PALS - Team Response Scenario: Sara Hoffman
Questions With Complete Solutions
Dr. Foley urges immediate care for Sara because she suspects which condition? correct answer: Septic shock
Based on the primary assessment findings and Dr. Foley's suspicion of septic shock, what is the next immediate action that the team should implement? correct answer: Establish vascular access.
After establishing vascular access, what is the next immediate action that the team should take? correct answer: Administer 20
mL/kg of normal saline over 5 to 10 minutes.
According to evidence-based septic shock guidelines, Dr. Carter understands that which important measure should be initiated no
later than 1 hour after Sara's presentation of septic shock? correct answer: Antibiotic therapy
After consulting critical care specialists, which intervention would be most appropriate? correct answer: Administer epinephrine.
What care measures would be appropriate for Dr. Foley and the team to consider at this time? correct answer: 1. Continuing infusion of epinephrine and adding norepinephrine as needed
2. Transfusing PRBCs if hemoglobin level is <10 g/dL
3. Targeting a CVP of 8-12 and a ScvO2 of >70%
Questions With Complete Solutions
Dr. Foley urges immediate care for Sara because she suspects which condition? correct answer: Septic shock
Based on the primary assessment findings and Dr. Foley's suspicion of septic shock, what is the next immediate action that the team should implement? correct answer: Establish vascular access.
After establishing vascular access, what is the next immediate action that the team should take? correct answer: Administer 20
mL/kg of normal saline over 5 to 10 minutes.
According to evidence-based septic shock guidelines, Dr. Carter understands that which important measure should be initiated no
later than 1 hour after Sara's presentation of septic shock? correct answer: Antibiotic therapy
After consulting critical care specialists, which intervention would be most appropriate? correct answer: Administer epinephrine.
What care measures would be appropriate for Dr. Foley and the team to consider at this time? correct answer: 1. Continuing infusion of epinephrine and adding norepinephrine as needed
2. Transfusing PRBCs if hemoglobin level is <10 g/dL
3. Targeting a CVP of 8-12 and a ScvO2 of >70%
