PALS Questions and Answers: Pediatric Advanced Life Support, Exams of Nursing

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Ratio of compressions to ventilations for 2 rescuer CPR on infant/children? - Correct Answer 15: Pediatric SBP hypotension formula for ages 1-10? - Correct Answer 70 + (2 x age in years) Hypoglycemia infant? - Correct Answer <60 mg/dl Hypoglycemia neonate? - Correct Answer <45 mg/dl Hypotension SBP infant? - Correct Answer 70 mmHg Hypotension SBP neonate? - Correct Answer 60 mmHg

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Uncuffed tube size formula? - Correct Answer Age in years divided by 4 + 4 Possible/probably rate issue in infants? - Correct Answer 220 bpm Possible/probably rate issue a child? - Correct Answer 180 bpm Pediatric synchronized cardioversion dosages? - Correct Answer 1st dose: 0.5-1 J/kg Subsequent doses: 2 J/kg Pediatric defibrilation doses? - Correct Answer 1st dose: 2 J/kg 2nd dose: 4 J/kg Subsequent dose: 8 J/kg (Not to exceed adult dose)

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Sudden deterioration in an intubated patient? - Correct Answer DOPE - Dislodged, Obstructed, Pneumothorax, Equipment failure Fluid bolus for hypovolemic shock (Non-DKA) - Correct Answer 20 ml/kg over 5-10 minutes Fluid bolus for cardiogenic shock? - Correct Answer 5 - 10 ml/kg over 10-20 minutes Fluid bolus for DKA (compensated shock)? - Correct Answer 10- 20 ml/kg over an hour Target O2 Sat range? - Correct Answer 94 - 99%

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Rescue breathing for an infant/child? - Correct Answer 1 breath q 3-5 seconds (12-20 bpm) Pediatric epinephrine dose in cardiac arrest? - Correct Answer 0.01 mg/kg 1:10,000 IV/IO Hallmark of LOWER airway obstruction? - Correct Answer Prolonged expiratory phase with wheezes Hallmark of UPPER airway obstruction? - Correct Answer Inspiratory stridor Amiodarone dose for persistent VF/Pulseless V-Tach? - Correct Answer 5 mg/kg (may repeat up to 2x)

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Atropine dose for symptomatic bradycardia? - Correct Answer 0.02 mg/kg (May repeat once in 5 minutes) Pediatric Adenosine doses? - Correct Answer 1st dose: 0.1mg/kg RIVP, 2nd dose: 0.2 mg/kg (not to exceed adult dose) Ratio of compressions to ventilations for neonatal resuscitation? - Correct Answer 3: Neonatal rate for assisted ventilations? - Correct Answer 40- breaths per-minute Tachycardia rule of thumb? - Correct Answer 150 - (5 x age in years)

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Maximum single dose of Atropine for bradycardia? - Correct Answer 0.5 mg Lidocaine dose for refractory V-Fib or Pulseless V-Tach? - Correct Answer 1 mg/kg Epinephrine dose for anaphylaxis? - Correct Answer 0.01 mg/kg 1:1,000 q 15 minutes PRN (Max dose: 0.3 mg) Autoinjector Epinephrine dose for pediatric patients (Greater than or equal to 30 kg)? - Correct Answer 0.3 mg 1:1, Autoinjector Epinephrine dose for pediatric patients (10 - 30 kg)? - Correct Answer 0.15 mg 1:1,

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Depth of compressions? - Correct Answer At least one third the depth of the chest Pediatric Dextrose D50W dose? - Correct Answer 1-2 mL/kg Infant Dextrose D25 dose? - Correct Answer 2-4 mL/kg Neonate Dextrose D10 Dose? - Correct Answer 5-10 mL/kg Maximum concentration of dextrose for neonates? - Correct Answer D12.5W (0.125 g/mL) Ratio of compressions to ventilations, 2 rescuer CPR for infants/children? - Correct Answer 15:

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Is it permissible to use an adult AED & pads on an infant? - Correct Answer Yes Is it permissible to use an Pediatric AED & pads on an adult? - Correct Answer No Alone with an unwitnessed child/infant arrest? - Correct Answer 2 muntes of CPR before anything else (5 cycles) 60 or less? - Correct Answer Better compress! Estimated weight based on age? - Correct Answer 1 y/o = 10 kg 3 y/o = 15 kg 5 y/o = 20 kg 7 y/o = 25 kg

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9 y/o = 30 kg Rate of compressions for neonatal CPR? - Correct Answer 120 Dopamine infusion rate? - Correct Answer 2-20 mcg/kg Crystalloid fluid replacement for hemorrhagic shock? - Correct Answer 3 mL of crystalloid for every 1 mL of blood loss Referred pain in shoulder due to ruptured spleen? - Correct Answer Kehrs sign SCIWORA - Correct Answer Spnial Cord Injury Without Radiographic Abnormality

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Magnesium Sulfate dose for puless V-Tach w/ TDP? - Correct Answer 25 - 50 mg/kg bolus (Max: 2g) APGAR? - Correct Answer Appearance, Pulse, Grimace, Activity, Respirations Diphenhydramine dose in anaphylaxis? - Correct Answer 1- mg/kg q 4-6 hours (Max: 50 mg)