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how often should you switch compressors to avoid fatigue |
every 2 mins |
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pt was in refractory v fib. third shock has been administrated. what is the next action |
resume high quality compressions |
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you arrive and CPR is in progress. pt was recovering from PE and suddenly collapsed. two shocks have been delivered and IV has been initiated. what do you administer now |
1 mg epi IV |
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12 lead shows STEMI. pt has resolution of moderate chest pain after 3 doses of sublingual nitroglycerin. BP is 104/70. what intervention is most important in reducing pt’s in hospital and 30 day mortality rate |
reperfusion therapy |
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pt is pale and diaphoretic. BP is 80/60, and in sinus bradycardia. On O2 at 4 L/min by NC and IV is established. what do you adminster |
0.5 mg Atropine IV |
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what action should you take immediately after providing an AED shock |
resume chest compressions |
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pt is not responsive and not breathing. you can palpate a carotid pulse. which action do you take next |
start rescue breathing |
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what is the recommended depth of chest compressions for an adult victim |
at least 2 inches |
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how does complete chest recoil contribute to effective CPR |
allows maximum blood to return to heart |
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pt has history of palpitations and develops light headedness and palpitations. received adenosine 6 mg IV for v tach. BP is 128/70. what is next appropriate intervention |
adenosine 12 mg IV |
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what action minimizes the risk of air entering the victim’s stomach during bag mask ventilation |
ventilating until you see chest rise |
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you are providing bag mask ventilations to a patient in respiratory arrest. how often should you provide ventilation |
every 5 – 6 breaths |
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what is recommended compression rate for high quality CPR |
100 – 120 compressions per min |
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what is the maximum interval for pausing chest compressions |
10 secs |
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which action is likely to cause air to enter the victims stomach during bag mask ventilation |
ventilating too quickly |
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a patient is in refractory v fib. high quality CPR is in progress. one dose epi given after the second shock. an antiarrythmic drug then given after third shock. now which med do you push |
1 mg epi |
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pt with STEMI has ongoing chest discomfort. Hep 4000 units IV bolus and hep infusion 1000 units/hour are given. pt doesn’t take aspirin due to hx of gastritis, which was treated 5 yrs ago. what is next action |
give aspirin 160 – 325 mg to chew |
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pt in refractory v fib and has received multiple defib shocks, epi 1 mg IV twice, and initial dose of amiodarone 300 mg IV. pt is intubated. what is the recommended second dose of amiodarone. |
150 mg IV push |
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pt is in cardiac arrest. v fib has been refractory to a second shock. what drug should be administered first |
epi 1 mg IV/IO |
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pt with possible STEMI has ongoing chest discomfort. what is a contraindication to nitrate administration |
use of phosphodiesterase inhibitor within previous 24r hours |
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pt has irregular wide complex tachycardia. ventricular rate is 138/min, with BP 110/70. hx of angina. what is recommended next |
seeking expert consultation |
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what is the indication for the use of magnesium in cardiac arrest |
pulseless v tach associated with torsades de pointes |
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what intervention is most appropriate for tx of asystole |
epi |
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CPR in progress. AED has advised no shock indicated. rhythm check finds you in asystole. after resuming compressions what action do you take next |
establish IV/IO access |
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pt has sinus brady with HR of 36/min. Atropine has been given of a total dose of 3 mg. transcutaneous pacemaker has failed to capture. pt is confused and BP 88/56. what therapy is indicated next |
epi 2 – 10 mcg/min |
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pt with hx of large intracerebral hemorrhage 2 months ago. under evaluation for another acute stroke. CT is neg. pt on O2 via NC at 2 L/min. IV established. BP 180/100. what drug do you anticipate for pt |
aspirin |
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in which situation does bradycardia require tx |
hypotension |
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pt with palpitations, chest discomfort and tachycardia. monitor shows regular wide QRS at rate 180/min. Now pt is diaphoretic and BP is 80/60. what action do you take next |
perform electrical cardioversion |
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pt in cardiac arrest. compressions are being given. pt is intubated and IV started. rhythm in asystole. what is the first drug to be administered |
epi 1 mg IV/IO |
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pt suddenly experience difficulty speaking and left sided weakness. meets criteria for fibrinolytic therapy. CT scan ordered. what guidelines for antiplatelet and fibrinolytic therapy |
hold aspirin for at least 24 hours if rtPA is administerted |
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pt in cardiac arrest. v fib has been refractory to initial shock. if no pathway for med administration what method is preferred |
IV/IO access |
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pt has palpitations, light headedness and stable tachycardia. monitor shows regular narrow QRS at rate of 180/min. vagal maneuvers have not been effective. IV established. what drug should be administered |
adenosine 6 mg |
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pt in pulseless v tach. two shocks and 1 dose epi have been given. which drug should be next |
amiodarone 300 mg |
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