Exam (elaborations)

AHA PALS precourse assessment Exam Study Guide.

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AHA PALS

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AHA PALS

AHA PALS precourse assessment Exam Study Guide. - answerSVT converting to sinus rhythm after adenosine administration - answerSinus bradycardia - answerSinus bradycardia - version 2 - answerNormal sinus rhythm - answerAsystole - answerWide complex tachycardia - answerWide complex tachycardi...

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Uploaded on November 18, 2024
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aha pals precourse assessment exam study guide

Institution AHA PALS
Course AHA PALS

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©BRIGHTSTARS EXAM SOLUTIONS

11/14/2024 12:19 PM

AHA PALS precourse assessment Exam
Study Guide.

- answer✔SVT converting to sinus rhythm after adenosine administration

- answer✔Sinus bradycardia

- answer✔Sinus bradycardia - version 2

- answer✔Normal sinus rhythm

- answer✔Asystole

- answer✔Wide complex tachycardia

- answer✔Wide complex tachycardia - version 2

- answer✔Torsades de pointes

- answer✔Supraventricular tachycardia

- answer✔VF with successful defib and resumption of organized rhythm

- answer✔Pulseless electrical activity

- answer✔Ventricular fibrillation

- answer✔Sinus tachycardia
Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20 minutes, and also give D25W 2-4
ml/kg IV - answer✔A previously healthy infant with a history of vomiting and diarrhea is
brought to the emergency department by her parents. During your assessment, you find that
the infant responds only to painful stimulation. The infant's respiratory rate is 40 breaths per
minute, and central pulses are rapid and weak. The infant has good bilateral breath sounds,
cool extremities, and a capillary refill time of more than 5 seconds. The infant's blood pressure
is 85/65 mmHg, and glucose is 30 mg/dL (1.65 mmol/L). You administer 100% oxygen via face
mask and start an IV. Which treatment is most appropriate for this infant?

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, ©BRIGHTSTARS EXAM SOLUTIONS

11/14/2024 12:19 PM

Albuterol (duh) - answer✔A 9yo boy is agitated and leaning forward on the bed in obvious
respiratory distress. The patient is speaking in short phrases and tells you that he has asthma
but does not carry an inhaler. He has nasal flaring, severe suprasternal and intercostal
retractions, and decreased air movement with prolonged expiratory time and wheezing. You
administer 100% oxygen by a nonrebreathing mask. His spO2 is 92%. Which med do you
prepare to give to this patient?

Rapid bolus of 20ml/kg of isotonic crystalloid - answer✔Paramedics are called to the home of a
1yo child. Their initial assessment reveals a child who responds only to painful stimuli and has
irregular breathing, faint central pulses, bruises over the abdomen, abdominal distention, and
cyanosis. Bag-mask ventilation with 100% oxygen is initiated. The child's heart rate is 36/min.
Peripheral pulses cannot be palpated, and central pulses are barely palpable. The cardiac
monitor shows sinus bradycardia. Two-rescuer CPR is started. Upon arrival to the emergency
department, the child is intubated and ventilated with 100% oxygen, and IV access is
established. The heart rate is now 150/min with weak central pulses but no distal pulses.
Systolic blood pressure is 74 mmHg. Which intervention should be provided next?

Epinephrine - answer✔You are called to help treat an infant with severe symptomatic
bradycardia (heart rate 66/min) associated with respiratory distress. The bradycardia persists
despite establishment of an effective airway, oxygenation, and ventilation. There is no heart
block present. Which is the first drug you should administer?

Routine administration is not indicated during cardiac arrest - answer✔Which statement is
correct about the use of calcium chloride in pediatric patients?

It is the least desirable route of administration - answer✔Which statement is correct about
endotracheal drug administration during resuscitative efforts for pediatric patients?

Humidified oxygen as tolerated - answer✔Initial impression of a 2yo girl shows her to be alert
with mild breathing difficulty during inspiration and pale skin color. On primary assessment, she
makes high-pitched inspiratory sounds (mild stridor) when agitated; otherwise, her breathing is
quiet. Her spO2 is 92% on room air, and she has mild inspiratory intercostal retractions. Lung
auscultation reveals transmitted upper airway sounds with adequate distal breath sounds
bilaterally. Which is the most appropriate initial intervention for this child?

Amiodarone 5 mg/kg IO - answer✔You are part of a team attempting to resuscitate a child with
ventricular fibrillation cardiac arrest. You delivered 2 unsynchronized shocks. A team member
established IO access, so you give a dose of epinephrine, 0.01 mg/kg IO. At the next rhythm
check, persistent ventricular fibrillation is present. You administer a 4 J/kg shock and resume
CPR. Which drug and dose should be administered next?

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