PALS Megacode Scenario 3
By Gina Maria Jansheski, MD | Medically reviewed by Lisa Wright, MHA, RRT-NPS on December 21, 2024
Quiz Summary
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Question 1 of 14
1. Question
You are a physician trained in Pediatric Advanced Life Support. You are working an overtime shift in an emergency department when a father brings his child into the center.The child is limp and not responsive. The father tells you that the child is ten years old. You perform the initial steps of BLS and note that he is not breathing and does not have a pulse.
1. Your next action is to:
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Question 2 of 14
2. Question
You begin CPR. A nurse connects the patient to the monitor. While you administer chest compressions, another team member connects a bag-mask device to supplementary oxygen and provides rescue breaths.2. High-quality CPR for this child includes all the following EXCEPT:
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Question 3 of 14
3. Question
The cardiac monitor and defibrillator are in place, and you stop CPR to evaluate the rhythm.You see this rhythm on the monitor:
3. You identify this rhythm as:
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Question 4 of 14
4. Question
You note that the child is in ventricular fibrillation, and you prepare to shock him.4. The appropriate shock energy for this first shock is:
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Question 5 of 14
5. Question
You estimate that the child weighs approximately 35 kg.5. The appropriate shock energy dose for this child is:
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Question 6 of 14
6. Question
6. Immediately following this shock, you should:
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Question 7 of 14
7. Question
You order CPR to continue and ask another team member to obtain vascular access. The team member inserts a peripheral IV.Following 2 minutes of high-quality CPR, you ask the team to stop so you can evaluate the cardiac rhythm on the monitor. You do not feel a pulse, but you see this rhythm on the monitor:
7. You identify this rhythm as:
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Question 8 of 14
8. Question
You correctly identify this as a shockable rhythm and deliver the next shock.8. The appropriate energy shock dose for this second defibrillation is:
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Question 9 of 14
9. Question
9. Immediately following this shock, you should:
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Question 10 of 14
10. Question
10. At this time, you should also order:
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Question 11 of 14
11. Question
11. The correct dose of IV epinephrine is:
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Question 12 of 14
12. Question
After 2 minutes of high-quality CPR and the first dose of IV epinephrine, you direct the team to stop CPR for another evaluation of the rhythm.Again, you see ventricular tachycardia on the monitor and cannot feel a pulse. You direct the team to give a third shock at 8 J/kg. The team delivers the shock.
12. Immediately following this shock, you should:
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Question 13 of 14
13. Question
While CPR Is in progress, you direct the team to give IV amiodarone, a first-line anti-arrhythmic.At the same time, you consider the possible causes of the child’s cardiac arrest.
13. You know that the following are reversible causes of cardiac arrest EXCEPT:
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Question 14 of 14
14. Question
The father tells you that the child has been vomiting for several days. You deliver a fluid bolus of 20 mL/kg as the team continues CPR.After 2 minutes of high-quality CPR, you ask the team to stop for another rhythm evaluation. You see this rhythm on the monitor:
14. You identify this rhythm as:
CorrectIncorrect
PALS Megacode Scenario 3 Video
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