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Heartcode PALS/ 112 Questions & Correct Answers

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Heartcode PALS/ 112 Questions & Correct Answers The infant is placed on the ambulance stretcher and responds with a groan when stimulated and has a temperature of 36.3 C (97.3 F) - Answer: -Monitor and support ABCs -Establish IV/IO access -Monitor heart rate, blood pressure, and pulse oximetry...

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  • November 3, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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Heartcode PALS/ 112 Questions & Correct
Answers
The infant is placed on the ambulance stretcher and responds with a groan when
stimulated and has a temperature of 36.3 C (97.3 F) - Answer: -Monitor and
support ABCs
-Establish IV/IO access
-Monitor heart rate, blood pressure, and pulse oximetry
-Call for assistance if needed


When you evaluate the patient, you find the lungs are clear, skin is cool and
mottled, glucose is 97 mg/dL and capillary refill time is 5 seconds. What are the
warning signs that the patient is progressing from compensated shock to
hypotensive shock? - Answer: -Hypotension (late sign)


Page 1 of 20

,-Increasing tachycardia


The patient still has a blood pressure of 58/38 mm Hg. Her condition would be
classified as ___________ shock. - Answer: Hypotensive


What should be included in the initial treatment for this patient? - Answer: -Rapid
fluid bolus administration
-Establishing IV/IO access


The mother does not recall the infant's most recent weight. What is the most
appropriate way to rapidly determine her weight and calculate correct
medication? - Answer: Measure her by using color-coded length-based tape


You measure the infant to be 7 kg and prepare to administer a fluid bolus of what
type? - Answer: Normal saline 20 mL/kg


What is the most appropriate method of delivering rapid fluid boluses to this
patient? - Answer: A syringe and 3-way stopcock


After the first fluid bolus is administered, the child is reassessed and her vital signs
are HR 167, BP 58/44 mm Hg, RR 56/min and SpO2 92%. Her skin is still cool and
pale and she is still lethargic and weak.


What should be the next intervention? - Answer: Deliver a second fluid bolus of
20 mL/kg and reassess

Page 2 of 20

, When should vasoactive therapy be considered be considered in managing
distributive shock? - Answer: If the child remains hypotensive and poorly perfused
despite rapid bolus fluid administration


How does the clinical presentation of distributive shock compare with
hypovolemic shock? - Answer: Distributive shock has more variable presentation
than that of hypovolemic shock


For general shock management, administer an isotonic crytalloid bolus of __
mL/kg over __ to __ minutes - Answer: For general shock management,
administer an isotonic crytalloid bolus of 20 mL/kg over 5 to 20 minutes


What signs distinguish anaphylactic shock from other types of shock? - Answer: -
Angioedema (swelling of the face, lips and tongue)
-Urticaria (hives)
-Respiratory distress with stridor, wheezing or both


in a child with anaphylactic shock, what is the most appropriate initial treatment?
- Answer: IM epinephrine


How soon after exposure do symptoms typically occur in anaphylactic shock? -
Answer: Seconds to minutes


What should you evaluate to recognize septic shock? - Answer: -Temp

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