Part 2 book “PALS - Pediatric advanced life support study guide” has contents: Assessment evidence, anatomic and physiologic considerations, shock, length-based resuscitation tape, ventricular tachycardia, supraventricular tachycardia, electrical therapy, epidemiology of cardiac arrest, and other contents. | CHAPTER 4 © Olesia Bilkei/Shutterstock. Shock Learning Objectives After completing this chapter, you should be able to: 1. Identify key anatomic and physiologic differences between children and adults and discuss their implications in the patient with a cardiovascular condition. 2. Differentiate between compensated and hypotensive shock. 3. Discuss the physiologic types of shock. 4. Describe the initial emergency care for hypovolemic, distributive, cardiogenic, and obstructive shock in infants and children. 5. Discuss the pharmacology of medications used during shock. 6. Discuss age-appropriate vascular access sites for infants and children. 7. Given a patient situation, formulate a treatment plan for a patient in shock. After completing this chapter, and with supervised practice during a Pediatric Advanced Life Support (PALS) course, you will be skilled at the following: • Ensuring scene safety and the use of personal protective equipment. • Assigning team member roles or performing as a team member in a simulated patient situation. • Directing or performing an initial patient assessment. • Obtaining vital signs, establishing vascular access, attaching a pulse oximeter and blood pressure and cardiac monitors, and giving supplemental O2 if indicated. 86 PALS: Pediatric Advanced Life Support Study Guide • Implementing a treatment plan based on the type of shock the patient is experiencing. • Demonstrating knowledge of the indications, dosages, and effects of the medications and fluids used when managing shock. • Establishing vascular access by means of the intraosseous route. • Recognizing when an intraosseous needle is properly positioned. • Recognizing when it is best to seek expert consultation. • Reviewing your performance as a team leader or team member during a postevent debriefing. ASSESSMENT EVIDENCE Performance Tasks During the PALS course, you will function as the team leader of the Rapid Response Team or Code Team within
