PALS in-hospital respiratory scenario

The quiz
You are working on the floor of a medical unit when you are called to the room of a 1-year-old who was admitted earlier from the emergency department where they were treated for respiratory distress and croup-like symptoms. You arrived to find the child in obvious distress breathing 64/min with an oxygen saturation of 84% on 2 liters of blow-by oxygen. Temperature is 97.4 F. Heart rate is 160 with a BP of 75/43. There is loud stridor on inhalation. Weight is 12kg. After activating the emergency response system from the ED you continue to treat your patient.


about 3–5 minutes

You are working on the floor of a medical unit when you are called to the room of a 1-year-old who was admitted earlier from the emergency department where they were treated for respiratory distress and croup-like symptoms. You arrived to find the child in obvious distress breathing 64/min with an oxygen saturation of 84% on 2 liters of blow-by oxygen. Temperature is 97.4 F. Heart rate is 160 with a BP of 75/43. There is loud stridor on inhalation. Weight is 12kg. After activating the emergency response system from the ED you continue to treat your patient.

Question 1 of 5

Your first intervention is:

Question 2 of 5

Immediately following the above intervention you should;

Question 3 of 5

What medication would you expect to use in this situation?

Question 4 of 5

What part of this patient’s assessment makes you suspect an upper airway obstruction?

Question 5 of 5

What is an acceptable oxygen saturation on room air?

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The quiz

Correct answers

  • Place the patient on the bed and reposition to open the airway using head tilt-chin lift.
  • Administer 100% oxygen via non-rebreather mask
  • Nebulized epinephrine
  • Loud inspiratory stridor
  • 94–99%

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How we reviewed this article

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Current version
Jun 23, 2020

Written by:

rob
Sep 16, 2018

Reviewed by:

rob
Changes: Updated quiz questions and scenarios