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PALS All Questions and answers 2024
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PALS All Questions and answers 2024
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PALS All Questions and answers 2024You are caring for a child who was resuscitated after a drowning event. The child is
intubated and ventilated with 100% oxygen with equal breath sounds and exhaled
CO2 detected. The heart rate is slow and the monitor shows sinus bradycardia.
The skin is cool, mottled, and moist; distal pulses are not palpable and the central
pulses are weak. Intravenous access has been established. The core temperature
is 37.3oC. Based on the PALS bradycardia algorithm, which of the following should
be provided first?
Epinephrine IV
Transcutaneous pacing
Atropine IV
Dobutamine IV infusion - Epinephrine IV
You are caring for a 5-year-old patient with supraventricular tachycardia (heart
rate = 220/min). The child is lethargic. The skin is pale and cool with delayed
capillary refill. Distal pulses are not palpable. Which of the following would be the
best treatment to provide without delay?
Place cold packs on the distal upper and lower extremities
Ask the child to blow through a small straw
Exert light pressure on the eyes bilaterally
,PALS All Questions and answers 2024
Provide synchronized cardioversion at 0.5 to 1 J/kg - Provide synchronized
cardioversion at 0.5 to 1 J/kg
You are initiating treatment for a child with septic shock and hypotension. While
administering high-flow oxygen you determine that the child's respirations are
adequate and SpO2 is 100%. You have just established vascular access and
obtained blood samples. Which of the following is the next most appropriate
therapy to support systemic perfusion?
Administer repeated fluid boluses of isotonic colloid
Administer repeated fluid boluses of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine infusion - Administer repeated fluid boluses of
isotonic crystalloid
You are treating an 8-year-old with ventricular tachycardia with pulses and
adequate perfusion. You attempted synchronized cardioversion without success.
While seeking expert consultation, it would be most appropriate to:
Administer a loading dose of milrinone
Consider possible metabolic and toxicologic causes
, PALS All Questions and answers 2024
Initiate overdrive pacing transcutaneously
Deliver an unsynchronized shock - Consider possible metabolic and toxicologic
causes
You are caring for a 2-year-old unconscious patient who is intubated and receiving
mechanical ventilation. The child's heart rate suddenly drops to 40/min and his
color becomes mottled. You should respond to these changes by:
Increasing the ventilator rate
Increasing tidal volume
Increasing positive end-expiratory pressure (PEEP)
Using a resuscitation bag provide manual ventilation with 100% oxygen - Using a
resuscitation bag provide manual ventilation with 100% oxygen
You are caring for a 9-month-old patient with pronounced respiratory distress. You
initiated high-flow oxygen using a nonrebreathing mask about 10 minutes ago and
established intravenous access. Initially the infant's heart rate was in the 150/min
range with strong pulses. Suddenly the infant's respiratory rate falls to 6/min with
significant intercostals retractions, and little air movement is heard. The infant
becomes cyanotic and the heart rate decreases to 95/min. Which of the following
treatments would be best for you to provide now?
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