Exam (elaborations)
PALS VERSION A QUESTIONS AND VERIFIED ANSWERS|100% CORRECT|GRADE A+
- Course
- Institution
PALS VERSION A QUESTIONS AND VERIFIED ANSWERS|100% CORRECT|GRADE A+
[Show more]
Seller
Follow
Content preview
PALS VERSION A QUESTIONS ANDVERIFIED ANSWERS|100%
CORRECT|GRADE A+
You 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 - ANSWER 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
Provide synchronized cardioversion at 0.5 to 1 J/kg - ANSWER 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 - ANSWER 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
Initiate overdrive pacing transcutaneously
Deliver an unsynchronized shock - ANSWER 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 - ANSWER 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?
Administer epinephrine IV
Provide bag-mask ventilation
Administer magnesium sulfate IV
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller sellervt. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80461 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now