MC - 3- Tachycardia - Adult

Question 1

A heart rate over _____ with symptoms requires treatment according to the SCEMSS protocols.

Answer 1

150

Question 2

If a patients HR remains over 150, yet they have no symptoms, what should be evaluated?

Answer 2

Underlying causes

• fever
• hypovolemia
• sepsis

Question 3

What s/s make a patient with a HR over 150 “unstable” by SCEMSS protocol?

Answer 3

• hypoTN/shock
• AMS
• ischemic chest pain
• new/worsening CHF

Question 4

In the case of a STABLE narrow complex, regular rhythm, what should be attempted first?

A. 6 mg rapid IVP adenosine
B. 12 mg rapid IVP adenosine
C. 150 mg amiodarone over 10 minutes
D. Valsalva maneuver

Answer 4

D. Valsalva maneuver

Question 5

Ineffective Valsalva maneuvers in the stable, narrow complex, rapid rhythm leads to administration of _____.

Answer 5

6 mg adenosine rapid IVP, then 12 mg adenosine rapid IVP

Question 6

Stable, wide-complex rhythms may be given _____.

A. 6 mg rapid IVP adenosine
B. 12 mg rapid IVP adenosine
C. 150 mg amiodarone over 10 minutes
D. Valsalva maneuver

Answer 6

C. 150 mg amiodarone over 10 minutes

Question 7

Unstable, narrow complex, irregular rhythms are treat with ______.

Answer 7

syncronized cardioversion 200J, 360J

Question 8

Unstable, wide complex, regular rhythms are treated with _____.

Answer 8

Syncronized cardioversion 100J, 200J, 360J

Question 9

Unstable, wide complex, irregular rhythms are treated with ______.

Answer 9

Defibrillation at 360 J

Question 10

Unstable, narrow complex, regular rhythms are treated with _____.

Answer 10

Syncronized cardioversion 50J, 100J, 200J. 360J

Narrow complex usually indicates supraventricular tissues. Smaller tissues, smaller cardioversion dose

Question 11

What is the Ketamine IM dose for patients between 50-74 Kilograms?

Answer 11

150-300 mg

Question 12

What is the Ketamine IM dose for patients 75-90 Kilograms?

Answer 12

200-400 mg

Question 13

What is the Ketamine IM dose for patients over 90 Kilograms?

Answer 13

250-500 mg

Question 14

What is the Ketamine dose for geriatric patients?

Answer 14

Medical control contact required

Question 15

What is the Ketamine IV dose for patients between 50-74 Kilograms?

Answer 15

75-150 mg

Question 16

What is the Ketamine IV dose for patients between 75-90 Kilograms?

Answer 16

100-200 mg

Question 17

What is the Ketamine IV dose for geriatric patients?

Answer 17

Medical control contact required

Question 18

What is the IV/IM Fentanyl dose for 50-74 kg?

Answer 18

50 mcg

Question 19

What is the IV/IM Fentanyl dose for 75-90 kg?

Answer 19

75 mcg

Question 20

What is the IV/IM Fentanyl dose for geriatrics?

Answer 20

25 mcg

Question 21

What is the IN Fentanyl dose for 50-74 kg?

Answer 21

100 mcg

Question 22

What is the IN Fentanyl dose for 75-90 kg?

Answer 22

100 mcg

Question 23

What is the IN Fentanyl dose for geriatrics?

Answer 23

50 mcg

Question 24

What is the IV/IM dose of Lorazepam for all non geriatric patients?

Answer 24

2 mg

Question 25

What is the IV/IM dose of Lorazepam for geriatrics?

Answer 25

1 mg

Question 26

What is the IV/IM dose of Midazolam for 50-74 kg patients?

Answer 26

2.5 mg

Question 27

What is the IV dose of Midazolam for 75-90 kg patients?

Answer 27

5 mg

Question 28

What is the IV dose of Midazolam for patients over 90 kg?

Answer 28

5 mg

Question 29

What is the IV dose of Midazolam for geriatric patients?

Answer 29

2.5 mg

Question 30

What is the IN/IM dose of Midazolam for 50-74 kg patients?

Answer 30

5 mg

Question 31

What is the IN/IM dose of Midazolam for 75-90 kg patients?

Answer 31

10 mg

Question 32

What is the IN/IM dose of Midazolam for over 90 kg patients?

Answer 32

10 mg

Question 33

What is the IN/IM dose of Midazolam for geriatric patients?

Answer 33

5 mg