PALS Test Questions
Chest Compression depth: Infant
1.5 inch or 4 cm (1/3 AP Diameter)
Chest Compression depth: Child
2 inches or 5 cm (1/3 AP Diameter)
Maximum Compression depth: Infant
2.4 in or 6cm
Infant/children/adolescent compression rate
100-120 compressions a minute
Ratio for single rescuer
30 compressions 2 breaths
Ratio for 2 rescuer
15 compressions 2 breaths
Rate of rescue breathing
1 breath every 6-8 seconds or 8-10 breaths/min
Isotonic Crystalloids 2 examples
NS & Lactated Ringers
Fluid challenge is how much (in hypotension)?
20mL/kg (18kg gets 260 mL)
BP parameters for PALS (minimum systolic in 4 age groups)
0-1month old= min 60 systolic
1 month-1 year= min 70 systolic
1 year-10 year= min 70+(2xage) systolic
over 10 years= min 90 systolic
Atropine dose pre-intubation
Atropine 0.02 mg/kg
Med: Shock refractory VF or pulseless Tachycardia
Lidocaine or Amiodarone (used in field had better chance of
survival but in hospital, either drug has same outcome)
Amiodarone dosage
5mg/kg
Epinephrine in Cardiac Arrest Indication
all pulseless arrests, hypotensive shock, anaphylaxis, asthma,
croup
Targeted Temperature management post cardiac arrest
5 days of normothermia (36C-37.5C or 96.8F-99.5F)- NOT HYPOTHERMIA
Inotrope drugs (3)
Dopamine, Dobutamine, epinephrine (epi also vasopressor)
Normoxemia is what %?
94% or above oxygenation
6 roles in PALS:
team leader
airway
compressor
monitor
medication
recorder
Oxygen saturation level goals
94%-99%
Fluid bolus during post cardiac arrest care
5-10 mL/kg over 10-20 minutes
Causes of Secondary Brain Injury
Hyperthermia
Hypotension
Hypoglycemia
Hypoxia
Defibrillation Joules (initial and refractory)
2J and then if refractory 4J
Temp & timing for Permissive hypothermia post cardiac arrest... 32C-34C (89.6-98.2) for 2 days followed by 3 days of normotherhow many days of normothermia after?
mia
4 Spots for IO
proximal tibia
medial malleolus
distal femur
ASIS
How to evaluate alert/awake/responsive?
Appearance, Breathing, Circulation
What should always follow IO?
NS flush 5-10mL
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PALS Test Questions Guide
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