PALS1 Question and answers correctly solved PALS
What are the causes of reversible PEA in pediatrics? - correct answer PAT(3)H(5)
Pneumothorax (Tension)
Acidosis (Hydrogen)
Toxins
Tamponade
Thrombosis
Hypoxia
Hypovolemia (perfusion)
Hypoglycemia
Hypo/Hyperkalemia
Hypothermia
Me...
Mean arterial pressure is calculated by - correct answer ✔diastolic pressure
+ [(difference between systolic and diastolic)/3]
What are the signs of septic shock? - correct answer ✔Altered
- mental status
- temperature
- heart rate
- perfusion (cap refill, extremity temp, color, blood pressure)
What are the 8 steps of initial stabilization in the septic shock algorithm? -
correct answer ✔1. C-A-B
, 2. HR/BP/pulse ox monitors
3. Access (IV or IO)
4, Draw blood for cultures, glucose, calcium
5. abx - broad spectrum
6. fluids bolus (20 mL/kg over 5-10 minutes OR 20 mL/kg over 10-20 minutes
for neonaetes and cardiac problems
7. repeat bolus as needed
8 antipyretics if needed
What medication do you give in the first hour of septic shock algorithm when
extremities are cold with low BP and delayed cap refill. - correct answer
✔Epinephrine
Evaluate need for stress-dose hydrocortisone
after giving epi or norepi in septic shock algorithm, what do you do next? -
correct answer ✔1. central venous and intra-arterial pressure monitoring
2. continue epinephrine/norepinephrine and bolus fluid therapies needed
3. verify adequate airway, oxygenation, ventilation
4. evaluate cortisol if at risk for adrenal insufficiency + consider stress-dose
hydrocortisone
What do you do if BP is low and ScvO2<70% with cold extremities despite
epinephrine administration? - correct answer ✔Continue epinephrine
Add norepinephrine if diastolic BP is low
consider additional inotropic/vasoactive drug therapy
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