A child is unresponsive and is not breathing. Emergency response was activated and now a pulse check shows that the child does have a pulse. You then open the airway, provide age-appropriate ventilations, and 100% oxygen with a bag valve mask. The child’s pulse is < 60/min, and the child has signs of poor perfusion. What is your next intervention?

A consistent respiratory rate less than 10 or more than _____ breaths per minute in a child of any age is abnormal and suggests the presence of a potentially serious problem.

An observed decrease in systolic blood pressure of ________ mm Hg from baseline should prompt serial evaluations for additional signs of shock.

When shock occurs, first observable physiologic compensatory mechanism that occurs when the body attempts to maintain cardiac output is to __________________.

(hypovolemic shock) A child is developing hypovolemic shock related to fluid volume loss from vomiting and diarrhea.  What is the early physiological change that is most likely to be seen?

The normal minimum dosing for fluid resuscitation when hypovolemic shock is present is at least three fluid boluses of ____ ml/kg each.

Two of the primary goals for the initial management of septic shock are: (choose the 2 that apply)

Choose the most likely problem associated with the respiratory distress or failure based upon the signs that are present:
2 year old with tachypnea, tachycardia, inspiratory stridor, and increased respiratory effort. The child’s oxygen saturation is 96% on room air.

Choose the most likely problem associated with the respiratory distress or failure based upon the signs that are present:
4 year old with tachypnea. Coarse ronchi and rales are present but diminished in the bases on auscultation. Significantly increased respiratory effort and oxygen saturation is 80% on room air.

A focused intervention for the treatment of moderate to severe croup includes which of the following treatments?

Disordered control of breathing is typically associated with __________________.

One common finding that can help identify disordered control of breathing over other causes of respiratory distress or failure is __________________.

Choose the scenarios that would require immediate CPR.

From the H’s and T’s identify the H or T that is most likely to be present:
Scenario: 13-year-old male who was admitted to the pediatric ward in a motor vehicle accident 4 days ago. The patient had multiple fractures, contusions, and abrasions. He had a surgical fixation of a femur fracture 2 days ago and has been recovering. Now shortly after complaining of chest pain and difficulty breathing, he became unresponsive and pulseless.

From the H’s and T’s identify the H or T that is most likely to be present:
Scenario: 3-month-old female with a history of vomiting and diarrhea x 3 days. Presented to the ER with severe lethargy. While waiting became limp, stopped breathing, and has no palpable pulse.

If a child is found pulseless with the following rhythm, which branch of the cardiac arrest algorithm would you use?

If a child is found pulseless with the following rhythm, which branch of the cardiac arrest algorithm would you use?

The first shock for the left branch of the cardiac arrest algorithm should be ______ J/kg.

The IV dose of epinephrine that is given when using the pediatric cardiac arrest algorithm is _____.

When evaluating the respiratory system using the systematic approach algorithm during post-cardiac arrest, what is the most reliable method for immediate detection of inadvertent extubation?

Some priorities for the management of the cardiovascular system during the post-cardiac arrest phase include: (choose all answers that are correct)

(True or False) Fevers do not significantly affect neurologic outcome during the post-cardiac arrest phase and do not need to be treated unless greater than 40° C.

Signs of inadequate sedation of intubated children can be evaluated by looking for signs of stress wich include which of the following? (choose all correct answers)

(True or False) In infants and children, symptomatic sinus bradycardia is often a sign of impending cardiac arrest.

Initial interventions for the treatment of bradycardia with poor perfusion include which of the following? (choose all that apply)

When bradycardia with poor perfusion continues, and the heart rate is less than 60 in spite of initial interventions to treat bradycardia, what intervention should be implemented?

What is the dosage of epinephrine used for the treatment of poor perfusion bradycardia with a persistent heart rate less than 60/min.

Tachyarrhythmias in infants my go undetected for long periods of time and lead to compromised cardiac output which can cause congestive heart failure. Which of the following are signs that may suggest congestive heart failure in an infant? (Choose all correct answers)

6-month old male patient admitted to the emergency room for poor feeding, irritability, and breathing difficulty. When a monitor is attached to the patient, this rhythm is seen:

What first-line medication is recommended for use with this tachyarrhythmia?

What is the most important intervention for this child?
5-year old with hypotension, altered mental status, capillary refill of 4 sec., weak peripheral pulses, and the following rhythm: