Use of quantitative capnography in intubated pt's does what?
  • allow complete chest recoil
  • Normal sinus rhythm without a pulse
  • Evidence of rigor mortis.
  • allows for monitoring CPR quality
which drug and dose is recommended for the management of refractory v fib.
  • Be sure oxygen is not blowing over the patient's chest during the shock
  • amioderone 300 mg.
  • Evidence of rigor mortis.
  • providing quality compressions immediately before defib attempts
What is the preferred method of access for epinephrine administration during cardiac arrest in most patients?
  • Peripheral intrvenous
  • Continuous waveform capnoraphy
  • continuous Wave form capnography
  • 2-10 mcg/kg p/min
what is an appropriate indication to stop or withhold resuscitative efforts?
  • Peripheral intravenous
  • review patients home medications
  • 10 seconds or less
  • evidence of rigor mortis
norepinepherine \n\n\npost cardiac
  • .1-.5 mcg/kg per minute
  • 5-10 mcg /kg
  • 2-10 mcg/kg p/min
  • 1mg q 3-5
what is advantage of hands free defib pads instead of paddles?
  • Prolonged interruption in chest compressions
  • hands free pads allow for more rapid defib.
  • allow complete chest recoil
  • 10 seconds or less
completed 2 minutes CPR. the ECG monitor displays PEA and the patient has no pulse. Member of the team resumes chest compressions, IV placed. What is the management step is the next priority?
  • atropine
  • 35-40 mm Hg
  • Admin 1mg Epi
  • 90mm Hg
The use of quantitative capnography in intubated patients
  • Prolonged interruption in chest compressions
  • allows for monitoring CPR quality
  • allows for monitoring of CPR quality
  • id and tx early clinical deterioration
what is the usual post cardiac arrest target range for PETCO2 when ventilating a patient who achieves return of spontaneous circulation? (ROSC)
  • 12 mg
  • 35-40 mm Hg
  • 90mm Hg
  • 2-10 mcg/kg p/min
during the assessment pt loses consciousness after calling for help and determining the the patient isnt breathing you are unsure if the pt has a pulse, what is next action?
  • begin chest compressions
  • 2-10 mcg/kg p/min
  • Resume chest compressions.
  • Obtaining a 12-lead ECG
What is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose for a patient who achieves ROSC but is hypotensive during the post-cardiac arrest period?
  • 2-10 mcg/kg p/min
  • 35-40 mm Hg
  • Peripheral intrvenous
  • 1 to 2 L
pt presents with new onset of dizzines and fatigue. on exam pt HR 35 b/p 70/50 breaths p/min 22 O2 sats 95%. what is appropriate first med.?
  • 8-10 B/min
  • 1 to 2 L
  • 12 lead ECG
  • atropine .5 mg
Which is a safe and effective practice within the defibrillation sequence?
  • suction during withdrawl but no longer then 10 seconds
  • Continous chest compressions without pauses and 10 ventilations per minute.
  • Prolonged interruption in chest compressions
  • Be sure oxygen is not blowing over the patient's chest during the shock
Brady with pulse Atropine?
  • Normal sinus rhythm without a pulse
  • Hypovolemia \nHypoxia \nhydrogen Ion (acidosis)\nhypo/hyperkalimia \nHypothermia
  • atropine .5 mg bolus repeat every 3-5 minutes \n\nMAX 3 MG
  • 2-10 mcg/kg per minute
the primary purpose of a medical emergency team or rapid response team?
  • Optimizing ventilation and oxygenating
  • hands free pads allow for more rapid defib.
  • id and tx early clinical deterioration
  • Prolonged interruption in chest compressions
treating a pt with dizziness, b/p 68/30 with cool clammy skin. lead II shows second degree AV block type II (looks like a shark)? what is the most appropriate first intervention?
  • 1 to 2 L
  • atropine .5 mg
  • atropine
  • vagal maneuvers
what is appropriate proceedure for ET suction after the appropriate cath is selected?
  • be sure o2 is not blowing over patient chest during shocks
  • review patients home medications
  • suction during withdrawl but no longer then 10 seconds
  • hands free pads allow for more rapid defib.
what is the minimum systolic BP one should attempt to achieve with fliud, intropic , or vasopressor administration i n a hypotensive post cardiac arrest patient who achieves ROSC.
  • ...
  • 90
  • 35-40 mm Hg
  • 90mm Hg
whisch action increases the chance for successful conversion of V FIB?
  • Be sure oxygen is not blowing over the patient's chest during the shock
  • allow complete chest recoil
  • Prolonged interruption in chest compressions
  • providing quality compressions immediately before defib attempts
epinepherine IV \n\npost cardiac arrest
  • 1mg q 3-5
  • 2-10 mcg/kg p/min
  • 5-10 mcg /kg
  • .1-.5 mcg/kg per minute
Brady with pulse Epi?
  • 2-10 mcg/min
  • atropine .5 mg bolus repeat every 3-5 minutes \n\nMAX 3 MG
  • 1st dose 150mg over 10 minutes repeat PRN if VT recurs
  • 2-10 mcg/kg p/min
you evaluate a 48 man with crushing chest pains. is a semi-truck driver pale, diaphoretic, cool to touch, slow to respond to questions, b/p 58/32, H 190, R 18, O2% unable to obtain due to no pulse, lead II ECG displays regular wide complex tachycardia. what intervention should you perform next?
