A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency department by her parents. During your assessment, you find that the infant responds only to painful stimulation. The infant’s respiratory rate is 40 breaths per minute, and central pulses are rapid an...
PALS Pre -course Self Assessment Answers Sinus bradycardia Sinus bradycardia – version 2 Normal sinus rhythm Asystole Wide complex tachycardia SVT converting to sinus rhythm after adenosine administration Wide complex tachycardia – version 2 Torsades de pointes Supraventricular tachycardia VF with successful defib and resumption of organized rhythm Pulseless electrical activity Ventricular fibrillation Sinus tachycardia A previously healthy infant with a history of vomiting and diarrhea is brought to the emer gency department by her parents. During your assessment, you find that the infant responds only to painful stimulation. The infant’s respiratory rate is 40 breaths per minute, and central pulses are rapid and weak. The infant has good bilateral breath soun ds, cool extremities, and a capillary refill time of more than 5 seconds. The infant’s blood pressure is 85/65 mmHg, and glucose is 30 mg/dL (1.65 mmol/L). You administer 100% oxygen via face mask and start an IV. Which treatment is most appropriate for th is infant? Administer a bolus of isotonic crystalloid 20 ml/kg over 5 -20 minutes, and also give D25W 2 -4 ml/kg IV A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress. The patient is speaking in short phrases and tells you that he has asthma but does not carry an inhaler. He has nasal flaring, severe suprasternal and intercostal retract ions, and decreased air movement with prolonged expiratory time and wheezing. You administer 100% oxygen by a nonrebreathing mask. His spO2 is 92%. Which med do you prepare to give to this patient? Albuterol (duh) Paramedics are called to the home of a 1 yo child. Their initial assessment reveals a child who responds only to painful stimuli and has irregular breathing, faint central pulses, bruises over the abdomen, abdominal distention, and cyanosis. Bag -mask ventilation with 100% oxygen is initiated. The child’s heart rate is 36/min. Peripheral pulses cannot be palpated, and central pulses are barely palpable. The cardiac monitor shows sinus bradycardia. Two -rescuer CPR is started. Upon arrival to the emergency department, the child is intubated and venti lated with 100% oxygen, and IV access is established. The heart rate is now 150/min with weak central pulses but no distal pulses. Systolic blood pressure is 74 mmHg. Which intervention should be provided next? Rapid bolus of 20ml/kg of isotonic crystalloi d You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min) associated with respiratory distress. The bradycardia persists despite establishment of an effective airway, oxygenation, and ventilation. There is no heart block present. Which is the first drug you should administer? Epinephrine Which statement is correct about the use of calcium chloride in pediatric patients? Routine administration is not indicated during cardiac arrest Which statement is correct about endotracheal drug administration during resuscitative efforts for pediatric patients? It is the least desirable route of administration
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