PEARS Post-Resuscitation Care and Monitoring Flashcards

Which monitoring tool provides the most reliable continuous assessment of cardiac output trends during post-resuscitation care?

Answer: Continuous pulse oximetry and arterial blood pressure monitoring

Continuous pulse oximetry combined with arterial line blood pressure provides real-time perfusion data essential for guiding post-resuscitation management.

After pediatric ROSC, which lab value best reflects end-organ perfusion adequacy?

Answer: Serum lactate

Serum lactate reflects tissue oxygen delivery; elevated lactate indicates inadequate perfusion and guides resuscitation efforts.

A post-ROSC child develops new-onset seizures. What is the immediate management priority?

Answer: Treat seizures promptly with anticonvulsants and assess for underlying cause

Post-resuscitation seizures increase cerebral metabolic demand and worsen outcomes; prompt anticonvulsant therapy and cause identification are essential.

Which urine output target indicates adequate renal perfusion in a post-ROSC pediatric patient?

Answer: ≥1 mL/kg/hour

A urine output of ≥1 mL/kg/hour suggests adequate renal perfusion and is a key clinical indicator of resuscitation effectiveness.

What is the recommended approach to ventilator settings immediately after intubation in a post-ROSC pediatric patient?

Answer: Titrate to achieve normocarbia and appropriate SpO2; avoid hyperventilation

Targeting normocarbia and SpO2 94%–99% avoids secondary brain injury from both hypoxia and excessive CO2 changes.

A pediatric patient is hemodynamically unstable after ROSC with signs of poor perfusion. What is the first-line intervention?

Answer: IV fluid bolus of isotonic crystalloid (10–20 mL/kg)

An isotonic crystalloid bolus of 10–20 mL/kg is the first-line treatment for post-ROSC hemodynamic instability before escalating to vasopressors.