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PALS All Questions With Their Answers
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PALS All Questions With Their Answers
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PALS All Questions With TheirAnswers
Youbarebcaringbforbabchildbwhobwasbresuscitatedbafterbabdrowningbevent.bThebchildbisbint
ubatedbandbventilatedbwithb100%boxygenbwithbequalbbreathbsoundsbandbexhaledbCO2b
detected.bThebheartbratebisbslowbandbthebmonitorbshowsbsinusbbradycardia.bThebskinbisb
cool,bmottled,bandbmoist;bdistalbpulsesbarebnotbpalpablebandbthebcentralbpulsesbarebwea
k.bIntravenousbaccessbhasbbeenbestablished.bThebcorebtemperaturebisb37.3oC.bBasedb
onbthebPALSbbradycardiabalgorithm,bwhichbofbthebfollowingbshouldbbebprovidedbfirst?
EpinephrinebIV
Transcutaneousbpacing
AtropinebIV
DobutaminebIVbinfusionb-bcorrectbanswer-EpinephrinebIV
Youbarebcaringbforbab5-year-
oldbpatientbwithbsupraventricularbtachycardiab(heartbrateb=b220/min).bThebchildbisblethar
gic.bThebskinbisbpalebandbcoolbwithbdelayedbcapillarybrefill.bDistalbpulsesbarebnotbpalpabl
e.bWhichbofbthebfollowingbwouldbbebthebbestbtreatmentbtobprovidebwithoutbdelay?
Placebcoldbpacksbonbthebdistalbupperbandblowerbextremities
Askbthebchildbtobblowbthroughbabsmallbstraw
Exertblightbpressurebonbthebeyesbbilaterally
Providebsynchronizedbcardioversionbatb0.5btob1bJ/kgb-bcorrectbanswer-
Providebsynchronizedbcardioversionbatb0.5btob1bJ/kg
Youbarebinitiatingbtreatmentbforbabchildbwithbsepticbshockbandbhypotension.bWhilebadmin
isteringbhigh-
flowboxygenbyoubdeterminebthatbthebchild'sbrespirationsbarebadequatebandbSpO2bisb100
%.bYoubhavebjustbestablishedbvascularbaccessbandbobtainedbbloodbsamples.bWhichbofbt
hebfollowingbisbthebnextbmostbappropriatebtherapybtobsupportbsystemicbperfusion?
Administerbrepeatedbfluidbbolusesbofbisotonicbcolloid
Administerbrepeatedbfluidbbolusesbofbisotonicbcrystalloid
Beginbimmediatebdopaminebinfusion
Beginbimmediatebdobutaminebinfusionb-bcorrectbanswer-
Administerbrepeatedbfluidbbolusesbofbisotonicbcrystalloid
, Youbarebtreatingbanb8-year-
oldbwithbventricularbtachycardiabwithbpulsesbandbadequatebperfusion.bYoubattemptedbsy
nchronizedbcardioversionbwithoutbsuccess.bWhilebseekingbexpertbconsultation,bitbwould
bbebmostbappropriatebto:
Administerbabloadingbdosebofbmilrinone
Considerbpossiblebmetabolicbandbtoxicologicbcauses
Initiateboverdrivebpacingbtranscutaneously
Deliverbanbunsynchronizedbshockb-bcorrectbanswer-
Considerbpossiblebmetabolicbandbtoxicologicbcauses
Youbarebcaringbforbab2-year-
oldbunconsciousbpatientbwhobisbintubatedbandbreceivingbmechanicalbventilation.bThebch
ild'sbheartbratebsuddenlybdropsbtob40/minbandbhisbcolorbbecomesbmottled.bYoubshouldbr
espondbtobthesebchangesbby:
Increasingbthebventilatorbrate
Increasingbtidalbvolume
Increasingbpositivebend-expiratorybpressureb(PEEP)
Usingbabresuscitationbbagbprovidebmanualbventilationbwithb100%boxygenb-
bcorrectbanswer-
Usingbabresuscitationbbagbprovidebmanualbventilationbwithb100%boxygen
Youbarebcaringbforbab9-month-
oldbpatientbwithbpronouncedbrespiratorybdistress.bYoubinitiatedbhigh-
flowboxygenbusingbabnonrebreathingbmaskbaboutb10bminutesbagobandbestablishedbintra
venousbaccess.bInitiallybthebinfant'sbheartbratebwasbinbtheb150/minbrangebwithbstrongbpul
ses.bSuddenlybthebinfant'sbrespiratorybratebfallsbtob6/minbwithbsignificantbintercostalsbretr
actions,bandblittlebairbmovementbisbheard.bThebinfantbbecomesbcyanoticbandbthebheartbra
tebdecreasesbtob95/min.bWhichbofbthebfollowingbtreatmentsbwouldbbebbestbforbyoubtobpro
videbnow?
AdministerbepinephrinebIV
Providebbag-maskbventilation
AdministerbmagnesiumbsulfatebIV
Intubatebandbventilateb-bcorrectbanswer-Providebbag-maskbventilation
Whichbofbthebfollowingbisblikelybtobbebthebmostbhelpfulbtechniquebtobidentifybpotentiallybre
versiblebmetabolicbandbtoxicbcausesbduringbthebattemptedbresuscitationbofbabyoungbchil
dbinbcardiacbarrest?
Obtainingbaburinebsamplebforbtoxicologybscreen
Obtainingbchestbandbabdominalbradiographs
Solicitingbabhistorybfrombthebcaregiverborbfamily
Obtainingbabvenousbbloodbgasb-bcorrectbanswer-
Solicitingbabhistorybfrombthebcaregiverborbfamily
Youbarebcaringbforbabpatientbwhobdevelopedbabtensionbpneumothoraxbafterbseveralbhour
sbofbpositive-
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