Skills

Question 1

Components of BLS assessment

Answer 1

1 scene safety
2 check for responsiveness 
3 call for help and AED
4 scan chest for breathing and pulse 
5 no pulse- begins compressions 
6 apply AED when it arrives

Question 2

Compression to breath ratio

Answer 2

30:2

Question 3

Compression rate

Answer 3

100-120 bpm

Question 4

Compression depth

Answer 4

2-2.4 inches

Question 5

Standard treatment

Answer 5

Identify and treat underlying causes, open airway, assist breathing, O2 admin, apply monitors, 12 lead ecg, IV/IO access, obtain labs, seek expert consultation

Question 6

Tx for stable symptomatic Bradycardia

Answer 6

Atropine 0.5mg

Question 7

Tx for unstable symptomatic bradycardia

Answer 7

1) atropine 0.5 mg

2) external transcutaneous pacing OR dopamine infusion 2-20 mcg/kg/min OR epinephrine infusion 2-10 mcg per minute

Question 8

Tx for stable Supraventricular Tachycardia

Answer 8

vagal maneuver —> adenosine 6 mg —>adenosine 12 mg —> expert consult

Question 9

Tx for unstable supraventricular tachycardia

Answer 9

Synchronized cardioversion 50-100 (irregular: 120-200)

Question 10

Treatment for stable monomorphic ventricular tachycardia with pulse

Answer 10

Amiodarone 150mg over 10 minutes

Question 11

Tx for unstable vtach with pulse

Answer 11

Cardioversion 100 joules

Question 12

Tx for Vfib and pulseless Vtach

Answer 12

Code blue/compressions
Defib ASAP
Resume CPR for 2 minutes/obtain iv/io access
Defib /Resume CPR/administer epinephrine 1 mg
Defib/CPR/amiodarone 300 mg

Question 13

Tx for asystole or PEA

Answer 13

Code blue
chest compressions
Epinephrine 1 mg
Chest compressions

Epinephrine every other cycle or 3-5 minutes

Question 14

Reversible Hs

Answer 14

Hypovolemia 
Hypoxia 
Hydrogen ion (acidosis) 
Hypo/hyperkalemia
Hypothermia

Question 15

Reversible Ts

Answer 15

Tension pneumothorax 
Tamponade 
Thrombosis, pulmonary (PE) 
Thrombosis, cardiac
Toxins

Question 16

ROSC care components

Answer 16

• CAB
• Intubate and capnography if not breathing
• Low BP - fluid bolus of 1-2 L NS or LR and/or pressor, epi, dopamine
• Non responsive - targeted temp management 32-36C for at least 24 hours
• 12 lead ecg
• labs
• chest xray
• cardiology consult

Question 17

Drugs for bradycardia

Answer 17

Atropine
Dopamine
Epinephrine

Brady has ADES

Question 18

Drugs for SVT

Answer 18

Adenosine

super sine

Question 19

Drugs for Vtach

Answer 19

Amiodarone
Procainamide
Sotalol
Lidocaine

Question 20

Drugs for Vfib/Pulseless Vtach

Answer 20

Epinephrine
Amiodarone

V (B)arone

Question 21

Drugs for Asystole/PEA

Answer 21

Epinephrine

Question 22

Drugs for Acute Coronary Syndrome

Answer 22

Morphine
Oxygen
Nitrates
Aspirin

MONA

Question 23

Atropine dosing

Answer 23

0.5 mg IV/IO push every 3-5 minutes; max total dose: 3 mg

Question 24

When would you use transcutaneous pacing?

Answer 24

unstable bradycardia

Question 25

Dopamine drip dosing

Answer 25

2-20 mcg/kg/min as IV infusion (titrate)

Question 26

Epinephrine drip dosing

Answer 26

2-10 mcg/kg/min (titrate)

Question 27

Adenosine dosing

Answer 27

6 mg rapid push (followed by flush); can repeat with 12 mg dose

Question 28

Amiodarone dosing (Vtach)

Answer 28

150 mg IV over 10 min; repeat every 10 minutes PRN

Question 29

Epinephrine dosing

Answer 29

1 mg IV/IO push

Question 30

Amiodarone (Vfib/pulseless Vtach)

Answer 30

300 mg IV/IO push (flush)

Question 31

Epinephrine dosing

Answer 31

1 mg IV/IO push (flush); repeat every 3-5 minutes; no max