50 Questions PALS with Verified Solutions

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50 Questions PALS with Verified Solutions Ratio of compressions to ventilations for two rescuer CPR on infant or child? ✔✔15:2 Pedi SBP HOTN formula for ages 1-10? ✔✔70 + (2x age in years) Hypoglycemia infant? ✔✔<60 mg/dl Hypoglycemia Neonate? ✔✔<45 mg/dl HOTN SBP Infant? ✔✔70 mm hg HOTN SBP Neonate? ✔✔60 mm hg Uncuffed tube size formula ✔✔Age in years / 4+4 Possible/Probable rate issue in infants ✔✔220 bpm Possible/ Probable rate issue Child ✔✔180 bpm PEDI Sync Cardioversion Dosage ✔✔First dose 0.5 - 1 J/KG. Subsequent dosage is 2 J/KG PEDI Defib Dosage ✔✔First is 2 j/kg. Second is 4j/kg Subsequent dosage is 8 j/kg Sudden deterioration in an intubate patient ✔✔DOPE Disloged Obstructed Pnumo Equipment failure Fluid Bolus for Cardiogenic Shock ✔✔5-10 ml/kg over 10 - 20 min. Fluid Bolus for DKA compensated shock ✔✔10-20 ml/kg over 1 hour. Fluid Bolus hypovolemic non DKA ✔✔20 ml/kg over 5-10 min Target O2 Sat range ✔✔94-99% Rescue breathing for infant or child ✔✔1 breath every 3 to 5 sec. 12 - 20 BPM. Pedi EPI dosage in cardiac arrest ✔✔0.01 mg/kg EPI 1:10,000 IV IO Hallmark of lower airway obstruction ✔✔prolonged expiratory phase with wheezes Hallmark of upper airway obstruction ✔✔inspiratory stridor Amiodarone dose for persistant VF/ pulseless VT ✔✔5 mg/kg may repeat up to 2 times Atropine for symptomatic brady ✔✔0.02 mg/kg may repeat once in 5 min. Min. Atropine dose ✔✔0.1 mg Pedi adenosine doses ✔✔First dose 0.1 mg/ kg RIVP. Second 0.2 mg/kg RIVP Ratio of compressions to ventilations for neonate Resuscitation ✔✔3:1 Neonate rate for assisted ventilations ✔✔40-60 bpm tachycardia rule of thumb ✔✔150 -(5 x age in years) max single dose atropine for bradycardia ✔✔.5 mg Lidocaine dose for refractory VF or PVT ✔✔1 mg/kg EPI dose for anaphylaxis ✔✔.01 mg/kg 1:1000 every 15 min PRN ( Max dose .3 mg) autoinjector EPI dose for PEDI greater than to 30 kg ✔✔0.3 mg 1:1000 autoinjector EPI dose for PEDI 10-30 kg ✔✔0.15 mg 1:1000 Depth of Compressions ✔✔at least one third the depth of the chest PEDI dextrose D50W dose? ✔✔1-2 ml/kg Infant dextrose D25W dose ? ✔✔2-ml/ kg Neonatal Dextrose D10W dose? ✔✔5-10 ml/kg Max concentration of dextrose for neonates? ✔✔D12.5W (0.125 g/ml) Ratio of compressions to ventilations, two rescuer CPR for infants or children? ✔✔15:2 Is it permissible to use an adult AED pads on an infant? ✔✔YES Is it permissible to use PEDI AED pads on an Adult? ✔✔NO Alone with unwitnessed child or infant arrest? ✔✔2 min of CPR before anything else 5 cycles 60 or less? ✔✔better compress Estimated weight based on age? ✔✔1 year = 10 kg 3 years = 15 kg 5 years = 20 kg 7 years = 25 kg 9 years= 30 kg Rate of compressions for Neonate CPR ✔✔120 Dopamine infusion rate ✔✔2-20 mcg/kg/min Crystalloid fluid replacement for hemorrhagic shock? ✔✔3ml of crystalloid for every 1ml of blood loss Refered pain in shoulder due to ruptured spleen? ✔✔Kehrs signs SCIWORA? ✔✔Spinal Chord Injury Without Radiologic Abnormality Mag Sulfate dose for pulseless VT with torsades? ✔✔25 - 50 mg/kg bolus ( Max Dose 2g) APGAR ✔✔Appearance Pulse Grimace Activity Respirations Diphenhydromine dose for anaphylaxis ✔✔1-2 mg/kg every 4-6 hours max dose of 50 mg.

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