Tuesday, October 14, 2014
Answer the following questions.
What is the correct pediatric dose of magnesium for this rhythm?
a. 1 – 2 grams/kg IV/IO infused over 10 minutes
b. 25 – 50 mg/kg IV/IO pushed
c. 50 – 100 mg/kg IV/IO push
d. .5 – 1 g/kg infused over 10 minutes
What is the recommend pediatric initial joule setting to defibrillate this rhythm?
a. 0.5 J/kg
b. 1 J/kg
c. 2 J/kg
d. 5 J/kg
A 4th shock is delivered to a 6 year old in cardiac arrest. The post shock rhythm remains unchanged. What is the recommended initial dose of Amiodarone for this rhythm?
a. 2 – 20 mcg/kg per minute
b. 15 mg/kg IV/IO push
c. 5 mg/kg IV/IO
d. 1 mg/kg IV/IO
A 10 year old is rushed into the ER by his parents following a fall from a tree. The child has agonal breathing. He is found to be pulseless. CPR is initiated. This is the initial rhythm. What initial medication or intervention is recommended?
a. Defibrillation at 2 J/kg
b. Epinephrine 0.01 mg/kg IV/IO
c. Atropine .02 mg/kg IV/IO
d. Transcutaneous pacing at a rate of 100 bpm
An unresponsive 8 year old pedestrian is brought in by EMS following a hit and run. The child is immobilized on a back board with C spine protection in place. The airway is stable and he is receiving oxygen at via a NRB mask. Abdomen is soft and non-tender without bruising. An initial inspection reveals a deformity of the left hip and tibia. The pelvis is stable. No urethral bleeding is noted. VS: 98.0-188-20 82/ 45. 94%. The initial rhythm on the monitor is as follows. Fluid resuscitation is ordered. What is the recommended initial fluid volume?
a. 1 liter bolus of isotonic crystalloids
b. 20 ml/kg of isotonic crystalloids
c. 50 ml/kg of isotonic crystalloids
d. 100 m/kg of isotonic crystalloids
1. b. 25 – 50 mg/kg IV/IO pushed
2. c. 2 J/kg
3. c. 5 mg/kg IV/IO
4. b. Epinephrine 0.01 mg/kg IV/IO
5. b. 20 ml/kg of isotonic crystalloids