Pals exam stuvia - Study guides, Class notes & Summaries

A 5-year-old child with a history of a chronic neuromuscular disease is experiencing respiratory distress. The child is breathing spontaneously and receiving supplemental oxygen. Which additional intervention is a critical component of airway management for this patient? - ANSWER-Airway clearance (e.g., suctioning) A child being cared for in the pediatric telemetry unit suddenly displays the following ECG waveform. The provider prepares to intervene because the child is demonstrating which ty...

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 ...

The first rescuer who arrives at the side of an unresponsive infant or child should quickly perform what steps? - CORRECT ANSWER-1. Verify scene safety 2. Check for responsiveness (Tap childs shoulder or infants heel while shouting are you ok) 3. If unresponsive shout for nearby help and activate the emergency response system via mobile device 4. 5. Assess infant or child for normal breathing and pulse What happens if there are two rescuer's? - CORRECT ANSWER-The first rescuer remains a...

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1-rescuer infant CPR - CORRECT ANSWER-30:2 1-rescuer pediatric CPR - CORRECT ANSWER-30:2 1 rescue breath every ...... - CORRECT ANSWER-3-5 seconds Pulse Check on a infant during CPR: - CORRECT ANSWER-brachial 2 rescuer infant CPR - CORRECT ANSWER-15:2 When to use thumb encircling technique - CORRECT ANSWER-2-person infant CPR Use of the child AED pads is necessary if the patient is: - CORRECT ANSWER-Infants of less than 8 Pediatric Assessment Triangle - CORRECT ANSWER-Appear...

EPI dose in cardiac arrest (IV and IO) - CORRECT ANSWER-0.01mg/kg IV, q3-5min (or 0.1mg/kg IO) Amiodarone IV/IO dose Cardiac Arrest - CORRECT ANSWER-5mg/kg bolus (max 3 doses) Lidocaine IV/IO dose Cardiac Arrest - CORRECT ANSWER-1mg/kg loading dose Maintenance: 20-50mcg/kg/min infusion (repeat your bolus dose if the infusion is initiated longer than 15mins after first bolus dose) Defib doses in Cardiac Arrest - CORRECT ANSWER-First shock: 2 J/kg Second Shock: 4 J/kg Subsequent: 4+...

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Initial assessment of a Peds patient includes? - CORRECT ANSWER-Appearance, work of breathing, and circulation Peds patient with no normal breathing, but a pulse? - CORRECT ANSWER-Maintain airway through rescue breathing, Oxygen, and apply monitors. If a pulse is <60/min with poor perfusion despite oxygenation and ventilation, what is the next step? - CORRECT ANSWER-CPR What are the signs of septic shock of a Peds patient? - CORRECT ANSWER--Altered mental status -Tachycardia or bra...

CPR - CORRECT ANSWER-If no pulse or hr <60 START 1 rescuer- 30:2 2 rescuer- 15:2 Rate- 100-120 Depth 5 cm 2 inches Q2 mins change compressors, check pulse, check rhythm, weight broslo tape Assessment - CORRECT ANSWER-Airway Breathing Circulation Disability -level of consciousness Exposure- temp 2nd assessment - CORRECT ANSWER-Signs Allergies Meds Pmh Last meal Events airway - CORRECT ANSWER-Sat 94-99 5 point auscultation c02-yellow Waveform cap >10 A...

What do weak central pulses indicate a need for immediate intervention to prevent? - CORRECT ANSWER-Cardiac arrest What is the best example of the Team Leader role? - CORRECT ANSWER-Models excellent team behavior What happens when airway resistance increases? - CORRECT ANSWER-Work of breathing increase Which of the following describes laminar or normal airflow? - CORRECT ANSWER-Low airway resistance and a small driving pressure Conditions that ..... air resistance lead to increased r...