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2024 AHA PALS RENEWAL EXAM WITH CORRECT ANSWERS
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2024 AHA PALS RENEWAL EXAM WITH CORRECT ANSWERS
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2024 AHA PALS RENEWAL EXAMWITH CORRECT ANSWERS
Signs/Symptoms Worsening Pediatric Shock - CORRECT ANSWERS-Worsening
Tachycardia
Narrowing Pulse Pressure
Decreased LOC
Weakening Central Pulses
Early Shock Pulse Pressure Changes - CORRECT ANSWERS-Increase SVR
(vasoconstriction)
Raises diastolic pressure, brings pulse pressure closer together (narrowed)
Sepsis can be exception, vasodilation, decreased DBP, widened pulse
pressure
Metabolic Changes Adversely Affect Cardiac Contractility - CORRECT
ANSWERS-Metabolic Acidosis
Hypocalcemia
Hypoglycemia
Hyperkalemia
Admin of blood (especially cold blood products) causes decrease in -
CORRECT ANSWERS-Calcium
2 vasoactive medications for impaired perfusion, Normotensive - CORRECT
ANSWERS-Epinephrine and Dopamine
Increase myocardial contractility
Potentially Harmful Meds for Cardiogenic Shock - CORRECT ANSWERS-
Vasoconstrictors (Neo and Levo)
Increases after-load (SVR), more strain on heart
Quiet Tachypnea is seen with this type of shock - CORRECT ANSWERS-
Hypovolemic shock
Cardiogenic Shock is distinguished by hypovolemic shock by - CORRECT
ANSWERS-Increased respiratory effort (retractions, grunting, use of
accessory muscles, result of pulmonary venous congestion and edema)
, Differentiate between cardiogenic and hypovolemic shock - CORRECT
ANSWERS-Give 5-10ml/kg over 10-20 minutes - if not improve then
cardiogenic shock likely
Treatment of choice ductal dependent lesions - CORRECT ANSWERS-Infusion
of Prostaglandin E1 - keeps ductus arteriosus from closing, restoring patency
until surgery
Needle Decompression Location/Procedure - CORRECT ANSWERS-18-20g top
of third rib 2nd ICS at midclavicular line
Causes of Obstructive Shock - CORRECT ANSWERS-PE, Tension Pneumo,
Cardiac Tamponade, Ductal-Dependent Lesions
Predisposition for Intravascular Thrombus - CORRECT ANSWERS-Inherited
coag disorders, malignancy, sickle cell dz
RR <1 year Infant - CORRECT ANSWERS-30-53bpm
RR 1-3 years Toddler - CORRECT ANSWERS-22-37bpm
RR 4-5 years Preschooler - CORRECT ANSWERS-20-28bpm
RR 6-12 years School-aged child - CORRECT ANSWERS-18-25bpm
RR 13-18 years Adolescent - CORRECT ANSWERS-12-20bpm
HR Newborn/Neonate Awake (Asleep) - CORRECT ANSWERS-100-205 (90-
160)
HR Infant Awake (Asleep) - CORRECT ANSWERS-100-180 (90-160)
HR Toddler Awake (Asleep) - CORRECT ANSWERS-98-140 (80-120)
HR PreSchooler Awake (Asleep) - CORRECT ANSWERS-80-120 (65-100)
HR School-Aged Child Awake (Asleep) - CORRECT ANSWERS-75-118 (58-90)
HR Adolescent Awake (Asleep) - CORRECT ANSWERS-60-100 (50-90)
General Guide for Pediatric Bradycardia:0-3 years old - CORRECT ANSWERS-
HR <100bpm
General Guide for Pediatric Bradycardia: 3-9 years old - CORRECT ANSWERS-
HR < 60 bpm
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