PALS
SVT converting to sinus rhythm after adenosine administration - Answer
Sinus bradycardia - Answer
Sinus bradycardia - version 2 - Answer
Normal sinus rhythm - Answer
Asystole - Answer
Wide complex tachycardia - Answer
Wide complex tachycardia - version 2 - Answer
Torsades de pointes - Answer
Supraventricular tachycardia - Answer
VF with successful defib and resumption of organized rhythm - Answer
Pulseless electrical activity - Answer
Ventricular fibrillation - Answer
Sinus tachycardia - Answer
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's respiratory rate is 40 breaths per
minute, and central pulses are rapid and weak. 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 (1.65 mmol/L). You administer
100% oxygen via face mask and start an IV. Which treatment is most appropriate for
this infant? - Answer Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20
minutes, and also give D25W 2-4 ml/kg IV
A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress.
The patient is speaking in short phrases and tells you that he has asthma but does not
carry an inhaler. He has nasal flaring, severe suprasternal and intercostal retractions,
and decreased air movement with prolonged expiratory time and wheezing. You
administer 100% oxygen by a nonrebreathing mask. His spO2 is 92%. Which med do
you prepare to give to this patient? - Answer Albuterol (duh)
Paramedics are called to the home of a 1yo child. Their initial assessment reveals a
child who responds only to painful stimuli and has irregular breathing, faint central
pulses, bruises over the abdomen, abdominal distention, and cyanosis. Bag-mask
, PALS
ventilation with 100% oxygen is initiated. The child's heart rate is 36/min. Peripheral
pulses cannot be palpated, and central pulses are barely palpable. The cardiac monitor
shows sinus bradycardia. Two-rescuer CPR is started. Upon arrival to the emergency
department, the child is intubated and ventilated with 100% oxygen, and IV access is
established. The heart rate is now 150/min with weak central pulses but no distal
pulses. Systolic blood pressure is 74 mmHg. Which intervention should be provided
next? - Answer Rapid bolus of 20ml/kg of isotonic crystalloid
You are called to help treat an infant with severe symptomatic bradycardia (heart rate
66/min) associated with respiratory distress. The bradycardia persists despite
establishment of an effective airway, oxygenation, and ventilation. There is no heart
block present. Which is the first drug you should administer? - Answer Epinephrine
Which statement is correct about the use of calcium chloride in pediatric patients? -
Answer Routine administration is not indicated during cardiac arrest
Which statement is correct about endotracheal drug administration during resuscitative
efforts for pediatric patients? - Answer It is the least desirable route of administration
Initial impression of a 2yo girl shows her to be alert with mild breathing difficulty during
inspiration and pale skin color. On primary assessment, she makes high-pitched
inspiratory sounds (mild stridor) when agitated; otherwise, her breathing is quiet. Her
spO2 is 92% on room air, and she has mild inspiratory intercostal retractions. Lung
auscultation reveals transmitted upper airway sounds with adequate distal breath
sounds bilaterally. Which is the most appropriate initial intervention for this child? -
Answer Humidified oxygen as tolerated
You are part of a team attempting to resuscitate a child with ventricular fibrillation
cardiac arrest. You delivered 2 unsynchronized shocks. A team member established IO
access, so you give a dose of epinephrine, 0.01 mg/kg IO. At the next rhythm check,
persistent ventricular fibrillation is present. You administer a 4 J/kg shock and resume
CPR. Which drug and dose should be administered next? - Answer Amiodarone 5
mg/kg IO
Which oxygen delivery system most reliably delivers a high (90% or greater)
concentration of inspired oxygen to a 7yo child? - Answer Nonrebreathing face mask
Which statement is correct about the effects of epinephrine during attempted
resuscitation? - Answer Epinephrine stimulates spontaneous contractions when
asystole is present
A 10mo infant boy is brought to the emergency department. Your initial assessment
reveals a lethargic, pale infant with slow respirations and slow, weak central pulses.
