Which of the following agents would be the best induction agent when intubating an asthmatic in severe respiratory distress?

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Emergency Care Pediatrics Questions

Question 1 of 5

Which of the following agents would be the best induction agent when intubating an asthmatic in severe respiratory distress?

Correct Answer: C

Rationale: Ketamine is preferred in asthma due to its bronchodilatory effects and hemodynamic stability, aiding intubation in respiratory distress.

Question 2 of 5

A 4-year-old boy is brought to the ED by EMS after he was found altered, minimally responsive with cool and clammy extremities. His heart rate is 45 beats/minute, and blood pressure is 50/20 mmHg. He is awake and has a pulse on your examination. The paramedics placed an IV and administered 0.01 mg/kg epinephrine without response. The strip from EMS is shown below. What is the next treatment of choice?

Correct Answer: A

Rationale: Symptomatic bradycardia unresponsive to epinephrine requires atropine 0.02 mg/kg IV (minimum 0.1 mg) per PALS.

Question 3 of 5

Which of the following medical equipment is required on an advanced life support (ALS) ambulance compared to a basic life support (BLS) ambulance?

Correct Answer: C

Rationale: ALS ambulances require advanced equipment like intraosseous needles for rapid vascular access, unlike BLS.

Question 4 of 5

In your role as medical director, you are performing a quality improvement project on pain management. You are reviewing charts evaluating for factors associated with inadequate pain management in pediatric trauma patients. What factors would you expect are associated with suboptimal pain control in pediatric trauma patients?

Correct Answer: D

Rationale: Undocumented pain scores are strongly linked to inadequate pain management, as assessment drives treatment.

Question 5 of 5

Assessment of a child reveals a tension pneumothorax. The nurse would prepare the child for which of the following?

Correct Answer: A

Rationale: A needle thoracotomy is the immediate treatment for tension pneumothorax to relieve pressure and restore lung function.

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