Pals stuvia - Study guides, Class notes & Summaries

In which of the following situations may IO access be used? A. An extremity with signs of infection B. An extremity with signs of a crush injury C. An extremity with a previous unsuccessful IO attempt D. An extremity with slow a capillary refill time - CORRECT ANSWER-D. An extremity with slow a capillary refill time A 2-week-old infant is being evaluated for irritability and poor feeding. His blood pressure is 55/40 mm Hg, and capillary refill time is 5 seconds. Which statement best d...

Where can you check a pulse on an infant and a child? - CORRECT ANSWER-infant - brachial child - femoral What should you do to check for breathing? - CORRECT ANSWER-Look for chest rise and fall. How long should assessing for breathing and a pulse take? - CORRECT ANSWER-No longer than 10 seconds If the child does not have a normal breathing and a pulse of 64/min is present, you will need to - CORRECT ANSWER-Provide rescue breathing What is the preferred technique for infant compressi...

You are caring for a child who was resuscitated after a drowning event. The child is intubated and ventilated with 100% oxygen with equal breath sounds and exhaled CO2 detected. The heart rate is slow and the monitor shows sinus bradycardia. The skin is cool, mottled, and moist; distal pulses are not palpable and the central pulses are weak. Intravenous access has been established. The core temperature is 37.3oC. Based on the PALS bradycardia algorithm, which of the following should be provided ...

You are caring for a child who was resuscitated after a drowning event. The child is intubated and ventilated with 100% oxygen with equal breath sounds and exhaled CO2 detected. The heart rate is slow and the monitor shows sinus bradycardia. The skin is cool, mottled, and moist; distal pulses are not palpable and the central pulses are weak. Intravenous access has been established. The core temperature is 37.3oC. Based on the PALS bradycardia algorithm, which of the following should be provided ...

A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency department by her parents. During your assessment, you find that the infant responds only to painful stimulation. The infant has good bilateral breath sounds, cool extremities, and a capillary refill time of more than 5 seconds. The infant's blood pressure is 85/65 mmHg and glucose is 30 mg/dL. You administer 100% oxygen via face mask and start an IV. Which treatment is the most appropriate for this ...

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10 seconds - ANSWER-A 6 month old infant is unresponsive. You begin checking for breathing at the same time you check for the infants pulse. Which is the maximum time you should spend when trying to simultaneously check for breathing and palpate the infants pulse before starting CPR? Disordered Control of Breathing - ANSWER-A 4 year old child is brought to the emergency department for seizures. The seizures stopped a few minutes ago, but the child continues to have slow and irregular respirat...

A 12-year-old child being evaluated in the pediatric intensive care unit displays the following ECG waveform. The team interprets this as which arrhythmia? - ANSWER-second degree Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic, tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of oxygen delivery? - ANSWER-Lactate A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respira...

A 5-year-old child with a history of a chronic neuromuscular disease is experiencing respiratory distress. The child is breathing spontaneously and receiving supplemental oxygen. Which additional intervention is a critical component of airway management for this patient? - ANSWER-Airway clearance (e.g., suctioning) A child being cared for in the pediatric telemetry unit suddenly displays the following ECG waveform. The provider prepares to intervene because the child is demonstrating which ty...

Single Rescuer - CORRECT ANSWER-Check for responsiveness Check pulse Infant: palpate brachial Child:palpate a carotid or femoral pulse Compression placement Infant: 2 fingers chest compression or 2 thumb encircling hand technique. Child: 1 or 2 hands mid chest compression Depth: Infant: 1/3 the AP diameter of the infant's check (1 1/2") Child: approximately 2" Rate: 100-120 Ratio: 30:2 Two or more Rescuer - CORRECT ANSWER-Same Ratio: 15:2 If the infant or child has normal breat...