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Exam (elaborations)

2024 AHA PALS RENEWAL EXAM WITH CORRECT ANSWERS

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2024 AHA PALS RENEWAL EXAM WITH CORRECT ANSWERS

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  • August 12, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AHA PALS
  • AHA PALS
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Elitaa
2024 AHA PALS RENEWAL EXAM
WITH CORRECT ANSWERS

Signs/Symptoms Worsening Pediatric Shock - CORRECT ANSWERS-Worsening
Tachycardia
Narrowing Pulse Pressure
Decreased LOC
Weakening Central Pulses

Early Shock Pulse Pressure Changes - CORRECT ANSWERS-Increase SVR
(vasoconstriction)
Raises diastolic pressure, brings pulse pressure closer together (narrowed)

Sepsis can be exception, vasodilation, decreased DBP, widened pulse
pressure

Metabolic Changes Adversely Affect Cardiac Contractility - CORRECT
ANSWERS-Metabolic Acidosis
Hypocalcemia
Hypoglycemia
Hyperkalemia

Admin of blood (especially cold blood products) causes decrease in -
CORRECT ANSWERS-Calcium

2 vasoactive medications for impaired perfusion, Normotensive - CORRECT
ANSWERS-Epinephrine and Dopamine

Increase myocardial contractility

Potentially Harmful Meds for Cardiogenic Shock - CORRECT ANSWERS-
Vasoconstrictors (Neo and Levo)
Increases after-load (SVR), more strain on heart

Quiet Tachypnea is seen with this type of shock - CORRECT ANSWERS-
Hypovolemic shock

Cardiogenic Shock is distinguished by hypovolemic shock by - CORRECT
ANSWERS-Increased respiratory effort (retractions, grunting, use of
accessory muscles, result of pulmonary venous congestion and edema)

, Differentiate between cardiogenic and hypovolemic shock - CORRECT
ANSWERS-Give 5-10ml/kg over 10-20 minutes - if not improve then
cardiogenic shock likely

Treatment of choice ductal dependent lesions - CORRECT ANSWERS-Infusion
of Prostaglandin E1 - keeps ductus arteriosus from closing, restoring patency
until surgery

Needle Decompression Location/Procedure - CORRECT ANSWERS-18-20g top
of third rib 2nd ICS at midclavicular line

Causes of Obstructive Shock - CORRECT ANSWERS-PE, Tension Pneumo,
Cardiac Tamponade, Ductal-Dependent Lesions

Predisposition for Intravascular Thrombus - CORRECT ANSWERS-Inherited
coag disorders, malignancy, sickle cell dz


RR <1 year Infant - CORRECT ANSWERS-30-53bpm

RR 1-3 years Toddler - CORRECT ANSWERS-22-37bpm

RR 4-5 years Preschooler - CORRECT ANSWERS-20-28bpm

RR 6-12 years School-aged child - CORRECT ANSWERS-18-25bpm

RR 13-18 years Adolescent - CORRECT ANSWERS-12-20bpm

HR Newborn/Neonate Awake (Asleep) - CORRECT ANSWERS-100-205 (90-
160)

HR Infant Awake (Asleep) - CORRECT ANSWERS-100-180 (90-160)

HR Toddler Awake (Asleep) - CORRECT ANSWERS-98-140 (80-120)

HR PreSchooler Awake (Asleep) - CORRECT ANSWERS-80-120 (65-100)

HR School-Aged Child Awake (Asleep) - CORRECT ANSWERS-75-118 (58-90)

HR Adolescent Awake (Asleep) - CORRECT ANSWERS-60-100 (50-90)

General Guide for Pediatric Bradycardia:0-3 years old - CORRECT ANSWERS-
HR <100bpm

General Guide for Pediatric Bradycardia: 3-9 years old - CORRECT ANSWERS-
HR < 60 bpm

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