PALS

Question 1

PALS

HR Newborn - 3 mo:

Answer 1

85-205

Question 2

PALS

HR 3 mo-2 yrs:

Answer 2

100-190

Question 3

PALS

HR 2-10 yrs:

Answer 3

60-140

Question 4

PALS

HR >10 yrs:

Answer 4

60-100

Question 5

PALS

RR Infant-

Answer 5

30-60

Question 6

PALS

RR Toddler-

Answer 6

24-40

Question 7

PALS

RR Preschooler-

Answer 7

22-34

Question 8

PALS

RR School-aged-

Answer 8

18-30

Question 9

PALS

RR Adolescent-

Answer 9

12-16

Question 10

PALS

SBP-hypotension

0-28 days:

Answer 10

0-28 days: <60

Question 11

PALS

SBP-hypotension

1-12 mo:

Answer 11

1-12 mo: <70

Question 12

PALS

SBP-hypotension

1-10 yrs:

Answer 12

1-10 yrs: <70 + (age in years x2)

Question 13

PALS

SBP-hypotension

>10yo :

Answer 13

> 10yo: <90

Question 14

PALS

Bradycardia Resus

ASAP:

Answer 14

ABCs, IV/IO, O2, monitor / defibrillator, VS, EKG

Question 15

PALS

Tachycardia Resus

If QRS wide (> 0.09 sec) (or unstable VS)-possible ventricular tachycardia

Answer 15

If QRS wide (> 0.09 sec) (or unstable VS)-possible ventricular tachycardia
VT or unstable, then Synchronized shock at 0.5-2 J/kg
Amiodarone 5mg/kg IV/IO over 1 hr
Procainamide 15 mg/kg IV/IO over 1 hr
Adenosine 0.1 mg/kg (max 6 mg), second dose 0.2 mg/kg (max 12 mg)- if regular and monomorphic

Question 16

PALS

Tachycardia resus

If QRS narrow (< 0.09 sec) and HR < 220 in infant or < 180 in kid…

Answer 16

If QRS narrow (< 0.09 sec) and HR < 220 in infant or < 180 in kid… rhythm = likely sinus tach
treat causes (sinus tach = P waves, rate varies)

Question 17

PALS

Tachycardia Resus

If QRS narrow (< 0.09 sec) and HR > 220 in infant or > 180 in kid…

Answer 17

If QRS narrow (< 0.09 sec) and HR > 220 in infant or > 180 in kid… rhythm = likely SVT
Vagal maneuvers
Adenosine 0.1mg/kg IV (may repeat w double dose)
Synchronized shock at 0.5-2 J/kg (SVT = no P waves, rate constant)

Question 18

PALS

Arrest Resus

ASAP:

Answer 18

ASAP: ABCs, IV/IO, O2, monitor /defibrillator, VS, EKG

Question 19

PALS

Arrest Resus

If Asystole/PEA:

Answer 19

If Asystole/PEA:
CPR (15:2) x 2 min
Epinephrine 0.01mg/kg (1:10,000) IV/IO q 3-5min
Repeat
Eval for potential causes (H’s & T’s)

Question 20

PALS

Peds Arrest Resus

If VT/VF:

Answer 20

If VT/VF

Shock- 2J/kg, second 4J/kg (max 10J/kg or adult dose)

Question 21

PALS

Arrest Resus

If still VT/VF:

Answer 21

If still VT/VF
Shock at 4 J/kg and continue CPR
Epinephrine 0.01mg/kg (1:10,000) IV/IO q 3-5min
After 5 cycles CPR, check rhythm

Question 22

PALS

Arrest Resus

If still VT/VF:

Answer 22

If still VT/VF:
Shock at 4 J/kg
continue CPR
consider Amiodarone 5mg/kg IV/IO

Question 23

PALS

Neonatal

ASAP:

Answer 23

• Suction after head delivers (deep suction if mec)
• dry
• stimulate
• place in warmer
• wrap in blanket

Question 24

PALS

Neonatal

If HR and breathing OK…

Answer 24

If HR and breathing OK… supportive care / obs

Question 25

PALS

Neonatal

If premature, not crying / not breathing, poor color, poor tone or meconium…

Answer 25

Resuscitate!

Question 26

PALS

Neonatal

If HR < 100 and/or breathing poor, or central cyanosis…

Answer 26

BVM 40-60 bpm

Question 27

PALS

Neonatal

If HR < 60 (after BVM resp)…

Answer 27

CPR (two thumb technique) and Epinephrine 0.01mg/kg q 3-5 min IV (use umbilical vein or IO) and IVF

Question 28

PALS

Neonatal

If accu✓ < 40…

Answer 28

D10 5 ml/kg IV/IO