1 - Absolutely Must Know By Friday

Question 1

For bisphasic monitors, pulseless V-tach/VF is initially defibrillated at:

A) 100 J
B) 200 J
C) 300 J
D) 360 J

Answer 1

B) 200 J

Question 2

In what step-wise fashion is defibrillation of the adult pVT/VF patient undertaken?

Answer 2

200 J -> 300 J -> 360J

Question 3

Calcium chloride dose of dialysis arrest patients.

Answer 3

1 gm CaCl2 over 2 minutes

Question 4

Hs for PEA/Asystole and their treatment

Answer 4

Hypoxia - oxygen/ventilation

Hypovolemia - 20 mL/kg NS bolus

H+ (acidosis) - corrected with ventilation in the case of non-dialysis arrest; suspected hyperkalmeic/TCA arrests - 50-100 mEq NaHCO3

Hyperkalemia - 1 gm CaCl2/2 minutes

Hypothermia - warm the patient with blankets and warm environment

Question 5

Ts for PEA/Asystole and their treatment

Answer 5

Trauma - consider cease resuscitation
Toxins - contact MedControl/poison control
Tension pneumo - needle decompression
Tamponade - surgery
Thrombus - cardiac/pulmonary - surgery/hospital

Question 6

Synchronized cardioversion of unstable narrow complex tachycardia

Answer 6

?????

Question 7

Synchronized cardioversion of unstable wide complex tachycardia

Answer 7

????