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
