2 - Adult - Universal Cardiac Care

Question 1

For cardiac care patients, supplementary oxygen should be titrated to greater than _____.

A. 94%
B. 96%
C. 98%
D. 100%

Answer 1

A. 94%

Question 2

Location of 12-lead electrodes:

Answer 2

V1- 4th IC, R of sternum
V2-4th IC, L of sternum
V3- between V2 & V4
V4- 5th IC, mid-clavicular
V5- Level with V4 at L anterior axillary line
V6- level with V5 in L mid-axillary line

V4R-5th IC, right mid-clavicular line

Question 3

Contraindications for ASA

Answer 3

• active ulcer disease
• asthma
• ASA allergy

Question 4

Maximum dose of NTG

A. One 0.4 mg spray/tab
B. Two 0.4 mg sprays/tabs
C. Three 0.4 mg sprays/tabs

Answer 4

C. Three 0.4 mg sprays/tabs

Question 5

What must be present to continue to administer NTG?

Answer 5

A systolic BP greater than 100 mmHg

Question 6

What is the intervention for SBP less than 90 mmHg in the adult cardiac patient?

Answer 6

20 mL/kg NS IV

Question 7

What intervention is allowed if the hypotensive adult cardiac patient retains clear lung sounds?

Answer 7

A repeat of the 20 mL/kg NS bolus.

Question 8

What may be used in place of NTG spray/tablets in the adult cardiac patient?

Answer 8

1” NTG on anterior chest if SBP remains greater than 100 mmHg

Question 9

Contraindications for Fentanyl in the adult cardiac patient.

Answer 9

• HR greater than 130 BPM

- SBP under 100 mmHg

Question 10

Dose of Zofran for adult nausea associated with cardiac symptoms

Answer 10

4 mg IV/2 minutes

Question 11

With what medication should NTG be withheld in the adult cardiac patient?

Answer 11

• ED drugs taken in previous 72 hours.