PALS - Team Response Scenario: Noah Johnson COMPLETE SOLUTION 2022
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PALS - Team Response Scenario: Noah Johnson COMPLETE SOLUTION 2022 Following the pediatric assessment triangle (PAT), record the findings from the rapid assessment of Noah. - Which of the fol... lowing are included in the primary assessment of Noah? - As the team continues assessing Noah, which additional piece of equipment should be prepared to use? In observing this ECG reading, you note which wave form is not clearly identifiable? - Based on the ECG findings and Noah's current condition, what is the team's immediate next action? - The vagal maneuver was unsuccessful. The medication team member has started an IV using an IV set with a 3-way stopcock on Noah's left antecubital space. The doctor asks the team to prepare the medication that should be administered at this time. What is the correct medication and dose to prepare based on Noah's weight of 72.7 pounds? - After 2 minutes, there is no additional decrease in Noah's heart rate and the rhythm remains in SVT. The nurse prepares to give an additional dose of adenosine. The vial reads 12 mg/4mL. How many mL would the nurse administer based on Noah's weight of 72.7 pounds? After the second dose of adenosine, there is still no additional decrease in Noah's heart rate or change in heart rhythm; it is 188 bpm in SVT. The healthcare provider consults a pediatric cardiac intensivist who says to proceed with pharmacologic cardioversion. What is the correct medication to prepare? - What is the correct dose of amiodarone to use? - Over what time period should the amiodarone 5 mg/kg IV be administered? - Noah's heart rate and rhythm remains in SVT at 163 bpm. However, the nurse verbally reports that his blood pressure is dropping, he looks dusky (pale) and diaphoretic and his level of consciousness is decreasing. The medication team member suggests administering a third dose of adenosine. What is the correct course of action? - [Show More]
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