Pretest Flashcards
Which of the following is most accurate regarding the administration of vasopressin during cardiac arrest?
a. Vasopressin is indicated for VF and pulseless VT prior to the delivery of the first shock
b. The correct dose of Vasopressin is 40 U administered IV or IO
c. Vasopressin is recommended instead of epinephrine for the
treatment of asystole
d. Vasopressin can be administered twice during cardiac arrest
b. The correct dose of Vasopressin is 40 U administered IV or IO
Your patient has been intubated. IV/IO access is not available. Which combination of drugs can be administered by the endotracheal route of administration?
a. Amiodarone, lidocaine, epinephrine
b. Epinephrine, vasopressin, amiodarone
c. Lidocaine, epinephrine, vasopressin
d. Vasopressin, amiodarone, lidocaine
c. Lidocaine, epinephrine, vasopressin
Which of the following statements about the use of magnesium in cardiac arrest is most accurate?
a. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes
b. Magnesium is indicated for shock-refractory monomorphic VT
c. Magnesium is contraindicated in VT associated with a normal QT interval
d. Magnesium is indicated for VF refractory to shock and amiodarone or lidocaine.
Magnesium is indicated for VF/pulseless VT associated with torsades de pointes
A patient with a possible acute coronary syndrome has ongoing chest discomfort unresponsive to 3 sublingual nitroglycerine tablets. There are no contraindications and 4 mg of morphine sulfate was administered. Shortly, BP falls to 88/60 and the patient complains of increased chest discomfort. You would:
a. Give an additional 2 mg of morphine sulfate
b. Start dopamine at 2 ụg/kg per minute and titrate to BP 100 systolic. c. Give nitroglycerin 0.4 mg sublingually
d. Give normal saline 250 mL to 500 mL fluid bolus
d. Give normal saline 250 mL to 500 mL fluid bolus
A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138. He is asymptomatic with a BP of 110/7-. He has a history of angina. Which of the following actions is recommended?
a. Give lidocaine 1-1.5 mg IV bolus
b. Immediate synchronized cardioversion
c. Seek expert consultation
d. Give adenosine 6 mg IV bolus
c. Seek expert consultation
A 62 year-old man suddenly began to experience difficulty speaking and left-sided weakness. He is brought to the ER. He meets initial criteria for fibrinolytic therapy and a CT scan of the brain is ordered. Guidelines for antiplatelet and antothrombotic therapy are:
a. Administer heparin if CT scan is negative for hemorrhage
b. Give aspirin 160 mg and clopidogrel 75 mg orally
c. Administer aspirin 160-325 mg orally chewed, immediately
d. Do not give aspirin for at least 24 hours if tPA is administered
d. Do not give aspirin for at least 24 hours if tPA is administered
