Question

American Heart lite is wy You are caring for a 12-year-old girt with acute tymphoblastie leukenia She is resporsive, but she aoes blood pressure is 100140 mm Hg. rd oxygen saturation, 90%on room air Use this scenario to answer the next & questions (102 2F), heart rate eveals mild increase in work of breathing and bounding pulses. The child is recelving oxygen by history, which type of shock does this patient most likely haive? B. Distributive, neurogenie o Loraory studies doeument a lactic acidosis. On the basis of the patient's clinical assessment andi C. Distributive, septic 41. Which assessment finding is most important in your determination of the severity of the patients condition? A. Blood pressure B. Heart rate C. Oxygen saturation D. Respiratory rate 42. Which normal saline fluid bolus is most appropriate for this patient? A. 10 mLkg 15 mLkg 1 /kg 43. In ad to oxygen administration and appropriate fluid resuscitation, which additional early interven on should you provide to this patient? A. Bronchodilator administration Antibiotic administration rticosteroid administration lucose administration 443-year-old boy is brought to the emergency department by his mother. He is lethargic, with with warm extremities and brisk refill To which immediate life-threatening condition could this child's condition most likely ogenic shock ratory distress retrac ns and nasal flaring. He has a respiratory rate of 70/min, volemic shock iratory failure Pediatric Advanced Lile Support Exam A October 6,2016 02016 American Heart Association

Answer 1

ANSWERS

   40. C. Distributive,septic. Patient have weak immunesystem due to leukemia

              so more prone to infections and it lead to sepsis or septic shock which

              result in increased level of lactic acid in the body.

   41.A. Blood pressure.In distributive septic shock blood pressure of the child

            become low and it indicate the severity of shock.

42.C.20 ml/kg normal saline bolus is appropriate for child paient and each bolus

           given over a duration of 15 minutes with maximum of 2 boluses.

   43.B. Antibiotic administration needed to treat infection along with fluid resuscitation

             and oxygen therapy.

44. D. Respiratory failure. Nasal falring,retractions anf high respiratory rate indicate

             respiratory distress which lead to respiratory failure if left untreated.