Page 1 of 49
AHA PALS FINAL EXAM/ AHA PALS STUDY
GUIDE / AHA PALS TEST PREP/ 90+ QUESTIONS
AND CORRECT ANSWERS / ALREADY GRADED
A+
Croup treatment (upper airway) - ANSWER: Nebulized epi
Corticosteroids
Anaphylaxis treatment (upper airway) - ANSWER: IM epi (auto injector)
Albuterol
Antihistamines
Corticosteroids
Bronchiolitis treatment (lower airway) - ANSWER: Nasal suctioning
Bronchodilator trial
Capillary refill
Capillary refill time is the time it takes for blood to return to tissue blanched by
pressure. It increases as skin perfusion decreases. Note that normal capillary refill
time is 2 seconds or less, and a prolonged capillary refill time may indicate low
cardiac output
Evaluate capillary refill in a neutral thermal environment (ie, room temperature) by
• Lifting the extremity slightly above the level of the heart
• Pressing on the skin
• Rapidly releasing the pressure
CAB - ANSWER: Compression, airway, breathing
,Page 2 of 49
Depth of compression and rate - ANSWER: 100 to 120 bpm
1/3 anterioposterior depth
1.5 inches in infant
2 inches in toddlers and up
too deep and too long hands off - ANSWER: 2.4 inches
10 seconds
Fluid resuscitation - ANSWER: 20ml/kg of isotonic cryatalloids e.g. LR or NaCl
no atropine for peds for intubation - ANSWER: true
a line cpr - ANSWER: 10mm Hg
amiodarone or lidocaine for pulseless vtach or v fib - ANSWER: neither help w
discharge so grab whatever is closest
epinephrine in cpr? - ANSWER: keeps them alive to hospital, but not to discharge
if in coma post cpr, how do I set temp? - ANSWER: temp 36 to 37.5 C for 5 days
or 2 days hypo 32 to 36 and 3 days normothermia
post Rosc 02 and co2 - ANSWER: 94% oxygen sat at least
40mm HG c02 normocapnia
,Page 3 of 49
5 links in survival chain - ANSWER: 1. prevent and reverse b4 arrest
2. id arrest and start cpr
3. rapid activation of ex
4. pals
5. post arrest care
when u first show up to the scene - ANSWER: 1. assess 4 safe surroundings
2. check responsiveness
3. activate ex
4. check breath and pulse on saver side
5. compress at 100-120 1.5 to 2 inch
1 rescuer CPR for child (1yr to puberty) - ANSWER: 30:2
half the compressions when you double the child savers
adult pads for shocks at age - ANSWER: 8
if you see the child collapse, then - ANSWER: abandon them to call for help first
Infant CPR skills <1 year old - ANSWER: 2 fingers 1.5 inches between nipples
100-120bpm with full recoil
2-rescuer infant CPR compression technique - ANSWER: 2 thumb encirclinng
hands
, Page 4 of 49
choking infant - ANSWER: 5 back slaps, 5 compressions -repeat 5 cycles
oral prednisone for asthma - ANSWER: 2mg/kg
Secondary Assessment sample - ANSWER: signs
allergies
meds
prior med hx
last meal
events
- ANSWER:
BGL in pediatrics
Hypoglycemia refers to blood glucose 45 mg/dL or less in the newly born and 60
mg/dL or less in a child. It may result in brain injury if not recognized and
effectively treated. Base treatment decisions on patient symptoms, and potentially
include oral glucose. Monitor the blood glucose concentration of any seriously ill
infant or child. A low blood glucose concentration may cause altered level of
consciousness or even brain injury if it is not quickly identified and adequately
treated. Measure the blood glucose concentration with a point-of-care glucose test.
Important factors associated with increased work of breathing:
• Increased airway resistance (upper and lower)
• Decreased lung compliance
• Use of accessory muscles of respiration
AHA PALS FINAL EXAM/ AHA PALS STUDY
GUIDE / AHA PALS TEST PREP/ 90+ QUESTIONS
AND CORRECT ANSWERS / ALREADY GRADED
A+
Croup treatment (upper airway) - ANSWER: Nebulized epi
Corticosteroids
Anaphylaxis treatment (upper airway) - ANSWER: IM epi (auto injector)
Albuterol
Antihistamines
Corticosteroids
Bronchiolitis treatment (lower airway) - ANSWER: Nasal suctioning
Bronchodilator trial
Capillary refill
Capillary refill time is the time it takes for blood to return to tissue blanched by
pressure. It increases as skin perfusion decreases. Note that normal capillary refill
time is 2 seconds or less, and a prolonged capillary refill time may indicate low
cardiac output
Evaluate capillary refill in a neutral thermal environment (ie, room temperature) by
• Lifting the extremity slightly above the level of the heart
• Pressing on the skin
• Rapidly releasing the pressure
CAB - ANSWER: Compression, airway, breathing
,Page 2 of 49
Depth of compression and rate - ANSWER: 100 to 120 bpm
1/3 anterioposterior depth
1.5 inches in infant
2 inches in toddlers and up
too deep and too long hands off - ANSWER: 2.4 inches
10 seconds
Fluid resuscitation - ANSWER: 20ml/kg of isotonic cryatalloids e.g. LR or NaCl
no atropine for peds for intubation - ANSWER: true
a line cpr - ANSWER: 10mm Hg
amiodarone or lidocaine for pulseless vtach or v fib - ANSWER: neither help w
discharge so grab whatever is closest
epinephrine in cpr? - ANSWER: keeps them alive to hospital, but not to discharge
if in coma post cpr, how do I set temp? - ANSWER: temp 36 to 37.5 C for 5 days
or 2 days hypo 32 to 36 and 3 days normothermia
post Rosc 02 and co2 - ANSWER: 94% oxygen sat at least
40mm HG c02 normocapnia
,Page 3 of 49
5 links in survival chain - ANSWER: 1. prevent and reverse b4 arrest
2. id arrest and start cpr
3. rapid activation of ex
4. pals
5. post arrest care
when u first show up to the scene - ANSWER: 1. assess 4 safe surroundings
2. check responsiveness
3. activate ex
4. check breath and pulse on saver side
5. compress at 100-120 1.5 to 2 inch
1 rescuer CPR for child (1yr to puberty) - ANSWER: 30:2
half the compressions when you double the child savers
adult pads for shocks at age - ANSWER: 8
if you see the child collapse, then - ANSWER: abandon them to call for help first
Infant CPR skills <1 year old - ANSWER: 2 fingers 1.5 inches between nipples
100-120bpm with full recoil
2-rescuer infant CPR compression technique - ANSWER: 2 thumb encirclinng
hands
, Page 4 of 49
choking infant - ANSWER: 5 back slaps, 5 compressions -repeat 5 cycles
oral prednisone for asthma - ANSWER: 2mg/kg
Secondary Assessment sample - ANSWER: signs
allergies
meds
prior med hx
last meal
events
- ANSWER:
BGL in pediatrics
Hypoglycemia refers to blood glucose 45 mg/dL or less in the newly born and 60
mg/dL or less in a child. It may result in brain injury if not recognized and
effectively treated. Base treatment decisions on patient symptoms, and potentially
include oral glucose. Monitor the blood glucose concentration of any seriously ill
infant or child. A low blood glucose concentration may cause altered level of
consciousness or even brain injury if it is not quickly identified and adequately
treated. Measure the blood glucose concentration with a point-of-care glucose test.
Important factors associated with increased work of breathing:
• Increased airway resistance (upper and lower)
• Decreased lung compliance
• Use of accessory muscles of respiration
