PEARS PEARS Vascular Access and Medication Administration

Question 1

When IV access cannot be rapidly established in a critically ill pediatric patient, what is the preferred alternative vascular access route?

Accepted Answer

Intraosseous (IO) access

Answer

IO access is the recommended alternative when IV access is unavailable in a pediatric emergency, allowing rapid delivery of fluids and medications.

Question 2

Which site is most commonly used for intraosseous access in infants and young children?

Accepted Answer

Proximal tibia

Answer

The proximal tibia is the preferred IO insertion site in infants and young children due to its flat surface and accessible marrow space.

Question 3

What is the appropriate dose of epinephrine for pediatric cardiac arrest via IV or IO route?

Accepted Answer

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

Answer

The standard epinephrine dose for pediatric cardiac arrest is 0.01 mg/kg of the 1:10,000 solution given IV or IO every 3–5 minutes.

Question 4

A Broselow tape is used during a pediatric emergency primarily to:

Accepted Answer

Estimate weight-based medication doses and equipment sizes

Answer

The Broselow tape correlates a child's length with estimated weight to provide pre-calculated medication doses and appropriate equipment sizes rapidly.

Question 5

Which medication is the first-line treatment for symptomatic bradycardia caused by increased vagal tone in a pediatric patient?

Accepted Answer

Atropine

Answer

Atropine is the first-line agent for symptomatic bradycardia caused by vagal stimulation, blocking parasympathetic effects on the heart.

(PEARS) Pediatric Emergency Assessment, Recognition, and Stabilization Practice Test

(PEARS) Pediatric Emergency Assessment, Recognition, and Stabilization Practice Test

PEARS PEARS Vascular Access and Medication Administration