Exam Questions and Verified Correct Answers
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What should be your next action? - answer>>>Begin CPR
CPR has been ongoing and IV access has been established. A pulse and rhythm check are
done. He has the rhythm.
What intervention would be most appropriate at this time? - answer>>>Administer
epinephrine
What is the proper dosing for epinephrine (IV/IO) administration during CPR? -
answer>>>-0.01 mg/kg IO/IV
-Repeat every 3 to 5 minutes.
After 2 more minutes of CPR, you notice the patient is moving and his skin color improves.
his vital signs are 114 RR 8/min and temperature 37.9 C (100.2 F). The infant is still slow to
respond but is moving.
What should be the next steps for this patient? - answer>>>-Continue oxygen
-Obtain expert consultation
-Support ABC's
-Identify and treat underlying causes
What clinical findings may be presented in a child with a tachyarrhythmia? - answer>>>-
Palpitations
-Light-headedness
-Syncope
How is tachycardia defined in pediatric patients? - answer>>>A heart rate that is fast
compared with the normal heart rate for the child's age
Where do tacharrhythmias originate? - answer>>>Atria or ventricles
, How are tachycardia and tacharrhythmias classifed? - answer>>>By the width of the QRS
complex
What is initial treatment for pediatric bradycardia with cardiopulmonary compromise? -
answer>>>Provide bag-mask ventilation with 100% oxygen
if bradycardia persists after initial treatment and the heart rate remains less than 60/min,
what action should be taken next? - answer>>>Begin CPR
What are the characteristics of ventricular tachycardia? - answer>>>-It is a wide QRS
complex generated within the ventricles
-The rapid rate may deteriorate into pulseless ventricular tachycardia or ventricular
fibrillation
-A rapid rate compromises ventricular filling
Why does sinus tachycardia typically develop? - answer>>>The body needs increased
cardiac output
What is characteristic feature of supraventricular tachycardia? - answer>>>An abrupt
increase in heart rate that does not vary with activity
In what conditions is atropine preferred over epinephrine as the first-choice treatment of
symptomatic bradycardia? - answer>>>-Increased vagal tone
-Cholinergic drug toxicity (orgranophosphates)
-Atrioventricular block due to primary bradycardia
What is heart rate is consistent with sinus tachycardia? - answer>>>Infant: Less than
220/min
Child: Less than 180/min
What are the characteristics of atrial flutter? - answer>>>-Atrial rate can exceed 300/min
and ventricular rate is slow
-Can develop in children with congenital heart disease