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Bradycardia With a Pulse Flashcards

7 cards from real PALS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A neonate presents with bradycardia and poor tone after birth. Supplemental oxygen does not improve the HR above 60 bpm. What action should be taken?

    Answer: Begin chest compressions

    In neonates, if HR remains below 60 bpm despite adequate ventilation and oxygenation, chest compressions should be started.

  2. Transcutaneous pacing is being considered for a 10-year-old with symptomatic bradycardia refractory to medications. Which statement is TRUE about transcutaneous pacing in children?

    Answer: Adequate analgesia and sedation should be provided during pacing

    Transcutaneous pacing is painful; sedation and analgesia are essential when using it in conscious pediatric patients.

  3. A 3-year-old with Down syndrome presents with bradycardia and signs of respiratory distress. Which initial step has the highest priority?

    Answer: Providing high-flow oxygen and supporting ventilation

    In PALS, the primary intervention for symptomatic bradycardia is always airway and oxygenation before any pharmacologic therapy.

  4. Which dose of epinephrine is used via the IV/IO route for bradycardia in the PALS algorithm?

    Answer: 0.01 mg/kg (1:10,000 solution)

    PALS recommends IV/IO epinephrine at 0.01 mg/kg using the 1:10,000 (0.1 mg/mL) solution for bradycardia.

  5. A school-age child on beta-blocker therapy for hypertension presents with bradycardia. Which drug may be particularly useful in this situation?

    Answer: Glucagon

    Glucagon can overcome the negative chronotropic effects of beta-blockers and is a useful antidote for beta-blocker toxicity-induced bradycardia.

  6. During a resuscitation, the team identifies the pediatric patient's bradycardia is caused by increased vagal tone from suctioning. Which drug is most appropriate?

    Answer: Atropine

    Atropine is the drug of choice for vagally mediated bradycardia because it blocks parasympathetic (vagal) tone.

  7. After successful treatment of symptomatic bradycardia in a 5-year-old, which finding confirms adequate cardiac output has been restored?

    Answer: Normal capillary refill, improved mental status, and adequate blood pressure

    Restoration of adequate perfusion is confirmed by normal capillary refill time, improved mentation, and blood pressure within normal limits for age.