PALS 2024-2025 Exam with verified correct answers, Exams of Banking Law and Practice

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PALS 2024-2025 Exam with verified

correct answers

CPR - correct answer -If no pulse or hr <60 START 1 rescuer- 30: 2 rescuer- 15: Rate- 100- Depth 5 cm 2 inches Q2 mins change compressors, check pulse, check rhythm, weight broslo tape Assessment - correct answer -Airway Breathing Circulation Disability -level of consciousness Exposure- temp 2nd assessment - correct answer -Signs Allergies Meds Pmh Last meal Events airway - correct answer -Sat 94- 5 point auscultation c02-yellow Waveform cap >

After intubating cont compressions Assess lung+heart sounds cap refill bp loc after any treatment given Defibrillate - correct answer -1st- 2J/kg 2- 4j k/g

• 2 until max 10 Synch cardiovert - correct answer -pt will have pulse 1- 0.5-1 j k/g If not effective increase to 2 j k/g Turn Zole to defib push SYNC IO - correct answer -If unable to access IV in 60 sec Distal femur iliac crest, proximal tibia Make sure needle has one black line 5mm Flush 2-5ml watch for swelling, don't place hand behind during insertion Only good for 24 hrs Contraindications- infection, fracture, trauma, fragile bones OPA - correct answer -94-99% Corner of mouth to Angle of jaw Contraindication if pt is conscious or has gag reflex upper airway obstruction - correct answer -Inspiratory stridor, nasal flaring, barking cough, change in voice

Croup- Neb epi, corticosteroids Anaphylaxis- Im epi, antihistamines, corticosteroids, h2 blocker Foreign body- position comfort, special consult Lower airway obstruction - correct answer -Wheezing, tachypnea, retractions, nasal flaring, cough, prolonged ex phase Asthma- Duonebs, corticosteroids, mag sulfate 25-50 mg over 20-30 mins Im epi Terbutaline Bronchiolitis- suction, bronchodilator, O Lung tissue dz - correct answer -Crackles, decreased air movement, grunting, dim bs, retractions, hypoxemia, ass muscle use PNA-antibiotics after bc Albuterol, vent support peep Pulm edema- diuretics, vasoactive, vent support peep? Disorder control of breathing "breathing funny" - correct answer -Irregular respirations, shallow breathing, decrease LOC, central apnea Poisoning/OD- antidote, poison control Neuromuscular dz- consider vent

Increased ICP- avoid hypoxemia, hypercarbia, hyperthermia, relieve it Shock - correct answer -Tachypnea, tachycardia, weakened or absent peripheral pulse, delay cap refill, dusky pale, changes in LOC, hypotension Shock - correct answer -Will require pulse ox, ecg, iv/Io, 02, glucose testing, continuous reassessment Hypovelemic shock - correct answer -Diarrhea, vomiting, hemorrhage, inadequate fluid, dka, large scale burns 20 ml k/g isotonic crystalloid (NS or LR) over 5-20 mins If known heart issues 10 ml k/g over 20-30 mins Assess vs heart and lung, cap refills, multiple blouses may be needed cardiogenic shock - correct answer -Congenital heart dz, myocarditis, cardiomyopathy, arrhythmia, sepsis, poisoning, trauma Increase resp effort, retractions, grunting, nasal flaring from pulm edema Signs of CHF Jvd, pulm edema, hepatomegaly, cyanosis, from congenital heart dz pulm edema Txt cardiogenic shock - correct answer -Be careful with fluid 5-10 ml/kg ns/lr 20-30 mins Monitor lung sounds and perfusion Cxr, echo, consult expert diuretic for pulm edema, inotropic or vasodilator

Cc transfer to closest capable facility distributive shock - correct answer -Septic- fever, hypothermia, petechial Txt- blood cultures then antibiotics Anaphylactic- angioadema, hives, edema Txt- IM epi 2nd dose 10-15 mins later if sever Albuterol Antihistamine + corticosteroids obstructive shock - correct answer -Muffled decrease heart sounds, absent bs on affected side, tracheal deviation toward other side massive pulm embolism obstructive shock - correct answer -Cardiac tamponade- pericardiocentesis, 20 ml/kg ns/lr Tension pnumo- needle decom, chest tube Massive pulm embolism- 20 ml/kg NS Thrombolitic, anticoagulants Rosc - correct answer -Transfer icu, vitals, airway, labs, abg, cmp, cbc, cxr, 12 lead, waveform cap-35- TTM - correct answer -32-34 degrees C 2 days Is pt responding? TTM not needed

Not responding- TTM asap H's - correct answer -Hypovolemia Hypoxia Hydrogen ion Hypothermia Hypo/hyperkalemia Hypoglycemia T's - correct answer -Toxins Cardiac tamponade Tension pneumothorax Thrombus coronary or pulm Trauma PEA or asystole NO PULSE - correct answer -Epi 0.01 mg/kg (max dose 1mg) every 3-5 mins Consider advanced airway Vtach vfib NO PULSE - correct answer -Start cpr, defibrillate 1- 2J k/g 2- 4 j k/g Increase by 2 max of 10 Airway management Epi 0.01 3-5 mins Amiodarone 5mg/kg bolus max 3 doses

Lidocaine 1 mg/kg Svt, vtach WITH PULSE stable - correct answer -Stable? Vagal, ice bag Meds- 1st dose adenosine 0.1 mg/kg rapid (max 6) 2nd- 0.2 mg/kg (max 12) Unstable svt, vtach with pulse - correct answer -Synch cardiovert 0.5-1 J k/g If not effective increase to 2 j/kg Consider sedation Sinus Brady with pulse - correct answer -Meds- epi 0.01 mg/kg max 1mg every 3 mins Atropine 0.02 mg/kg every 3-5 mins Transcutaneous pacing on zoll Epi - correct answer -0.01 mg/kg max 1 every 3 mins Atropine - correct answer -0.02mg/kg 3-5mins(if vagal cause suspected) Amiodarone - correct answer -5mg/kg bolus max 3 doses Lidocaine - correct answer -1mg/kg Loading dose Adenosine - correct answer -1st 0.1 mg/kg rapid flush(max 6mg)

2nd 0.2mg/kg rapid flush (max 12)