PALS All Questions/ 48 Questions with Certified Solutions.
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PALS
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PALS
PALS All Questions/ 48 Questions with Certified Solutions. Terms like:
You are caring for a patient who developed a tension pneumothorax after several hours of positive-pressure ventilation. Which of the following would be the most appropriate site for needle decompression?
Over the third ri...
Heartcode PALS/ 112 Questions & Correct
Answers
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
Page 1 of 20
,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
When should antibiotics be administered in septic shock? - Answer: Within the
first hour
What are the initial assessment findings for septic shock? - Answer: -Fever
-Hypothermia
-Normal, elevated or decreased WBC
Page 2 of 20
, For septic shock, how soon should fluid resuscitation begin? - Answer: Within 10
to 15 minutes after recognizing shock
What is the recommendation for fluid bolus of isotonic crystalloids in cardiogenic
shock? - Answer: 5 to 10 mL/kg over 10 to 20 minutes
What is the focus of the initial management of distributive shock? - Answer: -
Correcting hypovolemia
-Filling expanded dilated vascular space
-Expanding intravascular volume
What are causes of obstructive shock? - Answer: -Pulmonary embolus
-Tension pneumothorax
-Congenital heart defects
-Cardiac tamponade
What signs are present as obstructive shock progresses? - Answer: -Increased
respiratory effort
-Cyanosis
-Signs of vascular congestion
Most patients in cardiogenic shock will need inotropic support with medications.
Which of the following could be used? - Answer: -Milrinone
-Epinephrine
Page 3 of 20
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