Pediatric and Neonatal Resuscitation Guidelines 2020 Quiz

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Questions and Answers

What is the recommended action for patients at risk after ROSC?

Immediate discharge

EEGs and seizure prophylaxis (correct)

No further intervention needed

Genetic analysis only

What is a high predictor of CPR quality and positive outcome?

Lack of education protocols

Prolonged time without spontaneous circulation

High medication doses

Good leadership and clear, concise communication (correct)

What is vital to achieving the ROSC of a patient?

High medication doses

Prolonged time without spontaneous circulation

Lack of designated roles in a code

Training of team members (correct)

What should be completed early in resuscitation?

Contacting necessary physicians Signup and view all the answers

What should be emphasized to the family for patients with unknown causes of death?

Autopsy with possible subsequent genetic analysis Signup and view all the answers

What is the basis of achieving the return of spontaneous circulation in cardiopulmonary resuscitation?

Sequential algorithm Signup and view all the answers

In comparison to adults, why are pediatric patients less likely to require the administration of CPR?

They have unique risk and pathophysiologic factors Signup and view all the answers

What are the critical steps to resuscitation of the pediatric and neonatal patient?

Algorithmic approaches Signup and view all the answers

What makes pediatric and neonatal resuscitation dissimilar to adult cardiorespiratory resuscitation?

Special considerations in terms of medication dosing, procedures, and continuation of care Signup and view all the answers

What is the focus of the article in relation to pediatric and neonatal resuscitation?

Reviewing guidelines and research vital to maximizing success in a pediatric code Signup and view all the answers

What is a common cause of Sudden Infant Death Syndrome (SIDS)?

Channelopathies Signup and view all the answers

Which vasopressor is recommended as a first-line treatment for warm shock in children?

Epinephrine Signup and view all the answers

When is defibrillation recommended in pediatric patients?

Pulseless ventricular tachycardia Signup and view all the answers

What is the recommended approach for common resuscitative medications such as sodium bicarbonate and calcium in pediatric patients?

Empirical administration Signup and view all the answers

What is an important consideration in pediatric fluid management?

Choosing balanced versus unbalanced crystalloid fluids Signup and view all the answers

Study Notes

Pediatric and Neonatal Resuscitation Guidelines 2020

Neonatal and pediatric patients have anatomical and physiological differences from adults that can affect resuscitation, such as a shorter jaw, narrower hypopharynx, and larger head to body size.
Causes of cardiac arrest in children include trauma, tamponade, pneumothorax, shock, cardiomyopathies, myocarditis, and metabolic derangements.
Channelopathies are a common cause of Sudden Infant Death Syndrome (SIDS), accounting for 2-10% of cases.
Resuscitation should begin immediately if a patient becomes cyanotic, asystolic, or is in respiratory arrest, and early initiation of CPR correlates with a significant mortality benefit.
Fluid status is an important consideration in pediatric management, and there is insufficient evidence to support choosing balanced versus unbalanced crystalloid fluids.
First-line vasopressors for cold and warm shock in children are norepinephrine and epinephrine, respectively, with dopamine as the second line in both cases.
Medication dosing for children is weight-based, with variability in the route of administration and specific considerations for neonates.
Defibrillation is recommended in pulseless ventricular tachycardia and ventricular fibrillation, with amiodarone and lidocaine as suitable anti-arrhythmic choices.
Prostacyclin or inhaled nitric oxide can benefit pediatric patients with pulmonary hypertension or right-sided heart failure.
Suffocation from household objects and foreign body ingestion are common causes of pediatric decompensation, requiring specific approaches for airway management and potential specialist care.
Common resuscitative medications such as sodium bicarbonate and calcium should not be given empirically, as they have been associated with a higher mortality rate.
While stabilization can be performed at most facilities, definitive treatment or long-term care for pediatric patients is usually restricted to larger or child-specific centers.

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Description

Test your knowledge of the latest Pediatric and Neonatal Resuscitation Guidelines 2020 with this quiz. Explore key differences in anatomy, causes of cardiac arrest, medication dosing, and management strategies for pediatric and neonatal resuscitation. Stay updated on best practices for resuscitating pediatric patients in various clinical scenarios.