PALS - Team Response Final Scenario: Sophia Giamanti COMPLETE SOLUTION 2022

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PALS - Team Response Final Scenario: Sophia Giamanti COMPLETE SOLUTION 2022 Which of the following should Jeremy do immediately after checking for responsiveness using the shouttap-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. 2. Provide ventilations with high flow 100% O2 via BVM. 3. Consider/maintain an advanced airway. 4. 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. What is the appropriate dose that should be administered to Sophia for a second shock? Enter your answer in joules. - ✔✔The correct dose for a second shock is 4 J/kg. The PICU team understands that this spike in ETCO2 mmHg level likely indicates what? - ✔✔The spike in ETCO2 level indicates ROSC. Jenny adjusts the settings for the ventilator knowing which of the following are appropriate interventions to optimize oxygenation and ventilation after cardiac arrest? - ✔✔The respiratory therapist should maintain oxygen saturation greater than 94% but less than 100% and maintain normocapnia. It is important to use the lowest possible tidal volume to do this and avoid hyperventilating the patient. Assessment findings reveal that Sophia's rectal temperature is elevated to 100.4° F (38° C). Which treatment options are appropriate? - ✔✔The team should treat the fever right away by administering an antipyretic or using active cooling. Based on these assessment findings, which initial intervention should Marco implement? - ✔✔Administer a fluid bolus. After the initial fluid bolus, Marco notes Sophia's CVP reading is 6. Which action should he take? - ✔✔The team should administer a second fluid bolus due to the lower than desired CVP reading. Marco knows that it is important to treat hyperglycemia post cardiac arrest when the glucose levels reach which of the following? - ✔✔Hyperglycemia is necessary to treat when the levels are greater than 144 mg/dL. In this case, treatment is not necessary [Show More]

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