MC - 7 - Tachycardia - Pediatric

Question 1

Tachycardia is defined as a HR over 180 BPM with no rate variability in _____.

A. Adults
B. Children
C. Infants

Answer 1

B. Children

Children:
Infants:

Question 2

Tachycardia is defined as a HR over 220 BPM with no rate variability in _____.

A. Adults
B. Children
C. Infants

Answer 2

C. Infants

Children:
Infants:

Question 3

List the common causes of tachycardia in pediatric patients. These should be treated, unless unstable, prior to any electrical/medication intervention.

Answer 3

• Fever
• Hypovolemia
• Sepsis

Question 4

What is definition of a “wide complex” rhythm in pediatric patients?

Answer 4

QRS over 0.09 seconds

Question 5

The first attempt at synchronized cardioversion in the pediatric patient is performed at ____.

A. 1 J/kg
B. 2 J/kg
C. 4 J/kg

Answer 5

A. 1 J/kg

Question 6

The second attempt at synchronized cardioversion in the pediatric patient is performed at ____.

A. 1 J/kg
B. 2 J/kg
C. 4 J/kg

Answer 6

B. 2 J/kg

Question 7

If a pediatric patient does not respond to cardioversion, what may be attempted next?

Answer 7

Medication based on rhythm:
- Adenosine (0.1 mg/kg; 0.2 mg/kg) for narrow complex tachycardia

• Amiodarone over 20 minutes

Question 8

NS bolus for pediatric patients with tachycardia:

A. 10 mL/kg
B. 20 mL/kg
C. 30 mL/kg
D. 40 mL/kg

Answer 8

B. 20 mL/kg