PALS Megacode Scenario 2
By Gina Maria Jansheski, MD | Medically reviewed by Lisa Wright, MHA, RRT-NPS on December 19, 2024
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Question 1 of 8
1. Question
You are a paramedic trained in Pediatric Advanced Life Support. You are working in the pediatric emergency department when a mother brings her 9-year-old daughter into the ED.In triage, the child is listless and breathing at 32 breaths per minute. You move her into a treatment room and take vital signs.
Her pulse is 50 bpm, her blood pressure is 68/38 mmHg, and her respirations are rapid and shallow. Her SpO2 is 87%.
The mother denies any history of cardiac problems. You start oxygen at 100% via a nonrebreather mask. You attach a cardiac monitor and see this rhythm:
1. You recognize this rhythm as:
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Question 2 of 8
2. Question
2. Your primary goal in this scenario is to:
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Question 3 of 8
3. Question
You quickly assess the child for signs and symptoms that may accompany bradycardia.At the same time, a team member establishes an IV site while another provides PPV to the child.
3. Significant signs and symptoms of poor perfusion with bradycardia include all the following EXCEPT:
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Question 4 of 8
4. Question
You note that the team member is delivering effective ventilation, as evidenced by good chest rise and an SpO2 of 94%.You determine that the child has significant cardiopulmonary compromise and poor perfusion despite adequate oxygenation and ventilation. The HR remains < 60 bpm.
4. The appropriate next step is to:
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Question 5 of 8
5. Question
After 2 minutes of high-quality CPR, you ask the team to pause compressions. You see this rhythm on the cardiac monitor:5. The appropriate next step is to:CorrectIncorrect -
Question 6 of 8
6. Question
6. The correct dose of IV epinephrine is:
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Question 7 of 8
7. Question
7. Epinephrine should be administered:
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Question 8 of 8
8. Question
After repeat doses of epinephrine, you do not notice a significant increase in heart rate.8. At this time, you should consider all the following EXCEPT:
CorrectIncorrect
PALS Megacode Scenario 2 Video
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