Precourse Self Assessment

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how often should you switch compressors to avoid fatigue

every 2 mins

pt was in refractory v fib. third shock has been administrated. what is the next action

resume high quality compressions

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

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

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

what action should you take immediately after providing an AED shock

resume chest compressions

pt is not responsive and not breathing. you can palpate a carotid pulse. which action do you take next

start rescue breathing

what is the recommended depth of chest compressions for an adult victim

at least 2 inches

how does complete chest recoil contribute to effective CPR

allows maximum blood to return to heart

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

what action minimizes the risk of air entering the victim’s stomach during bag mask ventilation

ventilating until you see chest rise

you are providing bag mask ventilations to a patient in respiratory arrest. how often should you provide ventilation

every 5 – 6 breaths

what is recommended compression rate for high quality CPR

100 – 120 compressions per min

what is the maximum interval for pausing chest compressions

10 secs

which action is likely to cause air to enter the victims stomach during bag mask ventilation

ventilating too quickly

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

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

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

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

pt with possible STEMI has ongoing chest discomfort. what is a contraindication to nitrate administration

use of phosphodiesterase inhibitor within previous 24r hours

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

what is the indication for the use of magnesium in cardiac arrest

pulseless v tach associated with torsades de pointes

what intervention is most appropriate for tx of asystole


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

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

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


in which situation does bradycardia require tx


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

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

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

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

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

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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