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PALS - WRITTEN TEST AND CASE STUDY REVIEW MATERIAL QUESTIONS AND VERIFIED ANSWERS|100% CORRECT|GRADE A+ $10.49   Add to cart

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PALS - WRITTEN TEST AND CASE STUDY REVIEW MATERIAL QUESTIONS AND VERIFIED ANSWERS|100% CORRECT|GRADE A+

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PALS - WRITTEN TEST AND CASE STUDY REVIEW MATERIAL QUESTIONS AND VERIFIED ANSWERS|100% CORRECT|GRADE A+

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  • August 28, 2024
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PALS - WRITTEN TEST AND CASE
STUDY REVIEW MATERIAL QUESTIONS
AND VERIFIED ANSWERS|100%
CORRECT|GRADE A+
CPR Sequence - ANSWER C-A-B

Circulation-Airway-Breathing



Algorithm: Pediatric Septic Shock

First hour... - 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? - ANSWER Yes - ICU

No - Vasoactive drug & titrate for normotension



Normo: begin dopamine

Hypo/warm: norepi

Hypo/cold: epi



Adenosine (slows HR) - ANSWER SVT

,0.1 mg/kg - dose 1

0.2 mg/kg - dose 2

max = 6 mg

RAPID push



Amiodarone (antiarrythmic) - 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) - ANSWER Bradycardia

0.02 mg/kg

may repeat once



Epinepherine (increases HR) - 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 - 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 - 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) - 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) - ANSWER 1. Tamponade, cardiac

2. Tension pneumothorax

3. Thrombosis, coronary

4. Thrombosis, pulmonary

5. Toxins

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