Practice Questions Flashcards
What is the appropriate rate for chest compressions of a child?
60 bpm
80 bpm
100 bpm
120 bpm
100 bpm
What is the correct ratio of compressions to ventilation in a pediatric patient with two providers giving CPR?
15: 1
30: 2
15: 2
30: 2
30:2
With an airway in place how often is a breath given?
Every 5 sec (12/ min)
Every 6-8 sec (6-10 /min)
Synchronuous with chest compressions
Asynchronous with chest compressions
B and d
B and d
If a patient has Bronchiolitis with hypoxemia, which of these is the most likely factor associated with the hypoxemia?
Alveolar hypoventilation
Diffusion Defect
Ventilation/ perfusion imbalance
Right to left shunt
Ventilation/ perfusion imbalance
Which of these symptoms is most likely associated with lung tissue disease?
Grunting
Wheezing
Stridor
Normal breath sounds
Grunting
If a child is experiencing an anaphylaxis emergency which of these treatments is recommended?
epinephrine
Antihistamines
Corticosteroids
All of the above
All of the above
Which of these conditions would synchronized cardioversion be considered?
Bradycardia
Sinus tachycardia
Supraventricular tachycardia
Wide QRS ventricular tachycardia
Wide QRS ventricular tachycardia
Which of these drugs is possibly used in a pediatric cardiac arrest?
Dopamine
Epinephrine
Amiodarone
B and C
All of the above
B and C
How long should you perform CPR before reassessing your patient’s rhythm in a cardiac arrest?
60 seconds
120 seconds
Every 5 minutes
Continuously
120 seconds
List the six elements that should be initiated immediately if a pediatric respiratory emergency is suspected
Airway positioning
Suction, Suction as needed, Suctioning
Oxygen, Oxygen therapy
Pulse oximetry
ECG, ECG monitoring
BLS, BLS as indicated
Your patient remains in VFib after 2 shocks and one dose of epinephrine. 5 cycles of CPR finishes and you check the rhythm—they remain in Vfib. Your next immediate action is to:
a. Resume CPR
b. Defibrillate
c. Give Amiodarone, 300 mg
d. Intubate
Defibrillate
- Your patient is in refractory Vfib. They have been given 2 doses of epinephrine and 1 dose of Amiodarone. The next drug indicated would be:
a. 150 mg Amiodarone
b. 1 mg Epinephrine
c. 0.52 g Magnesium
d. 1 mg Atropine
150 mg Amiodarone
- Your patient is in pulsatile VT. Their blood pressure is 82/54 and they are complaining of SOB and CP. You have an IV established and a biphasic defibrillator/monitor. The next action should be to:
a. Defibrillate at 200 J
b. Defibrillate at 360 J
c. Cardiovert at 50 J
d. Cardiovert at 100 J
e. Give 1 mg Epi, IV push
f. Attempt Vagal maneuvers
Cardiovert at 100 J
- Your patient is in a stable SVT. Vagal maneuvers are ineffective. 1 dose of Adenosine has been given with no conversion. The next action is:
a. Cardiovert at 50 J
b. Cardiovert at 100 J
c. 12 mg Adenosine, rapid IV push
d. 6 mg Adenosine, rapid IV push
e. Consider Diltiazem or a β-blocker
12 mg Adenosine, rapid IV push
- Your patient is in an unstable brady and you are preparing for TCP. Which of the following is true:
a. Initial rate should be ~60 bpm
b. Start increasing mA until electrical capture occurs
c. Once you see electrical capture, confirm mechanical capture via a carotid pulse check
d. All of the above
e. A and B only
e. A and B only
- Your patient remains in Vfib after 2 shocks and one dose of epinephrine. CPR ceases to check the rhythm and they remain in Vfib. You defibrillate a third time and your next immediate action is to:
a. Perform a rhythm and pulse check
b. Resume CPR
c. Vasopression, 40U IV/IO
d. Give Amiodarone, 300 mg
Resume CPR
Your patient is in an unstable SVT and you have just delivered the first synced shock at the appropriate dose. The rhythm on the monitor is now:
Your next actions are:
a. Immediately defibrillate, start 2 min CPR
b. Do 2 min of CPR, then defibrillate
c. Immediately defibrillate then assess rhythm and pulse
d. Do 2 min of CPR then 1 mg Epi, IV push
a. Immediately defibrillate, start 2 min CPR
Your patient is in refractory Vfib. They have been defibrillated twice and have received 1 dose of vasopressin. The next drug indicated would be:
a. 300 mg Amiodarone
b. 1 mg Epinephrine
c. 1-1.5 mg/kg Lidocaine
d. 1 mg Atropine
a. 300 mg Amiodarone
Your patient is in an SVT. Their blood pressure is 80/50 and they are complaining of SOB. You have an IV established and a biphasic defibrillator/monitor. The next action should be to:
a. Defibrillate at 200 J
b. Cardiovert at 100 J
c. Cardiovert at 200 J
d. Attempt Vagal maneuvers
e. Adenosine, 6 mg rapid IV push
b. Cardiovert at 100 J
- Your patient remains in Vfib after 3 shocks and one dose of epinephrine and one dose of Amiodarone. Which of the following would be the next drug to be given:
a. Atropine, 1 mg IV push
b. Vasopression, 40 U IV/IO
c. Amiodarone, 150 mg
d. Lidocaine 1-1.5 mg/kg
b. Vasopression , 40 U IV/IO
You go to see a patient on the wards who is complaining of SOB and palpitations. Upon assessing her vital signs you find a heart rate of about 143 bpm but irregular and BP of 83/58. RR is 21 bpm and SpO2 is 94% on NP 3 LPM. You hook the patient up to a monitor and find the following rhythm: The next appropriate action would be:
Defibrillate
Cardiovert
Attempt Vagal maneuvers
Adenosine, 6 mg rapid IV push
Cardiovert
If the pt remains in the same rhythm but now complains of chest pain your next course of action should be to cardiovert at a higher dose
Your patient presents in ER complaining of a “racing heart”. You initiate O2 therapy and do the vitals: RR 18 bpm, BP 124/78, HR167. Patient is appropriately responsive. The rhythm is what and what is the recommended course of action
Stable wide complex
Monitor and seek expert consultation
Your patient is in a pulseless arrest having received 3 shocks, one dose of epinephrine, and one dose of Amiodarone. CPR ceases to check the rhythm and they are in the following rhythm:
The patient is defibrillated again and a dose of Vasopression is administerd after the resumption of CPR. Further appropriate treatment at this time would include:
a. Second dose of Amiodarone, 300 mg
b. Lidocaine, 1-1.5 mg/kg
c. Magnesium sulphate
d. Vasopression, 40U IV/IO
c. Magnesium sulphate
