Emergency Care - Workbook Questions Flashcards
Which of the following is NOT an indication for resuscitation of a newborn?
APGAR score of 1
Primary apnea (defined as >20 seconds)
Heart rate of 60/min
Ventricular septal defect
Ventricular septal defect
After establishing unresponsiveness in a pediatric patient, the next step would be to
open the airway
check for breathing
suction the airway
call for help
Call for help
Which of the following is the best method to establish the airway in a newborn infant?
hyperextend the head
slightly extend the head
use chin lift to extend the head
use the jaw thrust
Slightly extend the head
The best initial device to clear a newborn’s airway is a/an
DeLee suction trap device
bulb suction device
inline suction catheter
endotracheal tube
Bulb suction device
The appropriate initial method to treat meconium aspiration is
suction applied to an ETT
manual bulb suction
closed system suction catheter
Coude catheter
Manual bulb suction
What is the appropriate ventilation rate when resuscitating an infant?
20-40/min
40-60/min
60-80/min
80-100/min
40-60/min
Noted on page D-11, #8
The location used to assess a pulse for an infant is the
brachial artery
radial artery
carotid artery
temporal artery
Brachial.
Page D-16, #3
“Infants: palpate the brachial”
What is the ratio of compressions to ventilation when performing two-rescuer CPR for a 6 year old child?
5: 1
15: 2
30: 2
30: 4
15:2
20 minutes into resuscitation of a premature newborn, ventilation, compressions, and IV access have been established. Blood gases are obtained and are as follows:
ph: 7.20
PaCO2: 39
PaO2: 65
HCO3: 16
Based on these findings, the specialist should recommend
hyperventilation
suction and check the airway
administer sodium bicarbonate
echocardiogram
Administer sodium bicarbonate
Page D-20, #5: Bicarb may be recommended to tread severe metabolic acidosis.
Verify that ventilation is adequate FIRST.
Use this strategy to treat DKA and lactic acidosis when noted, and only after ventilation is confirmed adequate.
Defibrillation is indicated to treat which of the following arrythmias?
supraventricular tachycardia
pulseless ventricular tachycardia
premature ventricular contractions
asystole
Pulseless ventricular tachycardia
Page D-18, f
Defibrillate (unsynchronized) V-tach if there is no pulse.
Epinephrine and atropine are recommended for the treatment of
asystole
ventricular fibrillation
electromechanical disassociation
supraventricular tachycardia
Asystole
Epinephrine is recommended for sinus bradycardia and asystole/PEA. Page D-20, #2
A 9 year old child is in sinus bradycardia. The specialist should recommend administration of
lidocaine
amiodarone
epinephrine
naloxone hydrochloride
Epinephrine
Epinephrine is recommended for sinus bradycardia and asystole/PEA. Page D-20, #2
A 4 year old child arrives in the ED following an MVA. The pt is hypotensive and tachycardic with poor capillary refill. The specialist should recommend administration of
dobutamine
epinephrine
sodium nitroprusside
volume expanders
volume expanders
Page D-20, #4
“Volume expansion therapy is recommended for hypotension/shock… In addition, vasopressors (dopamine/dobutamine)… may be beneficial.”
Severe airway obstruction is suspected in an unresponsive infant. The specialist should first
administer back blows
administer chest thrusts
administer abdominal thrusts
open the airway
open the airway
Page D-29, #2c
“Begin CPR. Before attempting to ventilate, look for a foreign object in the airway and remove any visible objects. Do not perform a blind finger sweep.”
For a conscious child who appears to be choking, the immediate response would be to
administer chest thrusts
administer back blows
administer abdominal thrusts
reposition the head and attempt manual ventilation.
administer abdominal thrusts
Page D-28 and D-29
Abdominal thrusts are recommended for responsive children. CPR is recommended for unresponsive children.
Back blows and chest thrusts are recommended for responsive infants (< 1 year of age) CPR is recommended if infant is unresponsive