One team member begins ventilation with a bag-mask device with 100% oxygen. A
second team member attaches the monitor/defibrillator and obtains vital signs while a
third team member attempts to establish IV/IO access. The patient's heart rate is 38/min
SVT converting to sinus rhythm after adenosine administration - Answer
Sinus bradycardia - Answer
Sinus bradycardia - version 2 - Answer
Normal sinus rhythm - Answer
Asystole - Answer
Wide complex tachycardia - Answer
Wide complex tachycardia - version 2 - Answer
Torsades de pointes - Answer
Supraventricular tachycardia - Answer
VF with successful defib and resumption of organized rhythm - Answer
Pulseless electrical activity - Answer
Ventricular fibrillation - Answer
Sinus tachycardia - Answer
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's respiratory rate is 40 breaths per
minute, and central pulses are rapid and weak. 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 (1.65 mmol/L). You administer
100% oxygen via face mask and start an IV. Which treatment is most appropriate for
this infant? - Answer Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20
minutes, and also give D25W 2-4 ml/kg IV
A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress.
The patient is speaking in short phrases and tells you that he has asthma but does not
carry an inhaler. He has nasal flaring, severe suprasternal and intercostal retractions,
and decreased air movement with prolonged expiratory time and wheezing. You
administer 100% oxygen by a nonrebreathing mask. His spO2 is 92%. Which med do
you prepare to give to this patient? - Answer Albuterol (duh)
Paramedics are called to the home of a 1yo child. Their initial assessment reveals a
child who responds only to painful stimuli and has irregular breathing, faint central
pulses, bruises over the abdomen, abdominal distention, and cyanosis. Bag-mask
, PALS
ventilation with 100% oxygen is initiated. The child's heart rate is 36/min. Peripheral
pulses cannot be palpated, and central pulses are barely palpable. The cardiac monitor
shows sinus bradycardia. Two-rescuer CPR is started. Upon arrival to the emergency
department, the child is intubated and ventilated with 100% oxygen, and IV access is
established. The heart rate is now 150/min with weak central pulses but no distal
pulses. Systolic blood pressure is 74 mmHg. Which intervention should be provided
next? - Answer Rapid bolus of 20ml/kg of isotonic crystalloid
You are called to help treat an infant with severe symptomatic bradycardia (heart rate
66/min) associated with respiratory distress. The bradycardia persists despite
establishment of an effective airway, oxygenation, and ventilation. There is no heart
block present. Which is the first drug you should administer? - Answer Epinephrine
Which statement is correct about the use of calcium chloride in pediatric patients? -
Answer Routine administration is not indicated during cardiac arrest
Which statement is correct about endotracheal drug administration during resuscitative
efforts for pediatric patients? - Answer It is the least desirable route of administration
Initial impression of a 2yo girl shows her to be alert with mild breathing difficulty during
inspiration and pale skin color. On primary assessment, she makes high-pitched
inspiratory sounds (mild stridor) when agitated; otherwise, her breathing is quiet. Her
spO2 is 92% on room air, and she has mild inspiratory intercostal retractions. Lung
auscultation reveals transmitted upper airway sounds with adequate distal breath
sounds bilaterally. Which is the most appropriate initial intervention for this child? -
Answer Humidified oxygen as tolerated
You are part of a team attempting to resuscitate a child with ventricular fibrillation
cardiac arrest. You delivered 2 unsynchronized shocks. A team member established IO
access, so you give a dose of epinephrine, 0.01 mg/kg IO. At the next rhythm check,
persistent ventricular fibrillation is present. You administer a 4 J/kg shock and resume
CPR. Which drug and dose should be administered next? - Answer Amiodarone 5
mg/kg IO
Which oxygen delivery system most reliably delivers a high (90% or greater)
concentration of inspired oxygen to a 7yo child? - Answer Nonrebreathing face mask
Which statement is correct about the effects of epinephrine during attempted
resuscitation? - Answer Epinephrine stimulates spontaneous contractions when
asystole is present
A 10mo infant boy is brought to the emergency department. Your initial assessment
reveals a lethargic, pale infant with slow respirations and slow, weak central pulses.
One team member begins ventilation with a bag-mask device with 100% oxygen. A
second team member attaches the monitor/defibrillator and obtains vital signs while a
third team member attempts to establish IV/IO access. The patient's heart rate is 38/min
