Exam (elaborations)
HEARTCODE PALS QUESTIONS AND VERIFIED ANSWERS|100% CORRECT|GRADE A+
- Course
- Institution
HEARTCODE PALS QUESTIONS AND VERIFIED ANSWERS|100% CORRECT|GRADE A+
[Show more]
Seller
Follow
Content preview
HEARTCODE PALS QUESTIONS ANDVERIFIED ANSWERS|100%
CORRECT|GRADE A+
The infant is placed on the ambulance stretcher and responds with a groan when stimulated and has a
temperature of 36.3 C (97.3 F) - ANSWER -Monitor and support ABCs
-Establish IV/IO access
-Monitor heart rate, blood pressure, and pulse oximetry
-Call for assistance if needed
When you evaluate the patient, you find the lungs are clear, skin is cool and mottled, glucose is 97 mg/dL
and capillary refill time is 5 seconds. What are the warning signs that the patient is progressing from
compensated shock to hypotensive shock? - ANSWER -Hypotension (late sign)
-Increasing tachycardia
The patient still has a blood pressure of 58/38 mm Hg. Her condition would be classified as ___________
shock. - ANSWER Hypotensive
What should be included in the initial treatment for this patient? - ANSWER -Rapid fluid bolus
administration
-Establishing IV/IO access
The mother does not recall the infant's most recent weight. What is the most appropriate way to rapidly
determine her weight and calculate correct medication? - ANSWER Measure her by using color-coded
length-based tape
You measure the infant to be 7 kg and prepare to administer a fluid bolus of what type? - ANSWER
Normal saline 20 mL/kg
What is the most appropriate method of delivering rapid fluid boluses to this patient? - ANSWER A
syringe and 3-way stopcock
, After the first fluid bolus is administered, the child is reassessed and her vital signs are HR 167, BP 58/44
mm Hg, RR 56/min and SpO2 92%. Her skin is still cool and pale and she is still lethargic and weak.
What should be the next intervention? - ANSWER Deliver a second fluid bolus of 20 mL/kg and reassess
When should vasoactive therapy be considered be considered in managing distributive shock? - ANSWER
If the child remains hypotensive and poorly perfused despite rapid bolus fluid administration
How does the clinical presentation of distributive shock compare with hypovolemic shock? - ANSWER
Distributive shock has more variable presentation than that of hypovolemic shock
For general shock management, administer an isotonic crytalloid bolus of __ mL/kg over __ to __
minutes - ANSWER For general shock management, administer an isotonic crytalloid bolus of 20 mL/kg
over 5 to 20 minutes
What signs distinguish anaphylactic shock from other types of shock? - ANSWER -Angioedema (swelling
of the face, lips and tongue)
-Urticaria (hives)
-Respiratory distress with stridor, wheezing or both
in a child with anaphylactic shock, what is the most appropriate initial treatment? - ANSWER IM
epinephrine
How soon after exposure do symptoms typically occur in anaphylactic shock? - ANSWER Seconds to
minutes
What should you evaluate to recognize septic shock? - ANSWER -Temp
-Heart rate
-Systemic perfusion
-Blood pressure
-Clinical signs of end-organ perfusion
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller sellervt. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now