PALS - Team Response Final Scenario: Sophia Giamanti
with complete solution
Which of the following should Jeremy do immediately after checking for
responsiveness using the shout-tap-shout sequence?
The first step is simultaneously assessing for breathing and a central pulse for at least 5
seconds, but less than 10.
After determining that the infant is not breathing and does not have a pulse,
which of the following should the nurses start immediately?
Immediate care consists of performing high-quality CPR and administration of 100%
oxygen via BVM
The cardiac monitor reveals the patient's rhythm is asystole. Which of the
following should be included in the treatment?
1. Continue high-quality CPR.
2. Provide ventilations with high flow 100% O2 via BVM.
3. Consider/maintain an advanced airway.
4. Administer epinephrine.
After reviewing her chart, Marco notes Sophia's weight is 8 kg. Which of the
following doses of epinephrine IO should he administer to Sophia?
The correct dose is 0.1 mL/kg of the 1:10,000 solution, which would be 0.8 mL for
Sophia.
Joanne knows that the compressions are effective as evidenced by an ETCO2
value range of what?
ETCO2 values between 15 to 20 mmHg indicate effective compressions during a
resuscitation attempt.
The team knows it is appropriate to give a second dose of epinephrine at what
time interval?
Epinephrine should be administered every 3 to 5 minutes during cardiac arrest.
The infant's rhythm has changed, but it is still unorganized. Which of the
following rhythms does this image show?
The rhythm is ventricular fibrillation.
What is the immediate next step for this cardiac rhythm?
Ventricular fibrillation is a shockable rhythm. The team should defibrillate immediately at
a dose of 2 J/kg for an initial shock.
What is the appropriate dose that should be administered to Sophia for a second
shock? Enter your answer in joules.
The correct dose for a second shock is 4 J/kg.
The PICU team understands that this spike in ETCO2 mmHg level likely indicates
what?
The spike in ETCO2 level indicates ROSC.
Jenny adjusts the settings for the ventilator knowing which of the following are
appropriate interventions to optimize oxygenation and ventilation after cardiac
arrest?
with complete solution
Which of the following should Jeremy do immediately after checking for
responsiveness using the shout-tap-shout sequence?
The first step is simultaneously assessing for breathing and a central pulse for at least 5
seconds, but less than 10.
After determining that the infant is not breathing and does not have a pulse,
which of the following should the nurses start immediately?
Immediate care consists of performing high-quality CPR and administration of 100%
oxygen via BVM
The cardiac monitor reveals the patient's rhythm is asystole. Which of the
following should be included in the treatment?
1. Continue high-quality CPR.
2. Provide ventilations with high flow 100% O2 via BVM.
3. Consider/maintain an advanced airway.
4. Administer epinephrine.
After reviewing her chart, Marco notes Sophia's weight is 8 kg. Which of the
following doses of epinephrine IO should he administer to Sophia?
The correct dose is 0.1 mL/kg of the 1:10,000 solution, which would be 0.8 mL for
Sophia.
Joanne knows that the compressions are effective as evidenced by an ETCO2
value range of what?
ETCO2 values between 15 to 20 mmHg indicate effective compressions during a
resuscitation attempt.
The team knows it is appropriate to give a second dose of epinephrine at what
time interval?
Epinephrine should be administered every 3 to 5 minutes during cardiac arrest.
The infant's rhythm has changed, but it is still unorganized. Which of the
following rhythms does this image show?
The rhythm is ventricular fibrillation.
What is the immediate next step for this cardiac rhythm?
Ventricular fibrillation is a shockable rhythm. The team should defibrillate immediately at
a dose of 2 J/kg for an initial shock.
What is the appropriate dose that should be administered to Sophia for a second
shock? Enter your answer in joules.
The correct dose for a second shock is 4 J/kg.
The PICU team understands that this spike in ETCO2 mmHg level likely indicates
what?
The spike in ETCO2 level indicates ROSC.
Jenny adjusts the settings for the ventilator knowing which of the following are
appropriate interventions to optimize oxygenation and ventilation after cardiac
arrest?
