer's? - CORRECT ANSWER-The first rescuer remains a...

what type of respiratory distress associated with stridor, barking cough, hoarse - CORRECT ANSWER-Upper Airway what type of respiratory distress wheezes, prolonged expiration, tripod position - CORRECT ANSWER-Lower Airway Croup, anaphalaxis, aspiration, foreign body are all associated with - CORRECT ANSWER-upper airway Bronchitis, ashma are associated with - CORRECT ANSWER-lower aiway Increased ICP, decreased RR, potenital toxicity, neuro issues - CORRECT ANSWER-disordered control of...

What is the compression-to-ventilation ratio for Single Rescuer and 2 Rescuers? - CORRECT ANSWER-30:2 & 15:2 What is the ventilation rate with advanced airway? - CORRECT ANSWER-1 breath every 6-8 seconds (8-10 breaths/min) Heart rate for: 1) Newborn to 3 Months 2) 3 Months to 2 years 3) 2 to 10 years 4) > 10 years - CORRECT ANSWER-1) 85-205 2) 100-190 3) 60-140 4) 60-100 Respiratory rate for: 1) Infant 2) Toddler 3) Preschooler 4) School-aged child 5) Adolescent - CORRECT...