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2024 PALS STUDY GUIDE EXAM WITH CORRECT ANSWERS
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2024 PALS STUDY GUIDE EXAM WITH CORRECT ANSWERS
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2024 PALS STUDY GUIDE EXAMWITH CORRECT ANSWERS
If the pulse rate on the pulse ox differs from the EKG monitor the O2
saturation reading is - CORRECT ANSWERS-not reliable, the child needs
oxygen in spite of possible O2 saturation above 94%.
A BP reading of what in a neonate is considered hypotension when? -
CORRECT ANSWERS-of less than 60 systolic
What airway obstruction is characterized by tachypnea, increased respiratory
effort, cough, stridor, and poor air oxygenation? - CORRECT ANSWERS-upper
airway obstruction
Typical signs and symptoms of upper airway obstruction occur predomintly
during the what phase of respiratory cycle? - CORRECT ANSWERS-inspiratory
phase
what is the treatment of hemorrhagic hypovolemic shock - CORRECT
ANSWERS-control external bleeding
20 ml/kg NS/LR bolus repeat 2 or 3 times as needed.
trasfuse PRBCs as indicated
What is the treatment of anaphylactic distributive shock? - CORRECT
ANSWERS-IM epi
Antihistamines- Benadryl-Diphenhydramine
Corticosteriods
Epi infusion
Albuterol
what is the treatment of neurogenic distributive shock - CORRECT ANSWERS-
20 ml/kg NS/LR bolus, repeat as needed
vasopressor
what is the treatment of cardiogenic shock - CORRECT ANSWERS-5 to 10
ml/kg NS/LR bolus, repeat as needed
vasoactive infusion
consider expert consultation
what is the treatment of obstructive shock- ductal dependent - CORRECT
ANSWERS-prostaglandin E
expert consultation
, what is the treatment of tension pneumo- obstructive shock - CORRECT
ANSWERS-needle decompression
tube thoracotomy
what is the treatment of cardiac tamponade- obstructive shock - CORRECT
ANSWERS-pericardiocentiss
20 ml/kg NS/LR bolus
What is the treatment of pulmonary embolism- obstructive shock? -
CORRECT ANSWERS-20 ml/kg NS/LR bolus, repeat as needed
consider thrombolytics, anticoagulants
expert consultation
Primary assessment ABCDE stands for? - CORRECT ANSWERS-Airway,
Breathing, Circulation, Disability (LOC or alertness) and Exposure
(Temperature)
This is an abnormal breathing pattern that produces inadequate respiratory
rate or effort that is usually associated with neurological disorders such as
brain tumors, seizures, head injury, hydrocephalus or neuromuscular
disease? - CORRECT ANSWERS-disordered control of breathing
Increased work of breathing and tachypnea in a toddler may be classified as
what? - CORRECT ANSWERS-as respiratory distress rather than failure
Moderate stridor and retractions along with a seal bark cough in a toddler
may be best managed by administration of what? - CORRECT ANSWERS-
nebulizer epi
The child who presents with severe respiratory distress and signs of
anaphylaxis must be treated promptly with what? - CORRECT ANSWERS-IM/IV
epi/corticosteroids as well as nebulized albuterol.
Defined as a critical condition that results from inadequate tissue delivery of
O2 and nutrients to meet tissue metabolic demands? - CORRECT ANSWERS-
shock
Infants have tiny hearts and increase their cardiac output primarily by what?
- CORRECT ANSWERS-increasing heart rate
In order to recognize shock early, the health care provider must recognize
signs of compensated shock such as what? - CORRECT ANSWERS-
tachycardia, increased stroke volume, and increased cardiac contractility
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