Pediatric Advanced Life Support (PALS) All Questions and solutions

Pediatric Advanced Life Support (PALS) All Questions and solutions
PALS All Questions and solutions
You are caring for a child who was 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 - ✔✔Epinephrine IV
You are caring for a 5-year-old patient with supraventricular
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 - ✔✔Provide
synchronized cardioversion at 0.5 to 1 J/kg
You are initiating treatment for a child with septic shock and
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 - ✔✔Administer repeated fluid
boluses of isotonic crystalloid
You are treating an 8-year-old with ventricular tachycardia with pulses
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

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