50 Questions PALS Questions with complete top solutions

50 Questions PALS Questions with complete top solutions 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 PEDI Sync Cardioversion Dosage First dose 0.5 - 1 J/KG. Subsequent dosage is 2 J/KG PEDI Defib Dosage First is 2 j/kg. Second is 4j/kg Subsequent dosage is 8 j/kg Sudden deterioration in an intubate patient DOPE Disloged Obstructed Pnumo Equipment failure Fluid Bolus for Cardiogenic Shock 5-10 ml/kg over 10 - 20 min. Fluid Bolus for DKA compensated shock 10-20 ml/kg over 1 hour. Fluid Bolus hypovolemic non DKA 20 ml/kg over 5-10 min Target O2 Sat range 94-99% Rescue breathing for infant or child 1 breath every 3 to 5 sec. 12 - 20 BPM. Pedi EPI dosage in cardiac arrest 0.01 mg/kg EPI 1:10,000 IV IO Hallmark of lower airway obstruction prolonged expiratory phase with wheezes Hallmark of upper airway obstruction inspiratory stridor Amiodarone dose for persistant VF/ pulseless VT 5 mg/kg may repeat up to 2 times Atropine for symptomatic brady 0.02 mg/kg may repeat once in 5 min. Min. Atropine dose 0.1 mg Pedi adenosine doses First dose 0.1 mg/ kg RIVP. Second 0.2 mg/kg RIVP Ratio of compressions to ventilations for neonate Resuscitation 3:1 Neonate rate for assisted ventilations 40-60 bpm tachycardia rule of thumb 150 -(5 x age in years) max single dose atropine for bradycardia .5 mg Lidocaine dose for refractory VF or PVT 1 mg/kg EPI dose for anaphylaxis .01 mg/kg 1:1000 every 15 min PRN ( Max dose .3 mg) autoinjector EPI dose for PEDI greater than to 30 kg 0.3 mg 1:1000 autoinjector EPI dose for PEDI 10-30 kg 0.15 mg 1:1000 Depth of Compressions at least one third the depth of the chest PEDI dextrose D50W dose? 1-2 ml/kg Infant dextrose D25W dose ? 2-ml/ kg Neonatal Dextrose D10W dose? 5-10 ml/kg Max concentration of dextrose for neonates? D12.5W (0.125 g/ml) Ratio of compressions to ventilations, two rescuer CPR for infants or children? 15:2 Is it permissible to use an adult AED pads on an infant? YES Is it permissible to use PEDI AED pads on an Adult? NO Alone with unwitnessed child or infant arrest? 2 min of CPR before anything else 5 cycles 60 or less? better compress Estimated weight based on age? 1 year = 10 kg 3 years = 15 kg 5 years = 20 kg 7 years = 25 kg 9 years= 30 kg