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PALS 2025 Heartcode EXAM 2024-2025 EXAM QUESTION AND ANSWERS What is the priority in initially managing arrhythmias? - ANSWER>>The initial management of both stable and unstable arrhythmias are identical to the treatment for any critically-ill child. Begin with the support of the airway, breathing, and circulation and treating the underlying cause of the arrhythmia. What are the causes of secondary bradycardia? - ANSWER>>Hypoxia, hypotension, hypothermia, acidosis, drugs. What are the causes of primary bradycardia? - ANSWER>>Congenital or acquired heart conditions. What are the ECG characteristics of bradycardia? - ANSWER>>P wave and QRS may be unrelated. Heart rate slow for age. QRS may be narrow or wide.
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What is the priority in initially managing arrhythmias? - ANSWER>>The initial management of both stable and unstable arrhythmias are identical to the treatment for any critically-ill child. Begin with the support of the airway, breathing, and circulation and treating the underlying cause of the arrhythmia. What are the causes of secondary bradycardia? - ANSWER>>Hypoxia, hypotension, hypothermia, acidosis, drugs. What are the causes of primary bradycardia? - ANSWER>>Congenital or acquired heart conditions. What are the ECG characteristics of bradycardia? - ANSWER>>P wave and QRS may be unrelated. Heart rate slow for age. QRS may be narrow or wide. In what patients would asymptomatic bradycardia not be problematic? - ANSWER>>A well-conditioned athlete. A healthy child who is sleeping. Define bradycardia. - ANSWER>>A heart rate that is:
In what conditions is atropine preferred over epinephrine as 1st choice treatment of symptomatic bradycardia? - ANSWER>>When the bradycardia is due to:
What is considered part of post-cardiac arrest care? - ANSWER>>Ensure adequate analgesia and sedation. Correct acid-base and electrolyte imbalances. Provide adequate oxygenation and ventilation. What are the most common initial rhythms in both in-hospital and out-of- hospital cardiac arrest? - ANSWER>>PEA Asystole Oxygen should be titrated to maintain a pulse ox saturation of - ANSWER>> 94 - 99% What are the initial steps of treating asystole/PEA? - ANSWER>>CPR IV access Epinephrine Consider advanced airway What can cause secondary brain injury? - ANSWER>>Hyperthermia Hypotension Hypoglycemia Hypoxia