A 4-year-old child presents to the Emergency Department after a seizure at home. He remains confused and combative. A bedside glucose evaluation reveals blood glucose of 25 mg/dl. The patient weighs 20 kg. What is the most appropriate dose of glucose to administer to this patient?

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Emergency Pediatric Psychiatric Care Questions

Question 1 of 5

A 4-year-old child presents to the Emergency Department after a seizure at home. He remains confused and combative. A bedside glucose evaluation reveals blood glucose of 25 mg/dl. The patient weighs 20 kg. What is the most appropriate dose of glucose to administer to this patient?

Correct Answer: D

Rationale: For hypoglycemia in children, D25 (25% dextrose) at 2-4 ml/kg is commonly used. For a 20 kg child, 40 ml of D25 (2 ml/kg) provides 10 g of glucose, which is appropriate to correct hypoglycemia effectively and safely.

Question 2 of 5

The incidence of septic shock in children in the United States is greatest in:

Correct Answer: A

Rationale: Infants have the highest incidence of septic shock due to immature immune systems and higher infection rates.

Question 3 of 5

An 11-year-old patient who was in a severe motor vehicle collision and sustained multiple fractures and a potential traumatic brain injury (TBI) presents to the ED. The GCS is 5. Multiple direct and video laryngoscopy intubation attempts with in-line cervical spine stabilization have been unsuccessful. What is the most appropriate next step for this patient?

Correct Answer: A

Rationale: In a failed airway with severe trauma and low GCS, surgical cricothyrotomy is the definitive step in children over 8-10 years.

Question 4 of 5

You receive a call that a school bus has collided with a tractor-trailer. The estimated number of injured children is 20, with 5 recognized as unstable and including open lower extremity fractures, unresponsive with suspected traumatic brain injury, abdominal injuries of impalement, etc. Which of the following statements regarding field triage of pediatric trauma patients is accurate?

Correct Answer: D

Rationale: SALT (Sort, Assess, Lifesaving Interventions, Treatment/Transport) is a standardized, effective triage method for mass casualties.

Question 5 of 5

Your hospital is preparing to obtain a level 1 pediatric trauma center designation and is currently reviewing their resources. Your center admits about 200 injured children below the age of 15 annually. It has one board-certified pediatric surgeon, 24-hour subspecialty coverage for neurosurgery, plastic surgery and PICU. It has a PED, pediatric acute care unit, rehabilitation services, a pediatric social worker and a child-life program. The hospital has a respectable teaching and research program. What additional resources does your center need for a successful designation?

Correct Answer: A

Rationale: Level 1 pediatric trauma centers require 24/7 orthopedic surgery coverage for comprehensive trauma care.

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