Question
All of the following are incorrect about the resuscitation of a critically sick child EXCEPT:
| A. |
Chest compression depth should be one-third of the anterior-posterior (A-P) diameter of the chest
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| B. |
Compression-to-ventilation ratio should be 30:2 with 2 rescuers
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| C. |
Injection Adenosine is given at 0.1 mg/kg IV rapid push, followed by a saline flush
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| D. |
Preferred route is intraosseous
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Show Answer
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Correct Answer » A
Explanation
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A. Chest compression depth should be one-third of the anterior-posterior (A-P) diameter of the chest
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According to PALS (Pediatric Advanced Life Support) and AHA guidelines, chest compressions in infants and children should be:
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This ensures adequate perfusion during CPR.
B. Compression-to-ventilation ratio should be 30:2 with 2 rescuers
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In pediatric resuscitation:
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This is because children and infants often experience respiratory arrest before cardiac arrest, and more frequent ventilation is beneficial.
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Thus, 30:2 with 2 rescuers is incorrect, making it the right answer to this MCQ.
C. Injection Adenosine is given at 0.1 mg/kg IV rapid push, followed by a saline flush
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Adenosine is used for stable supraventricular tachycardia (SVT).
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Initial pediatric dose: 0.1 mg/kg IV rapid push (maximum: 6 mg), followed by flush with normal saline.
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If ineffective, a second dose of 0.2 mg/kg (max 12 mg) may be given.
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The earlier version of this option had inaccurate units (ml/kg) and mistakenly mentioned “1:10,000”, which is used for epinephrine, not adenosine.
D. Intraosseous access is preferred if intravenous access is not available
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In emergencies (e.g., cardiac arrest, shock), when IV access is not rapidly obtainable (within 90 seconds), intraosseous (IO) access is the preferred alternative.
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It allows for administration of:
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IO access can be obtained at sites like the proximal tibia, distal femur, or humerus in older children.
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