PALS Septic Shock Quiz 2
This PALS Quiz focuses on pediatric septic shock.
Answer all 13 questions and then your practice test will be graded.
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Question 1 of 13
The 2 primary goals for the initial management of septic shock are: (choose the 2 that apply)CorrectIncorrect
Question 2 of 13
(True or False) Since the primary objective in septic shock is to reestablish adequate tissue oxygenation, respiratory support (Airway/Breathing) should be made a high priority.CorrectIncorrect
Question 3 of 13
For septic shock, the core treatment in restoration of hemodynamic stability is repeated boluses of _______ mL/kg of isotonic crystalloid IV fluids.CorrectIncorrect
Question 4 of 13
There are several interventions that are supposed to take place within the first hour after the recognition of septic shock. (Fill in the blanks for each of the interventions.)
- Give and support ventilation (hint: think airway)
- Push repeated mL/kg boluses of isotonic crystalloid fluids.
- Correct hypoglycemia and hypo
- Administer first dose of
Question 5 of 13
When aggressive and repeated fluid boluses fail to correct the septic shock what becomes necessary for the restoration of hemodynamic stability?CorrectIncorrect
Question 6 of 13
When septic shock is treated with repeated 20 mL/kg fluid boluses, this is an attempt to optimize which factor of stroke volume?CorrectIncorrect
Question 7 of 13
When fluid-refractory shock occurs, attempts at increasing afterload and improving myocardial contractility with the use of vasoactive medications becomes necessary. Which of the following are vasoactive medications that are used to treat fluid-refractory septic shock? (choose all correct answers)CorrectIncorrect
Question 8 of 13
Which of the following vasoactive medications is the agent of choice for the child with fluid-refractory septic shock who presents in “warm” vasodilated shock with poor perfusion or hypotension?CorrectIncorrect
Question 9 of 13
Which of the following vasoactive medications is the agent of choice for the child with fluid-refractory septic shock who presents with impaired perfusion but adequate blood pressure (normotensive)?CorrectIncorrect
Question 10 of 13
Which of the following vasoactive medications is the agent of choice for the child with fluid-refractory septic shock who presents in “cold” vasoconstricted shock with poor perfusion or hypotension?CorrectIncorrect
Question 11 of 13
Two of the most common metabolic abnormalities seen with septic shock are hypoglycemia and _________________.CorrectIncorrect
Question 12 of 13
Critically ill children with severe sepsis and septic shock are prone to adrenal insufficiency which results in a deficiency of endogenous corticosteroids (Cortisol). If adrenal insufficiency is suspected, what is the dosage of hydrocortisone used to correct the insufficiency?CorrectIncorrect
Question 13 of 13
When dopamine is given for normotensive septic shock, if perfusion does not improve within five minutes which vasoactive IV medications should be added as an infusion? (choose all appropriate answers)CorrectIncorrect