TeeGrades

A 5-year-old child with a history of a chronic neuromuscular disease is experiencing respiratory distress. The child is breathing spontaneously and receiving supplemental oxygen. Which additional intervention is a critical component of airway management for this patient? - ️️Airway clearance (e.g., suctioning) A child being cared for in the pediatric telemetry unit suddenly displays the following ECG waveform. The provider prepares to intervene because the child is demonstrating which typ...

Shock Energy for Defibrillation - ️️First shock 2J/kg, second shock 4 J/kg, subsequent shocks >/=4 J/kg, maximum 10 J/kg or adult dose Epinephrine dosage for pulseless arrest and bradycardia - ️️0.01 mg/kg IV/IO (0.1 ml/kg of 1:10,000 concentration). Repeat every 3-5 mins. If no IV/IO access, may give ET dosage: 0.1 mg/kg (0.1 mL/kg of 1:1000 concentration). Amiodarone adminstration for SVT and VT with pulses - ️️5 mg/kg IV/IO load over 20-60 mins (max 300 mg), repeat to dai...

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? a. 10 seconds b. 15 seconds c. 20 seconds d. 1 min - ️️ a. 10 seconds 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 i...

Ratio of compressions to ventilations for two rescuer CPR on infant or child? - ️️15:2 Pedi SBP HOTN formula for ages 1-10? - ️️70 + (2x age in years) Hypoglycemia infant? - ️️<60 mg/dl Hypoglycemia Neonate? - ️️<45 mg/dl HOTN SBP Infant? - ️️70 mm hg HOTN SBP Neonate? - ️️60 mm hg Uncuffed tube size formula - ️️Age in years / 4+4 Possible/Probable rate issue in infants - ️️220 bpm Possible/ Probable rate issue Child - ️️180 bpm ...

A 12-year-old child being evaluated in the pediatric intensive care unit displays the following ECG waveform. The team interprets this as which arrhythmia? second degree Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic, tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of oxygen delivery? Lactate A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory rat...

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 ...

Describe 3rd degree AV block More P waves that QRS, Atrial and Ventricle dissociation. Treatment: pacemaker. Describe use of aspirin in an acute coronary situation give 160-325mg of NON-enteric coated to chew When is aspirin contraindicated during an acute coronary situation? If pt has a true aspirin allergy or evidence of recent GI bleeding (or of course if the pt has already taken aspirin) A-Fib on an EKG Narrow QRS complex, R-R interval is irregular What is the hallmark of 1st d...

A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag-valve-mask (BVM) resuscitator. The development of which condition during the provision of care would lead the team to suspect that improper BVM technique is being used? Select the correct answer to this question. Rib fracture Esophageal injury Pneumothorax Hypertension - Pneumothorax 1 A member of the resuscitation team is preparing to administer medications intravenously to a patient...

A pt with STEMI has ongoing chest dicomfort. Heparin 4000 units IV bolus and heparin infusion of 1000 units/hr are being administered. The pt did not take ASA because he has a hx of gastritis, which was tx 5 years ago. What is the next action? A. Give ASA 160 to 325 mg to chew B. Give clopidogrel 300 mg PO C. Give enteric-coated ASA 75 mg PO D. Give enteric-coated ASA 325 mg rectally - A. Give ASA 160 to 325 mg to chew A pt is in pulseless ventricular tachycardia. 2 shocks and 1 dose...

Select the one syndrome listed below that is not a degree in the progression of coronary artery occlusion. Stable angina (SA) Which of the following is used to categorize patients with suspected acute coronary syndrome? 12-lead ECG to determine if an ST-segment elevation MI is present The BLS Assessment places emphasis on early: CPR and defibrillation The first step in the PEA algorithm is defibrillation. False - administer chest compressions and oxygen first Which of the...

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 37.3°C. Based on the PALS bradycardia algorithm, which of the following should be provid...

CPR CERTIFICATION EXAM BUNDLE

What is the most appropriate precautionary action to minimize gastric inflation during bag-mask ventilation? - deliver each breath over about 1 sec What happens to the arterial oxygen level in a child with severe anemia? - may increase when dissolved oxygen is increased The evaluate-identify-intervene sequence should be continued until - the child is stable How can the CPR coach improve CPR quality in a resuscitation event? - Coach to midrange targets Which is true of inc...

Single Rescuer - 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 - Same Ratio: 15:2 If the infant or child has normal breathing and a pulse is felt...

A 12-year-old child being evaluated in the pediatric intensive care unit displays the following ECG waveform. The team interprets this as which arrhythmia? second degree Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic, tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of oxygen delivery? Lactate A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory rat...

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 prevention o...

Initial assessment of a Peds patient includes? - Appearance, work of breathing, and circulation Peds patient with no normal breathing, but a pulse? - 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? - CPR What are the signs of septic shock of a Peds patient? - -Altered mental status -Tachycardia or bradycardia -Fever or hypothermia -Altered perfus...

4 Component of BLS 1. High-quality chest compression 2. Airway 3. Breathing 4. Defibrillation level of medical care used in life-threatening illnesses, situation, or injuries until full medical care is given in or outside hospital setting Basic Life Support lifesaving intervention and the cornerstone of resuscitation from cardiac arrest CPR what are the 5 components of high quality CPR a. Ensuring chest compressions of adequate rate of 100-120/minute. Child/Adult: Heal of ...

infant has vomiting and diarrhea, RR 40, pulses are rapid and weak, cool extremities, BP 85/65, glucose 30 you administer oxygen 100% and start an IV what treatment is most appropriate for this infant? - Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W 2-4 ml/kg IV 9 yo boy is agitated and leaning forward b/c of resp. distress, nasal flaring you administer 100% O2, his SPO2 is 92% which med do you prepare to give this pt? - albuterol ...

Several healthcare providers have responded to a "Code and are participating in an attempted resuscitation of a 3 year old male child. As Team Leader, which of the following is most consistent with your responsibilities? Assign roles to team members A 12-year-old female patient with asthma is being treated in your Emergency Department (ED) and just received oxygen and albuterol via a hand held nebulizer. What is the next most appropriate intervention with this patient? Reassess breath so...