PALS Respiratory Emergencies

Question 1

Treatment for Croup

Answer 1

Nebulized Epinephrine*
Corticosteroids

*often Racemic Epinephrine

Question 2

Specific Examples of Disordered Control of Breathing

Answer 2

Increased ICP
Poisoning/ Overdose
Neuromuscular Disease

Question 3

Specific Examples of Lung Tissue Disease

Answer 3

Pneumonia/ Pneumonitis (may be infectious, chemical, or aspiration)

Pulmonary Edema (may be cardiogenic or noncardiogenic/ ARDS)

Question 4

Treatment for Aspiration Foreign Body

Answer 4

Allow position of comfort

Speciality consultation

Question 5

Treatment for Anaphylaxis

Answer 5

IM Epinephrine
Albuterol
Anithistamines
Corticosteroids

Question 6

Specific Examples of Lower Airway Obstruction

Answer 6

Bronchiolitis

Asthma

Question 7

Specific Examples of Upper Airway Obstruction

Answer 7

Croup
Anaphylaxis
Aspiration Foreign Body

Question 8

Treatment for Increased ICP

Answer 8

Avoid hypoxemia
Avoid hypercarbia
Avoid hyperthermia

Question 9

Treatment for Pulmonary Edema

Answer 9

Consider PEEP (noninvasive or invasive)
Consider vasoactive support
Consider diuretic

Question 10

Four Broad Categories of Respiratory Emergencies

Answer 10

Upper Airway Obstruction
Lower Airway Obstruction
Lung Tissue Disease
Disordered Control of Breathing

Question 11

Treatment for Poisoning/ Overdose

Answer 11

Antidote (if available)
Contact poison control*

*800 222 1222

Question 12

Treatment for Bronchiolitis

Answer 12

Nasal suctioning

Bronchodilator trial

Question 13

Treatment for Pneumonia/ Pneumonitis

Answer 13

Albuterol
Antibiotics
Consider CPAP

Question 14

Treatment for Asthma

Answer 14

Albuterol 
Ipratropium
Corticosteroids
Epinephrine
Magnesium Sulfate
Terbutaline

Question 15

Treatment for Neuromuscular Disease

Answer 15

Consider ventilatory support (noninvasive or invasive)