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PALS ALL QUESTIONS WITH THE CORRECT ANSWERS UPDATED
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PALS ALL QUESTIONS WITH THE CORRECT ANSWERS UPDATED
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PALS ALL QUESTIONS WITH THECORRECT ANSWERS UPDATED
Younarencaringnfornanchildnwhonwasnresuscitatednafternandrowningnevent.nThenchildnisnint
ubatednandnventilatednwithn100%noxygennwithnequalnbreathnsoundsnandnexhalednCO2n
detected.nThenheartnratenisnslownandnthenmonitornshowsnsinusnbradycardia.nThenskinnisn
cool,nmottled,nandnmoist;ndistalnpulsesnarennotnpalpablenandnthencentralnpulsesnarenwea
k.nIntravenousnaccessnhasnbeennestablished.nThencorentemperaturenisn37.3oC.nBasedn
onnthenPALSnbradycardianalgorithm,nwhichnofnthenfollowingnshouldnbenprovidednfirst?
EpinephrinenIV
Transcutaneousnpacing
AtropinenIV
DobutaminenIVninfusionn-ncorrectnanswer-EpinephrinenIV
Younarencaringnfornan5-year-
oldnpatientnwithnsupraventricularntachycardian(heartnraten=n220/min).nThenchildnisnlethar
gic.nThenskinnisnpalenandncoolnwithndelayedncapillarynrefill.nDistalnpulsesnarennotnpalpabl
e.nWhichnofnthenfollowingnwouldnbenthenbestntreatmentntonprovidenwithoutndelay?
Placencoldnpacksnonnthendistalnuppernandnlowernextremities
Asknthenchildntonblownthroughnansmallnstraw
Exertnlightnpressurenonntheneyesnbilaterally
Providensynchronizedncardioversionnatn0.5nton1nJ/kgn-ncorrectnanswer-
Providensynchronizedncardioversionnatn0.5nton1nJ/kg
Younareninitiatingntreatmentnfornanchildnwithnsepticnshocknandnhypotension.nWhilenadmin
isteringnhigh-
flownoxygennyoundeterminenthatnthenchild'snrespirationsnarenadequatenandnSpO2nisn100
%.nYounhavenjustnestablishednvascularnaccessnandnobtainednbloodnsamples.nWhichnofnt
henfollowingnisnthennextnmostnappropriatentherapyntonsupportnsystemicnperfusion?
Administernrepeatednfluidnbolusesnofnisotonicncolloid
Administernrepeatednfluidnbolusesnofnisotonicncrystalloid
Beginnimmediatendopamineninfusion
Beginnimmediatendobutamineninfusionn-ncorrectnanswer-
Administernrepeatednfluidnbolusesnofnisotonicncrystalloid
Younarentreatingnann8-year-
oldnwithnventricularntachycardianwithnpulsesnandnadequatenperfusion.nYounattemptednsy
, nchronizedncardioversionnwithoutnsuccess.nWhilenseekingnexpertnconsultation,nitnwould
nbenmostnappropriatento:
Administernanloadingndosenofnmilrinone
Considernpossiblenmetabolicnandntoxicologicncauses
Initiatenoverdrivenpacingntranscutaneously
Delivernannunsynchronizednshockn-ncorrectnanswer-
Considernpossiblenmetabolicnandntoxicologicncauses
Younarencaringnfornan2-year-
oldnunconsciousnpatientnwhonisnintubatednandnreceivingnmechanicalnventilation.nThench
ild'snheartnratensuddenlyndropsnton40/minnandnhisncolornbecomesnmottled.nYounshouldnr
espondntonthesenchangesnby:
Increasingnthenventilatornrate
Increasingntidalnvolume
Increasingnpositivenend-expiratorynpressuren(PEEP)
Usingnanresuscitationnbagnprovidenmanualnventilationnwithn100%noxygenn-
ncorrectnanswer-
Usingnanresuscitationnbagnprovidenmanualnventilationnwithn100%noxygen
Younarencaringnfornan9-month-
oldnpatientnwithnpronouncednrespiratoryndistress.nYouninitiatednhigh-
flownoxygennusingnannonrebreathingnmasknaboutn10nminutesnagonandnestablishednintra
venousnaccess.nInitiallyntheninfant'snheartnratenwasninnthen150/minnrangenwithnstrongnpul
ses.nSuddenlyntheninfant'snrespiratorynratenfallsnton6/minnwithnsignificantnintercostalsnretr
actions,nandnlittlenairnmovementnisnheard.nTheninfantnbecomesncyanoticnandnthenheartnra
tendecreasesnton95/min.nWhichnofnthenfollowingntreatmentsnwouldnbenbestnfornyountonpro
vidennow?
AdministernepinephrinenIV
Providenbag-masknventilation
AdministernmagnesiumnsulfatenIV
Intubatenandnventilaten-ncorrectnanswer-Providenbag-masknventilation
Whichnofnthenfollowingnisnlikelyntonbenthenmostnhelpfulntechniquentonidentifynpotentiallynre
versiblenmetabolicnandntoxicncausesnduringnthenattemptednresuscitationnofnanyoungnchil
dninncardiacnarrest?
Obtainingnanurinensamplenforntoxicologynscreen
Obtainingnchestnandnabdominalnradiographs
Solicitingnanhistorynfromnthencaregivernornfamily
Obtainingnanvenousnbloodngasn-ncorrectnanswer-
Solicitingnanhistorynfromnthencaregivernornfamily
Younarencaringnfornanpatientnwhondevelopednantensionnpneumothoraxnafternseveralnhour
snofnpositive-
pressurenventilation.nWhichnofnthenfollowingnwouldnbenthenmostnappropriatensitenfornnee
dlendecompression?
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