PALS Heartcode 2025 |2025 Update
Comprehensive Frequently Tested Questions And
Verified Answers
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Terms in this set (112)
The infant is placed on the -Monitor and support ABCs
ambulance stretcher and -Establish IV/IO access
responds with a groan -Monitor heart rate, blood pressure, and pulse
when stimulated and has a oximetry
temperature of 36.3 C -Call for assistance if needed
(97.3 F)
When you evaluate the -Hypotension (late sign)
patient, you find the lungs -Increasing tachycardia
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?
The patient still has a Hypotensive
blood pressure of 58/38
mm Hg. Her condition
would be classified as
___________ shock.
,What should be included -Rapid fluid bolus administration
in the initial treatment for -Establishing IV/IO access
this patient?
The mother does not Measure her by using color-coded length-based tape
recall the infant's most
recent weight. What is the
most appropriate way to
rapidly determine her
weight and calculate
correct medication?
You measure the infant to Normal saline 20 mL/kg
be 7 kg and prepare to
administer a fluid bolus of
what type?
What is the most A syringe and 3-way stopcock
appropriate method of
delivering rapid fluid
boluses to this patient?
After the first fluid bolus is Deliver a second fluid bolus of 20 mL/kg and reassess
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?
When should vasoactive If the child remains hypotensive and poorly perfused
therapy be considered be despite rapid bolus fluid administration
considered in managing
distributive shock?
, How does the clinical Distributive shock has more variable presentation than
presentation of that of hypovolemic shock
distributive shock
compare with
hypovolemic shock?
For general shock For general shock management, administer an
management, administer isotonic crytalloid bolus of 20 mL/kg over 5 to 20
an isotonic crytalloid minutes
bolus of __ mL/kg over __
to __ minutes
What signs distinguish -Angioedema (swelling of the face, lips and tongue)
anaphylactic shock from -Urticaria (hives)
other types of shock? -Respiratory distress with stridor, wheezing or both
in a child with IM epinephrine
anaphylactic shock, what
is the most appropriate
initial treatment?
How soon after exposure Seconds to minutes
do symptoms typically
occur in anaphylactic
shock?
-Temp
What should you evaluate -Heart rate
to recognize septic -Systemic perfusion
shock? -Blood pressure
-Clinical signs of end-organ perfusion
When should antibiotics Within the first hour
be administered in septic
shock?
What are the initial -Fever
assessment findings for -Hypothermia
septic shock? -Normal, elevated or decreased WBC
Comprehensive Frequently Tested Questions And
Verified Answers
Save
Terms in this set (112)
The infant is placed on the -Monitor and support ABCs
ambulance stretcher and -Establish IV/IO access
responds with a groan -Monitor heart rate, blood pressure, and pulse
when stimulated and has a oximetry
temperature of 36.3 C -Call for assistance if needed
(97.3 F)
When you evaluate the -Hypotension (late sign)
patient, you find the lungs -Increasing tachycardia
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?
The patient still has a Hypotensive
blood pressure of 58/38
mm Hg. Her condition
would be classified as
___________ shock.
,What should be included -Rapid fluid bolus administration
in the initial treatment for -Establishing IV/IO access
this patient?
The mother does not Measure her by using color-coded length-based tape
recall the infant's most
recent weight. What is the
most appropriate way to
rapidly determine her
weight and calculate
correct medication?
You measure the infant to Normal saline 20 mL/kg
be 7 kg and prepare to
administer a fluid bolus of
what type?
What is the most A syringe and 3-way stopcock
appropriate method of
delivering rapid fluid
boluses to this patient?
After the first fluid bolus is Deliver a second fluid bolus of 20 mL/kg and reassess
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?
When should vasoactive If the child remains hypotensive and poorly perfused
therapy be considered be despite rapid bolus fluid administration
considered in managing
distributive shock?
, How does the clinical Distributive shock has more variable presentation than
presentation of that of hypovolemic shock
distributive shock
compare with
hypovolemic shock?
For general shock For general shock management, administer an
management, administer isotonic crytalloid bolus of 20 mL/kg over 5 to 20
an isotonic crytalloid minutes
bolus of __ mL/kg over __
to __ minutes
What signs distinguish -Angioedema (swelling of the face, lips and tongue)
anaphylactic shock from -Urticaria (hives)
other types of shock? -Respiratory distress with stridor, wheezing or both
in a child with IM epinephrine
anaphylactic shock, what
is the most appropriate
initial treatment?
How soon after exposure Seconds to minutes
do symptoms typically
occur in anaphylactic
shock?
-Temp
What should you evaluate -Heart rate
to recognize septic -Systemic perfusion
shock? -Blood pressure
-Clinical signs of end-organ perfusion
When should antibiotics Within the first hour
be administered in septic
shock?
What are the initial -Fever
assessment findings for -Hypothermia
septic shock? -Normal, elevated or decreased WBC
