PALS Hospital Based Shock Scenario

The quiz
You are caring for a 12-year-old patient who has a history of leukemia. He was admitted to your floor last night from the emergency department. On admission, he had a fever of 102.2 F and had been feeling bad for two days. His last chemotherapy was one week ago. Mom calls you into the room because “he isn’t acting right.” You arrive to find a 12-year-old (41kg) male who is lethargic and confused. His heart rate is 148 with a blood pressure of 80/30. Respirations are 38 and unlabored. Sp02 is 93% on room air. You immediately notify the emergency response team.

about 3–5 minutes