Tuesday, October 14, 2014

PALS Questions

Answer the following questions.

1.






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

2.








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

3.






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

4.






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

5.





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


Answers

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



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