Podcast
Questions and Answers
What arrhythmia is interpreted for a 12-year-old child displaying a specific ECG waveform?
What arrhythmia is interpreted for a 12-year-old child displaying a specific ECG waveform?
Second degree
Which test would a provider use to determine the adequacy of oxygen delivery for a child who has been vomiting and is lethargic?
Which test would a provider use to determine the adequacy of oxygen delivery for a child who has been vomiting and is lethargic?
Lactate
What condition is indicated by decreased breath sounds, bradycardia, and low O2 saturation in a 9-year-old patient?
What condition is indicated by decreased breath sounds, bradycardia, and low O2 saturation in a 9-year-old patient?
Respiratory failure
What should be the first action taken for a 4-year-old child with gasping respirations and a pulse rate of 65 bpm?
What should be the first action taken for a 4-year-old child with gasping respirations and a pulse rate of 65 bpm?
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What arrhythmia does a rhythm strip obtained from a 15-year-old patient diagnosed with Lyme disease indicate?
What arrhythmia does a rhythm strip obtained from a 15-year-old patient diagnosed with Lyme disease indicate?
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What findings may indicate a child is experiencing post-cardiac arrest syndrome (PCAS)?
What findings may indicate a child is experiencing post-cardiac arrest syndrome (PCAS)?
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Which actions by providers demonstrate high-quality CPR in a 2-year-old child who is unresponsive?
Which actions by providers demonstrate high-quality CPR in a 2-year-old child who is unresponsive?
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For which rhythms would defibrillation be appropriate in a child experiencing cardiac arrest?
For which rhythms would defibrillation be appropriate in a child experiencing cardiac arrest?
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How is hypotension described in relation to shock?
How is hypotension described in relation to shock?
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What should the oxygen saturation above which supplemental oxygen should be maintained for a 4-year-old?
What should the oxygen saturation above which supplemental oxygen should be maintained for a 4-year-old?
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Which medication would a team administer first for a severe asthma exacerbation in an 11-year-old?
Which medication would a team administer first for a severe asthma exacerbation in an 11-year-old?
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What circulation finding might be present in a child with respiratory distress?
What circulation finding might be present in a child with respiratory distress?
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What indicators may document increased work of breathing in a child?
What indicators may document increased work of breathing in a child?
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What intervention is prepared for a child with unstable wide-complex tachycardia and hemodynamic compromise?
What intervention is prepared for a child with unstable wide-complex tachycardia and hemodynamic compromise?
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What is the most common cause of cardiac arrest in a 4-month-old infant?
What is the most common cause of cardiac arrest in a 4-month-old infant?
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Study Notes
Arrhythmias and Cardiac Conditions
- Second-degree heart block identified in a 12-year-old child with ECG waveform abnormalities.
- First-degree atrioventricular (AV) block detected in a 15-year-old patient post-Lyme disease diagnosis.
- Signs of unstable wide-complex tachycardia in an 11-year-old child warrant synchronized electrical cardioversion due to hemodynamic compromise.
- Sudden infant death syndrome recognized as the leading cause of cardiac arrest in a 4-month-old infant.
Respiratory Assessment and Interventions
- Respiratory failure indicated in a 9-year-old showing decreased breath sounds, bradycardia, and low oxygen saturation.
- High-quality CPR protocol emphasized in an unresponsive 2-year-old, requiring full chest recoil and proper ventilation techniques.
- In respiratory distress, pallor noted as an associated circulation finding.
- Increased work of breathing illustrated through nasal flaring and retractions and emphasized the need for immediate assessment of respiratory effort.
Emergency Interventions and Treatment Protocols
- Lactate test used to evaluate oxygen delivery in a vomiting and lethargic child.
- Immediate delivery of Bag-Valve-Mask (BVM) ventilation recommended for a 4-year-old with gasping respirations and bradycardia.
- Albuterol plus ipratropium bromide treatment indicated for severe asthma exacerbation in an 11-year-old soccer player.
- Oxygen administration should aim to maintain saturation levels above 94% for a child experiencing difficulty breathing.
Shock and Circulatory Findings
- Hypotension noted as an inconsistent feature of shock; not all patients will exhibit this symptom.
- Systemic response to ischemia/reperfusion confirmed by signs of hypotension, fever, and hyperglycemia in a child post-cardiac arrest.
Defibrillation Criteria
- Defibrillation appropriate for shockable rhythms: Ventricular Fibrillation (VF) and Pulseless Ventricular Tachycardia (pVT).
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge with these flashcards designed for the Pediatric Advanced Life Support (PALS) updated final exam. Each card presents real-life scenarios to evaluate your understanding of critical care for pediatric patients. Suitable for medical professionals preparing for exams.
