PEARS Cardiac Arrest Care 3

Question 1

A child in cardiac arrest has a shockable rhythm. After the first defibrillation attempt, what should be done immediately?

Accepted Answer

Resume CPR for 2 minutes before rechecking the rhythm

Answer

After defibrillation, immediately resume CPR for 2 minutes before pausing to recheck the rhythm, as the heart needs time to recover.

Question 2

What is the recommended initial energy dose for defibrillation in a pediatric patient?

Accepted Answer

2 J/kg

Answer

The initial defibrillation dose in children is 2 J/kg, with subsequent doses increased to 4 J/kg or greater.

Question 3

Which of the following is a 'T' in the Hs and Ts mnemonic for reversible causes of cardiac arrest?

Accepted Answer

Toxins

Answer

Toxins (such as drug ingestion or poisoning) are one of the Ts in the reversible causes framework for cardiac arrest.

Question 4

During resuscitation of a child, epinephrine is ordered. What is the standard IV/IO dose?

Accepted Answer

0.01 mg/kg

Answer

The standard IV/IO dose of epinephrine during cardiac arrest is 0.01 mg/kg (1:10,000 concentration) every 3-5 minutes.

Question 5

What is the maximum single dose of epinephrine given IV/IO during pediatric cardiac arrest?

Accepted Answer

1 mg

Answer

The maximum single epinephrine dose is 1 mg regardless of weight during pediatric cardiac arrest.

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