Scenarios Flashcards
A bedridden patient with right-sided heart failure would be LEAST likely to present with:
A. edema to the feet.
B. presacral edema.
C. hepatomegaly.
D. jugular venous distention.
A. edema to the feet.
You and an EMT are performing CPR on an elderly woman in cardiac arrest as your paramedic partner prepares to intubate her. After the patient has been intubated and proper ET tube placement has been confirmed, you should:
A. perform asynchronous CPR while ventilating the patient at a rate of 1 breath every 6 seconds.
B. instruct the EMT-B to pause after 30 compressions so your partner can deliver two ventilations.
C. administer 2.5 mg of epinephrine via the ET tube and hyperventilate the patient to ensure drug dispersal.
D. direct your partner to deliver one breath every 3 to 5 seconds as the EMT-B continues chest compressions.
A. perform asynchronous CPR while ventilating the patient at a rate of 1 breath every 6 seconds.
A 39-year-old man in asystole has been unresponsive to high-quality CPR and two doses of epinephrine. The patient is intubated and an IO catheter is in place. You should focus on:
A. establishing a peripheral IV line
B. providing mild hyperventilation.
C. searching for reversible causes.
D. transcutaneous cardiac pacing
c. searching for reversible causes
You are assessing a conscious and alert middle-aged male who complains of chest discomfort and nausea. His blood pressure is 112/70 mm Hg, pulse is 90 beats/min and regular, and respirations are 20 breaths/min and regular. The patient’s past medical history is significant for hypothyroidism and hyperlipidemia. His medications include Synthroid, Lipitor, Cialis, and one baby aspirin per day. Which of the following medications would you LEAST likely administer?
A. Aspirin
B. Fentanyl
C. Morphine
D. Nitroglycerin
D. Nitroglycerin
A 55-year-old man complains of severe pain between his shoulder blades, which he describes as “ripping” in nature. He tells you that the pain began suddenly and has been intense and unrelenting since its onset. His medical history includes hypertension, and he admits to being noncompliant with his antihypertensive medication. Which of the following assessment findings would MOST likely reinforce your suspicion regarding the cause of his pain?
A. Disappearance of radial pulses during inspiration
B. Difference in blood pressure between the two arms
C. ST-segment depression on the 12-lead ECG tracing
D. Bruits to both carotid arteries during auscultation
B. Difference in blood pressure between the two arms
You have just performed synchronized cardioversion on a patient with unstable ventricular tachycardia. Upon reassessment, you note that the patient is unresponsive, apneic, and pulseless. You should:
A. desynchronize the defibrillator, defibrillate one time, and check for a pulse.
B. ensure that the synchronizer is off, defibrillate, and immediately begin CPR.
C. increase the energy setting on the defibrillator and repeat the cardioversion.
D. perform five cycles of CPR, reassess the cardiac rhythm, and defibrillate if needed.
B. ensure that the synchronizer is off, defibrillate, and immediately begin CPR.
