PALS Exam Questions And Answers
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What are the 4 respiratory scenarios? - ANSWER✔✔ 1. Upper AW obstruction
2. Lower AW obstruction
3. Lung tissue disease
4. Disordered control
What are the 4 cardiac scenarios? - ANSWER✔✔ 1. Shock (VF / pulseless VT)
2. No shock (PEA / asystole)
3. Bradycardia
4. Tachycardia (SVT / VT with a pulse)
What are the 4 shock scenarios? - ANSWER✔✔ 1. Distributive
2. Obstructive
3. Hypovolemic
4. Cardiogenic
Lowest acceptable systolic BP - ANSWER✔✔ 70 + (age in years x 2)
How to determine proper tube size and placement (2) - ANSWER✔✔ 1. Uncuffed
= (Age in years ÷ 4) + 4
, 2. Cuffed = (Age in years ÷ 4) + 3.5
What is the DOPE mnemonic? - ANSWER✔✔ Displacement
Obstruction
Pneumothorax
Equipment failure
What are the attributes of hypotensive (uncompensated) shock? (2) -
ANSWER✔✔ 1. BP below acceptable level
2. Rapidly progresses to cardiac arrest if not corrected
How does compensated shock present? - ANSWER✔✔ Signs of inadequate
perfusion present, but BP is in normal range
What are examples of compensated shock? (5) - ANSWER✔✔ 1. Tachycardia
2. Cold, pale, mottled skin
3. Delayed cap refill
4. Weak peripheral pulses, narrow pulse pressure
5. AMS
What counts as respiratory distress? (5) - ANSWER✔✔ 1. Abnormal rate
2. Abnormal effort
3. Abnormal breath sounds
4. Accessory muscle use
5. Retractions
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