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Terms in this set (48)
You are caring for a child who was Epinephrine IV
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 first?
Epinephrine IV
Transcutaneous pacing
Atropine IV
Dobutamine IV infusion
,You are caring for a 5-year-old Provide synchronized cardioversion at 0.5 to 1
patient with supraventricular J/kg
tachycardia (heart rate = 220/min).
The child is lethargic. The skin is
pale and cool with delayed
capillary refill. Distal pulses are not
palpable. Which of the following
would be the best treatment to
provide without delay?
Place cold packs on the distal
upper and lower extremities
Ask the child to blow through a
small straw
Exert light pressure on the eyes
bilaterally
Provide synchronized cardioversion
at 0.5 to 1 J/kg
You are initiating treatment for a Administer repeated fluid boluses of isotonic
child with septic shock and crystalloid
hypotension. While administering
high-flow oxygen you determine
that the child's respirations are
adequate and SpO2 is 100%. You
have just established vascular
access and obtained blood
samples. Which of the following is
the next most appropriate therapy
to support systemic perfusion?
Administer repeated fluid boluses
of isotonic colloid
Administer repeated fluid boluses
of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine
infusion
, You are treating an 8-year-old with Consider possible metabolic and toxicologic
ventricular tachycardia with pulses causes
and adequate perfusion. You
attempted synchronized
cardioversion without success.
While seeking expert consultation,
it would be most appropriate to:
Administer a loading dose of
milrinone
Consider possible metabolic and
toxicologic causes
Initiate overdrive pacing
transcutaneously
Deliver an unsynchronized shock
You are caring for a 2-year-old Using a resuscitation bag provide manual
unconscious patient who is ventilation with 100% oxygen
intubated and receiving mechanical
ventilation. The child's heart rate
suddenly drops to 40/min and his
color becomes mottled. You should
respond to these changes by:
Increasing the ventilator rate
Increasing tidal volume
Increasing positive end-expiratory
pressure (PEEP)
Using a resuscitation bag provide
manual ventilation with 100%
oxygen
Exam – Based Questions & Verified Answers
|100% Accuracy Graded A+
Save
Terms in this set (48)
You are caring for a child who was Epinephrine IV
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 first?
Epinephrine IV
Transcutaneous pacing
Atropine IV
Dobutamine IV infusion
,You are caring for a 5-year-old Provide synchronized cardioversion at 0.5 to 1
patient with supraventricular J/kg
tachycardia (heart rate = 220/min).
The child is lethargic. The skin is
pale and cool with delayed
capillary refill. Distal pulses are not
palpable. Which of the following
would be the best treatment to
provide without delay?
Place cold packs on the distal
upper and lower extremities
Ask the child to blow through a
small straw
Exert light pressure on the eyes
bilaterally
Provide synchronized cardioversion
at 0.5 to 1 J/kg
You are initiating treatment for a Administer repeated fluid boluses of isotonic
child with septic shock and crystalloid
hypotension. While administering
high-flow oxygen you determine
that the child's respirations are
adequate and SpO2 is 100%. You
have just established vascular
access and obtained blood
samples. Which of the following is
the next most appropriate therapy
to support systemic perfusion?
Administer repeated fluid boluses
of isotonic colloid
Administer repeated fluid boluses
of isotonic crystalloid
Begin immediate dopamine infusion
Begin immediate dobutamine
infusion
, You are treating an 8-year-old with Consider possible metabolic and toxicologic
ventricular tachycardia with pulses causes
and adequate perfusion. You
attempted synchronized
cardioversion without success.
While seeking expert consultation,
it would be most appropriate to:
Administer a loading dose of
milrinone
Consider possible metabolic and
toxicologic causes
Initiate overdrive pacing
transcutaneously
Deliver an unsynchronized shock
You are caring for a 2-year-old Using a resuscitation bag provide manual
unconscious patient who is ventilation with 100% oxygen
intubated and receiving mechanical
ventilation. The child's heart rate
suddenly drops to 40/min and his
color becomes mottled. You should
respond to these changes by:
Increasing the ventilator rate
Increasing tidal volume
Increasing positive end-expiratory
pressure (PEEP)
Using a resuscitation bag provide
manual ventilation with 100%
oxygen
