Exam (elaborations)
PALS All Questions With Their Answers
- Course
- Institution
PALS All Questions With Their Answers
[Show more]
Content preview
PALS All Questions With TheirAnswers
Youbarebcaringbforbabchildbwhobwasbresuscitatedbafterbabdrowningbevent.bThebchildbisbint
ubatedbandbventilatedbwithb100%boxygenbwithbequalbbreathbsoundsbandbexhaledbCO2b
detected.bThebheartbratebisbslowbandbthebmonitorbshowsbsinusbbradycardia.bThebskinbisb
cool,bmottled,bandbmoist;bdistalbpulsesbarebnotbpalpablebandbthebcentralbpulsesbarebwea
k.bIntravenousbaccessbhasbbeenbestablished.bThebcorebtemperaturebisb37.3oC.bBasedb
onbthebPALSbbradycardiabalgorithm,bwhichbofbthebfollowingbshouldbbebprovidedbfirst?
EpinephrinebIV
Transcutaneousbpacing
AtropinebIV
DobutaminebIVbinfusionb-bcorrectbanswer-EpinephrinebIV
Youbarebcaringbforbab5-year-
oldbpatientbwithbsupraventricularbtachycardiab(heartbrateb=b220/min).bThebchildbisblethar
gic.bThebskinbisbpalebandbcoolbwithbdelayedbcapillarybrefill.bDistalbpulsesbarebnotbpalpabl
e.bWhichbofbthebfollowingbwouldbbebthebbestbtreatmentbtobprovidebwithoutbdelay?
Placebcoldbpacksbonbthebdistalbupperbandblowerbextremities
Askbthebchildbtobblowbthroughbabsmallbstraw
Exertblightbpressurebonbthebeyesbbilaterally
Providebsynchronizedbcardioversionbatb0.5btob1bJ/kgb-bcorrectbanswer-
Providebsynchronizedbcardioversionbatb0.5btob1bJ/kg
Youbarebinitiatingbtreatmentbforbabchildbwithbsepticbshockbandbhypotension.bWhilebadmin
isteringbhigh-
flowboxygenbyoubdeterminebthatbthebchild'sbrespirationsbarebadequatebandbSpO2bisb100
%.bYoubhavebjustbestablishedbvascularbaccessbandbobtainedbbloodbsamples.bWhichbofbt
hebfollowingbisbthebnextbmostbappropriatebtherapybtobsupportbsystemicbperfusion?
Administerbrepeatedbfluidbbolusesbofbisotonicbcolloid
Administerbrepeatedbfluidbbolusesbofbisotonicbcrystalloid
Beginbimmediatebdopaminebinfusion
Beginbimmediatebdobutaminebinfusionb-bcorrectbanswer-
Administerbrepeatedbfluidbbolusesbofbisotonicbcrystalloid
, Youbarebtreatingbanb8-year-
oldbwithbventricularbtachycardiabwithbpulsesbandbadequatebperfusion.bYoubattemptedbsy
nchronizedbcardioversionbwithoutbsuccess.bWhilebseekingbexpertbconsultation,bitbwould
bbebmostbappropriatebto:
Administerbabloadingbdosebofbmilrinone
Considerbpossiblebmetabolicbandbtoxicologicbcauses
Initiateboverdrivebpacingbtranscutaneously
Deliverbanbunsynchronizedbshockb-bcorrectbanswer-
Considerbpossiblebmetabolicbandbtoxicologicbcauses
Youbarebcaringbforbab2-year-
oldbunconsciousbpatientbwhobisbintubatedbandbreceivingbmechanicalbventilation.bThebch
ild'sbheartbratebsuddenlybdropsbtob40/minbandbhisbcolorbbecomesbmottled.bYoubshouldbr
espondbtobthesebchangesbby:
Increasingbthebventilatorbrate
Increasingbtidalbvolume
Increasingbpositivebend-expiratorybpressureb(PEEP)
Usingbabresuscitationbbagbprovidebmanualbventilationbwithb100%boxygenb-
bcorrectbanswer-
Usingbabresuscitationbbagbprovidebmanualbventilationbwithb100%boxygen
Youbarebcaringbforbab9-month-
oldbpatientbwithbpronouncedbrespiratorybdistress.bYoubinitiatedbhigh-
flowboxygenbusingbabnonrebreathingbmaskbaboutb10bminutesbagobandbestablishedbintra
venousbaccess.bInitiallybthebinfant'sbheartbratebwasbinbtheb150/minbrangebwithbstrongbpul
ses.bSuddenlybthebinfant'sbrespiratorybratebfallsbtob6/minbwithbsignificantbintercostalsbretr
actions,bandblittlebairbmovementbisbheard.bThebinfantbbecomesbcyanoticbandbthebheartbra
tebdecreasesbtob95/min.bWhichbofbthebfollowingbtreatmentsbwouldbbebbestbforbyoubtobpro
videbnow?
AdministerbepinephrinebIV
Providebbag-maskbventilation
AdministerbmagnesiumbsulfatebIV
Intubatebandbventilateb-bcorrectbanswer-Providebbag-maskbventilation
Whichbofbthebfollowingbisblikelybtobbebthebmostbhelpfulbtechniquebtobidentifybpotentiallybre
versiblebmetabolicbandbtoxicbcausesbduringbthebattemptedbresuscitationbofbabyoungbchil
dbinbcardiacbarrest?
Obtainingbaburinebsamplebforbtoxicologybscreen
Obtainingbchestbandbabdominalbradiographs
Solicitingbabhistorybfrombthebcaregiverborbfamily
Obtainingbabvenousbbloodbgasb-bcorrectbanswer-
Solicitingbabhistorybfrombthebcaregiverborbfamily
Youbarebcaringbforbabpatientbwhobdevelopedbabtensionbpneumothoraxbafterbseveralbhour
sbofbpositive-
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 HIGRADES. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
74735 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now