Megacode 9

1 You are seeing a seven-year-old girl (48 inches tall) in an outpatient clinic for diarrhea and vomiting. She weighed 49 pounds on her last visit, but now weighs 44 pounds. She has been crying, very tired, and says that her "chest feels funny." Her pulse is about 180 beats per minute. For her age, this is consistent with which state?

1 You are seeing a seven-year-old girl (48 inches tall) in an outpatient clinic for diarrhea and vomiting. She weighed 49 pounds on her last visit, but now weighs 44 pounds. She has been crying, very tired, and says that her "chest feels funny." Her pulse is about 180 beats per minute. For her age, this is consistent with which state?

  • Key A
    A
  • Key B
    B
  • Key C
    C

2 She has poor skin turgor and her skin is cool and clammy. She has slightly slow capillary refill. Which of the following is NOT appropriate right now?

2 She has poor skin turgor and her skin is cool and clammy. She has slightly slow capillary refill. Which of the following is NOT appropriate right now?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

3 You obtain a 12-lead ECG. The patient has the following rhythm, which is consistent with what rhythm? Megacode 9 Question 3

3 You obtain a 12-lead ECG. The patient has the following rhythm, which is consistent with what rhythm? Megacode 9 Question 3

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

4 How would you describe the QRS complex?

4 How would you describe the QRS complex?

  • Key A
    A
  • Key B
    B
  • Key C
    C

5 Based on the historical information given, what do you suspect is the most likely cause of the tachycardia?

5 Based on the historical information given, what do you suspect is the most likely cause of the tachycardia?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

6 You decide to attempt an intervention. Which of the following is the most reasonable initial intervention in this child?

6 You decide to attempt an intervention. Which of the following is the most reasonable initial intervention in this child?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

7 Which type of fluid is recommended for fluid resuscitation in this child?

7 Which type of fluid is recommended for fluid resuscitation in this child?

  • Key A
    A
  • Key B
    B

8 As a member of your team is hanging the IV solution, the girl becomes lethargic and does not respond to questions. Her pulse is still elevated, but weak. Which of the following would be the most appropriate intervention?

8 As a member of your team is hanging the IV solution, the girl becomes lethargic and does not respond to questions. Her pulse is still elevated, but weak. Which of the following would be the most appropriate intervention?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

9 Given the child’s weight of 44 pounds (20 kg), what is the appropriate IV bolus amount?

9 Given the child’s weight of 44 pounds (20 kg), what is the appropriate IV bolus amount?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

10 Soon after the fluid bolus is administered, she is able to answer questions appropriately. Which of the following is NOT part of your subsequent management and treatment?

10 Soon after the fluid bolus is administered, she is able to answer questions appropriately. Which of the following is NOT part of your subsequent management and treatment?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

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