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 perfusio...
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 bradycardia
-Fever or hypothermia
-Altered perfusion
-Hypotension
Within the first 10-15 minutes of determining septic shock, what do you need to do? -
CORRECT ANSWER--ABCs
-Place monitors
-Establish IV/IO access
-Fluid boluses: Give 10-20mL/kg isotonic crystalloid boluses. 10mL/kg for neonates.
Within the first 1 hour of determining septic shock, what do you do? - CORRECT
ANSWER--Blood cultures & additional labs
-Broad spectrum antibiotics
-Monitor fluid boluses. Repeat boluses as needed to treat shock. Stop if rales,
respiratory distress, or hepatomegaly develops
, What are the goals of treatment for septic shock? - CORRECT ANSWER--Improve
mental status
-Normalization of heart rate & temp
-Adequate B/p
-Improved perfusion
During septic shock, if you gave 40-60mL/kg of total fluid or their is evidence of fluid
overload, what is your next step? - CORRECT ANSWER-- NO: Consider critical care
consultation
- YES: Obtain critical care consult & initiate titration of epinephrine or norepinephrine.
-- Central venous access for monitoring
-- Consider stress-dose hydrocortisone if hemodynamics remain inadequate.
You find a pediatric patient in Cardiac Arrest. What is the next step? - CORRECT
ANSWER-Initiate CPR and find an AED or monitor.
CARDIAC ARREST PATIENT: What are the two shockable rhythms? - CORRECT
ANSWER-Pulsless Ventricular Tachycardia & Ventricular Fibrillation
CARDIAC ARREST PATIENT: After you shock the patient with pVT or VF, what is your
next step if no ROSC? - CORRECT ANSWER-CPR for 2 minutes and get IV/IO access
CARDIAC ARREST PATIENT: After shocking the patient one time and performing CPR
for 2 minutes/IV IO access, what is the next step if there is a shockable rhythm and if
their is not a shockable rhythm? - CORRECT ANSWER-If a shockable rhythm, shock
again and resume CPR for 2 minutes. During this time Give Epinephrine every 3-5
minutes and consider an advanced airway.
CARDIAC ARREST PATIENT: How much Epi per dose? - CORRECT ANSWER-
0.01mg/kg (max 1mg)
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