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Cardiac Arrest

  1. Recognition:
    • Absence of Pulse: Verify absence of pulse and unresponsiveness.
    • Initiate CPR: Begin high-quality CPR immediately, emphasizing chest compressions and ventilation.
  2. Management:
    • Defibrillation: Use an AED to deliver shocks in case of shockable rhythms (ventricular fibrillation, pulseless ventricular tachycardia).
    • Medications: Administer epinephrine and antiarrhythmic medications per guidelines.
    • Advanced Airway: Consider advanced airway management (endotracheal intubation) for sustained cardiac arrest.

Questions on Cardiac Arrest

Correct Answer is B

Explanation

<p>D. Ordering a head CT scan is not the first-line diagnostic test for suspected bacterial meningitis. A lumbar puncture is the diagnostic procedure of choice.</p>

Correct Answer is B

Explanation

<p>D. Providing a heating pad is not relevant to the situation and will not address the symptoms of anaphylaxis.</p>

Correct Answer is B

Explanation

<p>D. Performing abdominal thrusts is used for foreign body airway obstruction, not poisoning.</p>

Correct Answer is A

Explanation

<p>D. Performing a finger sweep of the mouth can push the object farther down the airway and is not recommended.</p>

Correct Answer is D

Explanation

<p>D. Transporting the child to the emergency department immediately is the priority to ensure proper assessment and management of head trauma.</p>

Correct Answer is C

Explanation

<p>D. Foreign body aspiration can cause sudden respiratory distress and choking, but it does not present with chest pain, pale appearance, tachycardia, and weak pulses.</p>

Correct Answer is B

Explanation

<p>D. Calling for emergency medical assistance should be done simultaneously with starting chest compressions and rescue breaths.</p>

Correct Answer is B

Explanation

<p>D. Elevating the head of the bed may be done for comfort or respiratory support but is not the priority in septic shock management.</p>

Correct Answer is A

Explanation

<p>D. Administering laxatives is not the appropriate intervention for acetaminophen poisoning.</p>

Correct Answer is B

Explanation

<p>D. Administering an antihistamine is not the appropriate intervention for status epilepticus. Intravenous benzodiazepines are used to stop the seizure activity.</p>

<p>D. Administering a pain reliever can provide symptomatic relief but does not confirm the diagnosis. Throat culture or rapid strep test is necessary.</p>

<p>D. Cough suppressants are not recommended for children with asthma as they can worsen respiratory distress.</p>

<p>D. Obtaining a urine sample is not the priority; intravenous fluids should be initiated promptly in a severely dehydrated infant.</p>

<p>D. Administering an antiepileptic medication is not necessary during a febrile seizure, which is usually a brief and self-limiting event.</p>

<p>D. Administering an oral pain reliever is not the immediate concern; controlling bleeding and preventing infection are the priorities.</p>

<p>D. Administering syrup of ipecac is no longer recommended as a first-aid measure for poisoning. The Poison Control Center should be consulted first.</p>

<p>D. Initiating abdominal thrusts is used for foreign body airway obstruction, not for an unconscious child with a head injury and respiratory distress.</p>

<p>D. Administering a sedative is not the appropriate intervention for hypoglycemia and can mask symptoms.</p>

<p>D. Administering a sedative is not the appropriate intervention for an unconscious child and can further depress respiratory function.</p>

<p>D. Administering an oral pain reliever is not the immediate concern; controlling bleeding and preventing infection are the priorities.</p>
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