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Equipment
Shock
Vitals
Meds
Scenarios
100
Your 20kg patient is in v-fib how many joules is your initial shock?
40 joules
100
What assessment finding indicates if a patient has hypotensive shock?
Blood Pressure
100
Your patient's HR drops to 80/min with RR of 6/min. How many rescue breaths should you provide per min?
12-20/min
100
What type of medicine should be an early intervention to a patient with Septic shock?
Antibiotic
100
A young child is brought to the ER after a seizure. The child has slow, irregular respirations. Which lung condition is most likely occurring?
Disordered Control of Breathing
200
Your 9 year old patient's heart rate is 190 and their blood pressure is 70/45. What intervention is indicated?
Synchronized cardioversion
200
Your 6 yr old hypovolemic shock patient has a blood pressure of 88/65 and cap refill of 4 seconds. Are they still in shock, if so, what kind?
Yes, compensated
200
What is the ideal range for oxygen saturation for a child after cardiac arrest?
94%-99%
200
If your patient is in hypovolemic shock, what is the best intervention?
Vascular access, bolus of 20mL/kg over 5-10 mins
200
A child has 2 day history of lethargy and polyuria with new onset rapid, deep breathing. What diagnostic test should be ordered first?
Glucose
300
Your 8 year old patient has a heart rate of 45,a respiratory rate of 6/min, O2 sat is 60% and they are cyanotic. What action should you take next?
Provide bag mask ventilation with 100% oxygen.
300
Your patient is lethargic with retractions and nasal flaring. RR of 70. Which life threatening condition could this condition lead to ?
Respiratory failure
300
Which of these findings is normal for a 2 year patient? A: BP 57/32; B: HR 220; C: O2 sat of 90% D: RR of 24/min
D: RR of 24/min
300
Patient is unresponsive and CPR is initiated. What is the most appropriate first med and dose?
Epi 0.01 mg/kg IV/IO
300
A child was given diazepam during a seizure. He is now unresponsive to stimuli with shallow respirations at a rate of 10/min. The child is snoring with poor chest rise. What should you do next?
Reposition the patient and insert an oral airway. What would you do if he continues to deteriorate after this?
400
Your 7 year old patient is SOB with fever, cough and stridor. Lungs are clear. What is the likely cause of this child's respiratory distress and what is the treatment?
Upper airway obstruction and Nebulized Epinephrine
400
13 year old has a fever, HR 118, RR rate of 36. Lactic acid is elevated. Which type of shock does she most likely have?
Distributive, Septic Which assessment finding is most important in determining the severity of this patient? Blood pressure, HR, O2 sat, or RR?
400
10 year child has the following findings. Which one is normal? a. BP 60/30 b. Temp of 103 c. HR of 86 d. RR of 8
C. HR of 86
400
What is PEA and what is the first med and dose?
Any organized rhythm without a pulse and Epi 0.01mg/kg
400
You respond to an infant who is unresponsive and not breathing with no pulse. You shout for help but no one arrives. What action should you take next?
Begin CPR for 2 minutes before leaving to activate emergency response system
500
Which condition in a child should IO access most likely be attempted before vascular access? a. Cardiogenic shock b. Non-hemorrhagic shock c. Obstructive shock d. Cardiac Arrest
Cardiac Arrest
500
A 9 year old child was involved in a MVA. Which finding suggests immediate intervention is needed? a. Decreased LOC b. SBP 106 c. Temp 100.5 d. Warm, moist skin
a. Decreased LOC
500
What is the minimum systolic blood pressure for a 3 week old infant?
60mmHg
500
During a code, the team leader orders an Epi dose of 0.1mg/kg. What should you do?
Ask them to clarify the dose.
500
You have 4 children you are caring for. Which 3 year old child requires your immediate intervention? a. Child who is grunting b. child with Sat of 95% c. SBP of 92 d. Child has temp of 99.3
a. Child who is grunting