Pals Written Test And Case Study Review Material With 100% Scores

Pals Written Test And Case Study Review Material With 100% Scores CPR Sequence - CORRECT ANSWER-C-A-B Circulation-Airway-Breathing Algorithm: Pediatric Septic Shock First hour... - CORRECT ANSWER-Oxygen & support ventilation Establish IV, draw labs (glucose, blood cultures) Begin resuscitation Push repeated 20 mL/kg isotonic crystalloid (3-4) unless rales, resp distress, hepatomegaly Correct hypo-glycemia/calcemia Admin 1st dose antibiotics STAT STAT vasopressor drip/stress-dose hydrocortisone Establish 2nd IV Algorithm: Pediatric Septic Shock Fluid Responsive? - CORRECT ANSWER-Yes - ICU No - Vasoactive drug & titrate for normotension Normo: begin dopamine Hypo/warm: norepi Hypo/cold: epi Adenosine (slows HR) - CORRECT ANSWER-SVT 0.1 mg/kg - dose 1 0.2 mg/kg - dose 2 max = 6 mg RAPID push Amiodarone (antiarrythmic) - CORRECT ANSWER-VF/VT (pulseless) 5 mg/kg Bolus max = 300 mg SVT, VT (with pulses) 5 mg/kg over 20-60 mins max = 300 mg Atropine (increases HR) - CORRECT ANSWER-Bradycardia 0.02 mg/kg may repeat once Epinepherine (increases HR) - CORRECT ANSWER-Bradycardia/Pulseless Arrest 0.01 mg/kg (1:10,000) every 3-5 min Hypotensive Shock 0.1-1 mcg/kg per min Anaphylaxis 0.01 mg/kg every 3-5 min Algorithm: Pediatric Cardiac Arrest - CORRECT ANSWER-Shout for help CPR Oxygen, AED If no shock - CPR for 2 min, IV, Epi q 3-5 min, reassess If shock - after...CPR for 2 min, IV, reassess If 2nd shock - CPR for 2 min, Epi q 3-5 min, reassess If 3rd shock - CPR for 2 min, Amiodarone, treat cause, reassess... Post Resuscitation Care Shock Doses - CORRECT ANSWER-1st shock - 2 j/kg 2nd shock - 4 j/kg Max 10 j/kg Reversible Causes of Pediatric Cardiac Arrest (H&T's) 6 H's (G,K,T,V,X,DRO) - CORRECT ANSWER-1. Hypo-Glycemia 2. Hypo/hyper-Kalemia 3. Hypo-Thermia 4. Hypo-Volemia 5. Hypo-Xia 6. HyDROgen ion (acidosis) Reversible Causes of Pediatric Cardiac Arrest (H&T's) 5 T's (A,E,HC,HP,O) - CORRECT ANSWER-1. Tamponade, cardiac 2. Tension pneumothorax 3. Thrombosis, coronary 4. Thrombosis, pulmonary 5. Toxins Rescue Breaths - CORRECT ANSWER-1 every 6-8 secs