Week 2: Codes

Question 1

What is defibrillation ?

Answer 1

A method of terminating VF and pulseless VT. Pass of DC electrical shock to depolarize the cells of the myocardium to allow the SA node to resume the role of pacemaker

Question 2

What should you do following the initial shock?

Answer 2

Chest compressions should be restarted

Question 3

Synchronized cardioversion

Answer 3

Used when patients are hemodynamically unstable unstable or supraventricular tachydysrhythmias

Question 4

Where does synchoronzied cardioversion deliver its’ counter shock?

Answer 4

-Middle of the R wave

Question 5

When do you use defibrillation

Answer 5

-Pulsless VT
-Ventricular fibrillation

Question 6

When do you use cardioversion

Answer 6

-Unstable: atrial fibrillation, atrial flutter, arial tachycardia, supraventircular tachycardia
-Medication failure

Question 7

When do you use pacing?

Answer 7

-Pace if they’re very bradycardia and unstable
-Also prevents bradycardia and tachycardia rhythms

Question 8

What do you assess when a patient is STABLE?

Answer 8

-Vitals
-LOC
-SOB
-airway breathing
-Skin for circulation

Question 9

What would a fully alert and oriented patient score on the Glasgow coma scale?

Answer 9

15

Question 10

What score on Glasgow coma scale warrants an endotracheal tube?

Answer 10

8 or less

Question 11

Explain the cycle when a patient has VF/pVT/Asystole/PEA

Answer 11

CPR, oxygen
Shockable?
Yes: VF/pVT-shock
No: Asystole/PEA-epinephrine

Question 12

How much epi?

Answer 12

1mg every 3-5’

Question 13

What other drugs can be used when a patient is critical?

Answer 13

Amiodarone (300mg bolus), lidocaine (1-1.5mg/kg)