Pre-Test Flashcards
A patient is in cardiac arrest. High-quality chest compressions are being given. The patient is intubated, and an IV has been started. The rhythm isa systole. What is the first drug/dose to administer?
Epinephrine 1 mg/kg
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a heparin infusion of 1000 units per hour are being administered. The patient did not take aspirin because he has a history of gastritis, which was treated 5 years ago. What is your next action?
Give aspirin 162-235 mg to chew
A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138/minute. He is asymptomatic, with a blood pressure of 110/70 mmHg. He has a history of angina. What action is recommended next?
seek expert consultation
In which situation does bradycardia require treatment?
hypotension
A patient is in cardiac arrest. V fib has been refractory to a second show. Which drug should be administered first?
Epinephrine 1 mg IV/IO
A 35 year old woman has palpitations, light-headedness, and a stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established. Which drug should be administered?
Adenosine 6 mg
Which intervention is most appropriate for the treatment of a patient in asystole?
Epinephrine
You arrive on the scene with the code team. High-quality CPR is in progress. An AED has previously advised “no shock indicated.” A rhythm check now finds systole. After resuming high-quality compressions, which action do you take next?
Establish IV/IO access
A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. The patient’s blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. The heart rate has not responded to vagal maneuvers. What is your next action?
Administer adenosine 6 mg IV push
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. If no pathway for medication administration is in place, which method is preferred?
IV/IO
You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. He is being evaluated for another acute stroke. The CT scan is negative for hemorrhage. The patient is receiving oxygen via nasal cannula at 2 L/min, and an IV has been established. His blood pressure is 180/100 mm Hg. Which drug do you anticipate giving to this patient?
Aspirin
A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300 mg IV. The patient is intubated. Which best describes the recommended second dose of amiodarone for this patient?
150 mg IV push
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given. Which drug should be given next?
Amiodarone 300 mg
A patient with possible STEMI has ongoing chest discomfort. What is a contraindication to nitrate administration?
Use of a phosphodiesterase inhibitor within the previous 24 hours
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. What is the initial dose of atropine?
1 mg
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One dose of epinephrine was given after the second shock. An antiarrhythmic drug was given immediately after the third shock. You are the team leader. Which medication do you order next?
Epinephrine 1 mg
A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180/min. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Which action do you take next?
Perform electrical cardioversion
A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. Which best describes the guidelines for antiplatelet and fibrinolytic therapy?
Hold aspirin for at least 24 hours if rtPA is administered
What is the recommended depth of chest compressions for an adult victim?
2 inches
You are providing bag-mask ventilations to a patient in respiratory arrest. How often should you provide ventilations?
every 6 seconds
Which action should you take immediately after providing an AED shock?
Resume chest compressions
What is the recommended compression rate for high-quality CPR?
100-120 compressions per minute
Which action is likely to cause air to enter the victim’s stomach (gastric inflation) during bag-mask ventilation?
Ventilating too quickly
PEA drug tx?
epinephrine 1 mg
How often should you switch chest compressors to avoid fatigue?
about every 2 minutes
sinus bradycardia with hypotension, symptomatic - tx?
atropine 1 mg IV
sinus tachycardia, has received adenosine 6 mg IV without conversion
administer adenosine 12 mg IV
sinus bradycardia, symptomatic, total of 3 mg adenosine has been given - tx?
epinephrine 2-10 mcg/min
