During ACLS for a 4-year-old child in ventricular fibrillation, a ...

[bucstennis@aim.com]

During ACLS for a 4-year-old child in ventricular fibrillation, a shockable rhythm persists after five cycles of CPR. At this time, what would you recommend?
 
  a. Switch to synchronous countershock (car-dioversion).
  b. Apply one shock (4 J/kg) and resume compressions immediately.
  c. Immediately deliver three to five precor-dial thumps.
  d. Get larger paddles and apply more elec-trolyte gel.

Question 2

What is the maximum energy level for defibrillation of children and infants?
 
  a. 1 J/kg
  b. 2 J/kg
  c. 3 J/kg
  d. 4 J/kg

[mistyjohnson]

Answer to Question 1

ANS: B
For children older than 1 year, if a shockable rhythm persists after five cycles of CPR, the rescuer should give one shock (4 J/kg) and resume compressions immediately.

Answer to Question 2

ANS: D
For children older than 1 year, if a shockable rhythm persists after five cycles of CPR, give one shock (4 J/kg) and resume compressions immediately.

[bucstennis@aim.com]

TYSM

[ryhom]

Thanks for the timely response, appreciate it