Pediatric and Neonatal Resuscitation Flashcards

A neonate is born at 36 weeks gestation and is apneic after initial stimulation. What is the correct initial ventilation rate using a bag-mask device?

Answer: 40-60 breaths/min

Neonatal positive pressure ventilation should be delivered at 40-60 breaths per minute to achieve adequate chest rise.

In pediatric resuscitation, which IV/IO fluid bolus volume is recommended for a child in hypovolemic shock?

Answer: 20 mL/kg

Initial isotonic fluid bolus for pediatric hypovolemic shock is 20 mL/kg of normal saline or lactated Ringer's, repeated as needed.

During neonatal resuscitation, chest compressions are indicated when the heart rate remains below what threshold despite 30 seconds of adequate PPV?

Answer: 60 bpm

Neonatal chest compressions begin when the heart rate is below 60 bpm after 30 seconds of effective positive pressure ventilation.

A 4-year-old child in cardiac arrest has a shockable rhythm. What is the correct initial defibrillation dose?

Answer: 2 J/kg

The initial defibrillation dose for pediatric VF/pVT is 2 J/kg, with subsequent doses at 4 J/kg.

In the Pediatric Assessment Triangle (PAT), which three components are evaluated?

Answer: Appearance, Work of breathing, Circulation to skin

The PAT evaluates Appearance (tone, interactivity, consolability, gaze, speech), Work of Breathing, and Circulation to skin.

A newborn requires epinephrine during resuscitation. What is the correct IV/IO dose?

Answer: 0.01-0.03 mg/kg of 1:10,000

The neonatal epinephrine IV/IO dose is 0.01-0.03 mg/kg (0.1-0.3 mL/kg) of 1:10,000 concentration.

Which finding in a pediatric patient most strongly indicates impending respiratory failure requiring immediate intervention?

Answer: Head bobbing with each breath

Head bobbing is a sign of severe respiratory distress in infants, indicating use of accessory neck muscles and impending failure.