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2024 PALS AHA EXAM WITH CORRECT ANSWERS
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2024 PALS AHA EXAM WITH CORRECT ANSWERS
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2024 PALS AHA EXAM WITHCORRECT ANSWERS
Hypovolemic shock causes - CORRECT ANSWERS-Hemorrhage, Vomiting and
Diarrhea, Dehydration, Third-space loss, Burns
hypovolemic shock, hemorrhagic treatment - CORRECT ANSWERS-control
external bleeding
20ml/kh NS/LR bolus
transfuse pRBCs as indicated
Anaphylactic shock treatment - CORRECT ANSWERS-IM epi
fluid bolus (10-20 ml/kg NS/LR over 5-20min)
albuterol
antihistamines, corticosteroids
epinephrine infusion
Cardiogenic shock treatment (caused by CHD, myocarditis, cardiomyopathy,
poisoning - CORRECT ANSWERS-5-10ml/kg NS/LR bolus over 10-20min,
repeat PRN
inotropic and or vasoactive infusion
antidote for poison (if cause)
**infuse fluis bolus cautiously; assess for crackles/rales
Cardiogenic shock causes - CORRECT ANSWERS--Myocardial infarction (MC)
-Cardiomyopathy
-myocarditis
-CHD
-Valve disorders
-Arrhythmia
Obstructive shock causes - CORRECT ANSWERS-pulmonary embolism,
tension pneumothorax, cardiac tamponade
Tension pneumothorax treatment - CORRECT ANSWERS-needle
decompression, chest tube
Cardiac Tomponade Treatment - CORRECT ANSWERS-pericardiocentesis
20ml/kg NS/LR bolus
Pulmonary embolism treatment - CORRECT ANSWERS-20ml/kg NS/LR bolus,
repeat PRN
, consider thrombolytics, anticoagulants
What heart rate indicates the need to start CPR? - CORRECT ANSWERS-less
than 60 BPM despite oxygenation and ventilation
Bradycardia treatment - CORRECT ANSWERS-CPR if HR <60
Epi (0.01mg/kg every 3-5min)
Atropine (0.02mg/kg **may repeat once)
consider transthoracic/transvenous pacing
check pulse every 2 minutes
possible causes of bradycardia - CORRECT ANSWERS-Hypothermia, hypoxia,
medications
Initial assessment from the doorway - CORRECT ANSWERS-Appearance: level
of responsiveness
Breathing: increased WOB, absent or decreased resp effort, or abnormal
sounds heard w/o auscultation.
Circulation (Color): abnormal skin color (pallor, mottling, cyanosis)
Primary Assessment Steps - CORRECT ANSWERS-Airway
Breathing
Circulation
Disability
Exposure
Primary Assessment: Airway - CORRECT ANSWERS-clear
maintainable
not maintainable
Primary Assessment: Breathing - CORRECT ANSWERS-Respiratory rate and
pattern
Respiratory Effort
Chest Expansion and Air Movement
Abnormal Lung and Airway Sounds
Oxygen Saturation
Primary Assessment: Circulation - CORRECT ANSWERS-heart rate
central and peripheral pulses
cap refill
skin color and temperature
blood pressure
Primary Assessment: Disability - CORRECT ANSWERS-LOC
pupil size and reaction to light
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