1. You are caring for a child who was resuscitated after a drowning event.Thechild
is intubated and ventilated with 100% oxygen with equal breath soundsand
exhaled CO2 detected. The heart rate is slow and the monitor
...
1. You are caring for a child who was resuscitated after a drowning event.Thechild
is intubated and ventilated with 100% oxygen with equal breath soundsand
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 beenestablished.The
core temperature is 37.3oC. Based on the PALS bradycardiaalgorithm, which of
the following should be provided first?
Epinephrine IV
Transcutaneous pacing
Atropine IV
Dobutamine IV infusion
ANS: Epinephrine IV
2. 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 followingwould be the
best treatment to provide without delay?
Place cold packs on the distal upper and lower extremitiesAsk
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
ANS: Provide synchronizedcardioversion at 0.5 to 1 J/kg
3. You are initiating treatment for a child with septic shock and hypotension.While
administering high-flow oxygen you determine that the child's respi- rations are
adequate and SpO2 is 100%. You have just established vascularaccess and
obtained blood samples.Which of the following is the next mostappropriate
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
ANS: Administer repeated fluid boluses ofisotonic crystalloid
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