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Exam & Evaluation (PSVT in the Pediatric Patient)
 
Questions: Please respond to following statements.

1 A paroxysmal rhythm has a sudden beginning and an abrupt ending.
True     False
2 The heart rate of PSVT is >180 in infants and >120 in older children.
True     False
3 The ST depression seen while a patient is in PSVT is an indicator of serious myocardial ischemia.
True     False
4 Where there is increased automaticity of the atrial fibers (as with a child with PSVT), the SA node is no longer able to control the heart rate within its normal expected limits.
True     False
5 Decreased cardiac output may result from prolonged PSVT.
True     False
6 A child with underlying medical conditions, or a child with prolonged PSVT, may develop congestive heart failure.
True     False
7 Infants with PSVT may be irritable, pale, lethargic, or feed poorly.
True     False
8 PSVT often occurs when the child is asleep at night.
True     False
9 It is considered safe practice for a child to submerge their face in ice water while having an episode of PSVT.
True     False
10 The longer an episode of PSVT lasts, the easier it is to convert.
True     False
11 An ambulance with ACLS capabilties is never needed to transport a child with PSVT.
True     False
12 It is essential that the IV site be as close to the heart as possible (i.e. antecubital fossa).
True     False
13 If a second dose of Adenosine is indicated, it is to be the same amount as the first dose.
True     False
14 All doses of Adenosine are to be given rapid IV push.
True     False
15 Adenosine may cause life-threatening arrhythmias when PSVT is converted to NSR.
True     False
16 The BP is the first vital sign to change on a clinically decompensating child.
True     False
17 Synchronized cardioversion may take place only after the patient is intubated and has a patent IV in place.
True     False
18 Digoxin is often the drug of choice used for long term treatment of pediatric patients with PSVT.
True     False
19 Children with PSVT will suffer from a lifetime of limited physical activity.
True     False
20 Increased respiratory rate may be seen with a symptomatic child with PSVT.
True     False
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