Case Study Questions

1. Quality CPR includes which of the following?

   • 1. push hard and fast
   • 2. make sure there is full chest recoil with each compression
   • 3. minimize interruptions to CPR (no longer than 10 seconds)
   • 4. hyperventilate (give 1 breath for every 2 compressions)

   (1,4) (2,4) (1,2,3) all of the above

2. The initial (1st shock) energy level which should be administered for pediatric defibrillation, should be:

   1.0 joule/kg 2.0 joules/kg 3.0 joules/kg 4.0 joules/kg

3. After establishing an advanced airway (i.e. endotracheal tube, etc.), there is no need to provide CPR in cycles. CPR should continue at 100 compressions/minute with 8-10 ventilations provided.

   true false

4. The automated external defibrillator (AED) is acceptable for use in children.

   true false

5. If IV access is unsuccessful, which drugs can be given via the intraosseous route?

   • 1. epinephrine
   • 2. lidocaine
   • 3. magnesium
   • 4. amiodarone

   (1,2 only) (1,3 only) (1,2,3 only) (all of the above)

6. If a patient does not have a shockable ECG rhythm, what is the recommended treatment?

   • 1. continue quality CPR
   • 2. give epinephrine (IV/IO/ETT)
   • 3. find and treat causes
   • 4. shock the patient anyways (jump start the asystolic heart)

   (1,4) (2,4) (1,2,3) all of the above

7. Which of the following are potential underlying causes of arrest not responding to treatment?

   • 1. hypothermia
   • 2. toxins
   • 3. tension pneumothorax
   • 4. hypovolemia

   (1,2 only) (2,3 only) (1,2,3 only) (all of the above)

8. Epinephrine can be administered down the endotracheal tube during CPR if an IV or I/O access is not available.

   true false