A viral infection of the pediatric upper airway that results in inflammation of the subglottic
region is knownas: Ans- croup.
A 13-year-old girl is having a sleepover at a friend's house and has been found unresponsiv
...
A viral infection of the pediatric upper airway that results in inflammation of the subglottic
region is knownas: Ans- croup.
A 13-year-old girl is having a sleepover at a friend's house and has been found unresponsive. She
responds to painful stimuli by groaning. Her pupils are 3 mm PERRL. Her skin is cool, pale, and
moist. Breath sounds are clear and equal, although breathing is shallow and she is snoring. Vital
signs are HR 92, BP 96/70, RR 22, and SpO2 96 percent on room air. Which of the following
should you do first? Ans- Open the airway with a head-tilt/chin-lift maneuver.
A 3-year-old child presents with a high fever, flushed cheeks, crying, and refusal to take food or
fluids. He is sitting up and refuses to lie down. Lung sounds are clear and equal. Vital signs are
HR 128, capillary refill less than 2 seconds, RR 28, and SpO2 98 percent on room air. Which of
the following treatment plans would be appropriate for this patient? Ans- Administer humidified
oxygen, transport in a position of comfort, and alert the receiving hospital.
A 4-year-old boy presents with a history of increasing respiratory difficulty over the previous 6
hours, including grunting and wheezing, particularly with active play. His skin is warm and dry.
There is no cyanosis of the lips or nail beds. On your arrival, the patient's respiratory rate is 27
per minute. You notice grunting on expiration and an occasional dry cough. Auscultation of the
lungs reveals widespread wheezing throughout all lung fields. Vital signs are HR 116, capillary
refill less than 2 seconds, and SpO2 97 percent on room air. According to the parents, the child
has suffered episodes similar to this one when visiting friends overnight but has had only one
episode at home. The pediatrician has not prescribed medications for home use. What should you
do? Ans- Transport and administer albuterol 2.5 mg by small-volume nebulizer.
A 2-year-old child ingested some lamp oil intended for use in an old-fashioned kerosene lamp.
The patient presents with a depressed respiratory rate, gastrointestinal irritation, and a diminished
level of consciousness. What type of poisoning do you suspect? Ans- Hydrocarbon
A four-year-old male patient presents with stridor, a cough, and hoarseness when speaking. The
paramedic should: Ans- place the patient in a position of comfort and transport immediately.
Above what respiratory rate would a 10-year-old child be considered to be breathing abnormally
fast? Ans- 30/min
According to the pediatric assessment triangle, which of the following is used to assess the work
of breathing when forming a general impression of the patient? Ans- Presence of grunting,
stridor, wheezing, crowing
An inflammation of an airway structure that is often due to a bacterial infection in children and is
known to be potentially life threatening is: Ans- epiglottitis.
During triage of a 6-year-old patient, you discover the following: The patient is awake, breathing
32 times/minute, has a palpable pulse, and responds to verbal stimuli. What is the correct triage
category for this patient? Ans- Yellow
JumpSTART provides a framework for triage decisions that is: Ans- objective.
Shouting helps assess an infant's: Ans- response to verbal stimuli.
The most accurate method for determining the size of airway to use in pediatric resuscitation is
touse: Ans- a length-based resuscitation tape, such as a Broselow Tape.
The pediatric advanced life support (PALS) criteria for a physiologically unstable child does not
include: Ans- a heart rate of 100 beats per minute.
What is a common complication of a tracheostomy tube that a mucus plug may cause? AnsObstruction
What is not a routine challenge of pediatric care for the paramedic? Ans- Children cannot receive
care without a parent or guardian present.
What is the oxygenation goal for a pediatric patient receiving oxygen? Ans- SpO2 of 94 percent
or greate
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