PALS Final 2024 Exam
study guide
If the pulse rate on the pulse ox differs from the EKG monitor the O2 saturation reading is - Answer>> not reliable, the child needs oxygen in spite of possible O2 saturation above 94%.
A BP reading of what in a neonate is considered hypotension when? - Answer>> of less than 60 systolic
What airway obstruction is characterized by tachypnea, increased
respiratory effort, cough, stridor, and poor air oxygenation? - Answer>> upper airway obstruction
Typical signs and symptoms of upper airway obstruction occur predomintly during the what phase of respiratory cycle? - Answer>> inspiratory phase
This is an abnormal breathing pattern that produces inadequate respiratory rate or effort that is usually associated with neurological disorders such as brain tumors, seizures, head injury, hydrocephalus or neuromuscular disease? - Answer>> disordered control of breathing
Increased work of breathing and tachypnea in a toddler may be classified as what? - Answer>> as respiratory distress rather than failure Moderate stridor and retractions along with a seal bark cough in a
toddler may be best managed by administration of what? - Answer>> nebulizer epi
The child who presents with severe respiratory distress and signs of anaphylaxis must be treated promptly with what? - Answer>> IM/IV epi/corticosteroids as well as nebulized albuterol.
Defined as a critical condition that results from inadequate tissue delivery of O2 and nutrients to meet tissue metabolic demands? - Answer>> shock
Infants have tiny hearts and increase their cardiac output primarily
by what? - Answer>> increasing heart rate
In order to recognize shock early, the health care provider must recognize signs of compensated shock such as what? - Answer>> tachycardia, increased stroke volume, and increased cardiac contractility
Increased systemic vascular resistance or vasoconstriction may be recognized clinically in the child who has what? - Answer>> cold extremities, poorly palpable peripheral pulses, delated capillary refill time
Stroke volume may be maintained in early shock by increased what? - Answer>> increased contraction and venoconstriction which increases venous return to the heart, thus increasing preload.
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