PALS - Team Response Final Scenario: Sophia Giamanti
COMPLETE SOLUTION 2022
Which of the following should Jeremy do immediately after checking for responsiveness using the shout- tap-shout sequence? - ✔✔The first step is simultaneously assessing for breathing and a central pulse for at least 5 seconds, but less than 10.
After determining that the infant is not breathing and does not have a pulse, which of the following should the nurses start immediately? - ✔✔Immediate care consists of performing high-quality CPR and administration of 100% oxygen via BVM
The cardiac monitor reveals the patient's rhythm is asystole. Which of the following should be included in the treatment? - ✔✔1. Continue high-quality CPR.
- Provide ventilations with high flow 100% O2 via BVM.
- Consider/maintain an advanced airway.
- Administer epinephrine.
After reviewing her chart, Marco notes Sophia's weight is 8 kg. Which of the following doses of epinephrine IO should he administer to Sophia? - ✔✔The correct dose is 0.1 mL/kg of the 1:10,000 solution, which would be 0.8 mL for Sophia.
Joanne knows that the compressions are effective as evidenced by an ETCO2 value range of what? - ✔✔ETCO2 values between 15 to 20 mmHg indicate effective compressions during a resuscitation attempt.
The team knows it is appropriate to give a second dose of epinephrine at what time interval? - ✔✔Epinephrine should be administered every 3 to 5 minutes during cardiac arrest.
The infant's rhythm has changed, but it is still unorganized. Which of the following rhythms does this image show? - ✔✔The rhythm is ventricular fibrillation.
What is the immediate next step for this cardiac rhythm? - ✔✔Ventricular fibrillation is a shockable rhythm. The team should defibrillate immediately at a dose of 2 J/kg for an initial shock.
- / 1