PALS

Question 1

Unstable SVT (narrow complex QRS) electricity

Answer 1

Cardioversion
0.5-1.0 J/Kg
Increase to 2J/Kg and up to 10

Question 2

Unstable VT (wide complex) electricity

Answer 2

1 J/Kg
Increase to 2, up to 10

Question 3

Pulseless Vfib or vtac (electricity)

Answer 3

Defibrillate
2 J/Kg

Question 4

Asthma treatment

Answer 4

O2 > 94%
Albuterol

Question 5

Hypocalcemia treatment

Answer 5

Calcium Chloride 10% 20mg/Kg

Question 6

Hyperkalemia cause and treatment

Answer 6

Rapid blood transfusion
CaCL 1g

Question 7

Hypotension shock (fluid treatment)

Answer 7

ISOTONIC crystalloid 10-20 mL/Kg

Question 8

Atropine

Answer 8

Symptomatic bradycardia. *Epi first line in peds
1. 0.02 mg/Kg

Question 9

Adenosine

Answer 9

Supraventricular tachycardia
1. 0.1 mg/Kg
2. 0.2 mg/Kg

“For the supraventricular scene”

Question 10

Amiodarone

Answer 10

VTAC
5 mg/Kg
“ For the ventricular zone”

Question 11

Epinephrine

Answer 11

Pulseless arrest and symptomatic bradycardia
0.01 mg/Kg

Question 12

Lidocaine

Answer 12

Vtac
1 Mg/Kg, start infusion

Question 13

Magnesium

Answer 13

Tornadoes (multi focal vtac) with or without pulse
25-50 mg/Kg

Question 14

Find a child down:

Answer 14

2 min CPR THEN 911

Question 15

Upper airway obstruction six

Answer 15

Strider and retractions
I.e laryngospasms

Question 16

Lower airway obstruction (asthma or COPD)

Answer 16

Wheezing and grunting

Question 17

Lung tissue injury

Answer 17

Crackles

Question 18

Low HR for age =

Answer 18

Assess oxygenation

Question 19

HR less than 60

Answer 19

Begin compressions

Question 20

acceptable infant SBP

Answer 20

70 mm hg
Or strong central pulse

Question 21

Ages 1-9 min acceptable SBP

Answer 21

(Age x2) +70

Question 22

CPR breath rate

Answer 22

Every 2 to 3 seconds

Question 23

Compression depth

Answer 23

1/3 chest diameter

Question 24

Best for assessing compressions

Answer 24

ETCO2 15-20 mmHg

Question 25

Child DBP

Answer 25

Minimum 30 mmHg

Question 26

Infant DBP

Answer 26

Minimum 15 mmHG

Question 27

If pt is arresting and has not IV access

Answer 27

Start IO

Question 28

IO site

Answer 28

Proximal medial tibia - feel for tibial tuberosity

Question 29

Infant HR

Answer 29

100-180

Question 30

Toddler HR

Answer 30

98-140

Question 31

Preschooler HR

Answer 31

80-120

Question 32

School aged child HR

Answer 32

75-118