*NURSING > QUESTIONS & ANSWERS > PALS - Written Test and Case Study Review Material Latest Updated 2022 (All)
PALS - Written Test and Case Study Review Material Latest Updated 2022 CPR Sequence Correct Answer-C-A-B Circulation-Airway-Breathing Core Case Action Order (A,I,I) Correct Answer-Assess Identif... y Intervene CBC (Assessment part 1 aka initial assessment) Correct Answer-Consciousness Breathing Color ABCDE (Assessment part 2 aka primary assessment) Correct Answer-Airway Breathing Circulation Disability Exposure SAMPLE (Assessment part 3) Correct Answer-S/Sx Allergies Medications Past medical hx Last meal/drink Events leading to situation Reversible Causes of Pediatric Cardiac Arrest (H&T's) 6 H's (G,K,T,V,X,DRO) Correct Answer-1. Hypo-Glycemia 2. Hypo/hyper-Kalemia 3. Hypo-Thermia 4. Hypo-Volemia 5. Hypo-Xia 6. HyDROgen ion (acidosis) Reversible Causes of Pediatric Cardiac Arrest (H&T's) 5 T's (A,E,HC,HP,O) Correct Answer-1. Tamponade, cardiac 2. Tension pneumothorax 3. Thrombosis, coronary 4. Thrombosis, pulmonary 5. Toxins UAO: Presentation, Causes, TX Correct Answer-Stridor on inspiration, High pitched inspiration (Anaphylaxis, Croup, Foreign Body) Humid Oxygen, Neb Epi, Removal Croup presentation Tx Correct Answer-O2 Racemic epinephrine (0.25mg/kg) Humidified epi (0.5 ml/kg/3cc's NS Core Case Resp 1: UAO (Anaphylaxis) Correct Answer-Open airway Admin O2 100% non-rebreather, re-assess AED, Vitals (cardiac rhythm = sinus tachy) S/sx of UAO, resp distress TX: Epi IM, Steroids, CPAP Vascular access Prepare for intubation LAO: Presentation, Causes, TX Correct Answer-Wheezing on expiration (Asthma, Bronchiolitis) Neb Albuterol, SQ Epi, Mag Sulf, Steroids Core Case Resp 2: LAO (Bronchiolitis or Asthma) Correct Answer-Admin O2 100% nonrebreather after finishing neb tx, re-assess AED, Vitals (cardiac rhythm = sinus tachy) S/sx of LAO, resp distress Suction nose TX: Neb albuterol (2.5mg/3cc's NS), Non-invasive pos press vent (NIPPV), Steroids Vascular access, labs, ABGs, chest X-ray Prep for bag-mask vent, intubation Lung Tissue Disease: Presentation, Causes, TX Correct Answer-Grunting, stiff lungs, increased breathing effort (I, E), tachypnea, crackles (Pneumonia) Antibiotics, Albuterol Core Case Resp 3: Lung Tissue Disease (Pneumonia or Aspiration) Correct Answer-*Admin O2 100% non-rebreather after finishing neb tx, re-assess, titrate O2 to 94-99% TX: Neb albuterol, antibiotics, Non-invasive vent (CPAP or NIPPV - PEEP) Prep for bag-mask vent, intubation* AED, Vitals (cardiac rhythm = sinus tachy) S/sx of LTD, resp failure Suction nasopharynx Vascular access, labs, ABGs, chest x-ray Disordered Breathing: Presentation, Causes, TX Correct Answer-Irreg breathing pattern (Drug OD, Injury) Antidote (narcan), DOPE, MASK AND BAG DOPE (Pediatric with airway, deteriorates rapidly) Correct Answer-Displacement (airway is displaced on chin lift) Obstruction (tongue fluid) Pneumothorax (Lung is punctured or plugged) Equipment (Is it malfunctioning) IO vascular access components Correct Answer-Less than 24 hour use Leg bone below knee is best Stop when POP Cannot use same bone twice Must have pressure to flow, PUSH HARD 10 mL/kg on IVF bolus Flush with 10 mL after any drug Core Case Shock 1: Hypovolemic (Dehydration) Correct Answer-Admin high-flow O2 nonrebreather, re-assess AED, Vitals (cardiac rhythm = sinus ta [Show More]
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