  • synchronized cardio-version
  • Resume chest compressions.
  • Obtaining a 12 lead ECG
  • Obtaining a 12-lead ECG
what is the 1st treatment priority in a patient who achieves ROSC ?
  • Optimizing ventilation and oxygenating
  • Prolonged interruption in chest compressions
  • Optimizing oxygenation and ventilation
  • Continuous waveform capnoraphy
amioderone\n\ncardiac arrest
  • atropine .5 mg bolus repeat every 3-5 minutes \n\nMAX 3 MG
  • 300mg IV Bolus \n\nsecond dose 150 mg
  • Normal sinus rhythm without a pulse
  • NSR on monitor with no pulse
What is the most reliable method of confirming and monitoring correct placement of an endotracheal tube?
  • responding to verbal commands
  • Continuous waveform capnoraphy
  • continuous Wave form capnography
  • review patients home medications
49 y/o women ER w/ persistent epigastric pain, she had been taking oral antacids for past 6hrs for self diagnosed heart burn. incial b/p 118/72, P 92 reg. non-labored R 14, Os 96%. what is the most appropriate intervention to perform next?
  • Head CT scan
  • 35-40 mm Hg
  • Admin 1mg Epi
  • 12 lead ECG
a 68 y/0 woman experienced a sudden onset of right arm weakness. b/p 140/90 Hr 78, R 14, O2%lead II ECG: normal sinus rythum. what is the next appropriate action?
  • cincinnati prehospital stroke scale
  • responding to verbal commands
  • id and tx early clinical deterioration
  • chest compressions may not be effective
You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now?
  • begin chest compressions
  • one breath q 5-6 seconds
  • adenosine 6 mg IV
  • Obtaining a 12-lead ECG
during pause in cpr your monitor shows Normal sinus rhythm with no pulse. What is the next action
  • begin chest compressions
  • Resume chest compressions.
  • responding to verbal commands
  • one breath q 5-6 seconds
epinepherine \n\ncardiac arrest
  • 8-10 B/min
  • 1mg q 3-5
  • 40 u can replace 1st or second dose of epi
  • .1-.5 mcg/kg per minute
past 25 minutes EMS crew has attempted resesitation of VFIB after 1st shock the ECG shows Asystole, which has persisted despite 2 doses of epi and fluid bolus and High quality CPR. What is next treatment
  • consider termination efforts after consult with MO
  • simple airway maneuvers and assisted ventilation
  • Identifying and treating early clinical deterioration
  • suction during withdrawl but no longer then 10 seconds
what is a sign of effective CPR?
  • 2-10 mcg/kg per minute
  • PETCOs > or = 10 mm hg
  • NSR on monitor with no pulse
  • Evidence of igor mortis
What is the preferred method of access for epi administration during cardiac arrest in most patients?
  • Peripheral intrvenous
  • Peripheral intravenous
  • one breath q 5-6 seconds
  • review patients home medications
EMS is transporting a pt with pos prehospital stroke assessment. upon arrival of the ER, the initial b/p 138/78, P 80, R 12, O2% 95, lead II ECG: sinus rythum, blood glucose in normal limits. what intervention you perform next?
  • 12 lead ECG
  • begin chest compressions
  • Head CT scan
  • 35-40 mm Hg
common mistake in cardiac arrest management?
  • Optimizing ventilation and oxygenating
  • id and tx early clinical deterioration
  • prolonged interuptions in chest compressions
  • hands free pads allow for more rapid defib.
What are the H'S
  • tension Pneumo \ntamponade (cardiac) \ntoxins\nthrombosis, pulmonary/coronary
  • atropine .5 mg bolus repeat every 3-5 minutes \n\nMAX 3 MG
  • Hypovolemia \nHypoxia \nhydrogen Ion (acidosis)\nhypo/hyperkalimia \nHypothermia
  • Obstruction of venous return from the brain
Brady with pulse Dopamine
  • Peripheral intravenous
  • allow complete chest recoil
  • 10 seconds or less
  • 2-10 mcg/kg per minute
what is the recommended second dose of adenosine for patients in refractory but stable narrow complex tachycardia ?
  • 1-2 liters
  • 2-10 mcg/kg p/min
  • 12 mg
  • 35-40 mm Hg
Which condition is a contraindication to therapeutic hypothermia during the post arrest cardiac period for patients who achieve return of post arrest spontaneous circulation (ROSC)?
  • Responding to verbal commands
  • Identifying and treating early clinical deterioration
  • Resume chest compressions.
  • continuous Wave form capnography
proper vent rate for a pt in cardiac arrest with advanced airway placed?
  • 2-10 mcg/kg p/min
  • atropine .5 mg
  • 8-10 B/min
  • 12 mg
receiving a radio report from ems team enroute, pt may be having acute stroke, the hospital CT scan not working, what should you do in this situation
  • be sure o2 is not blowing over patient chest during shocks
  • divert pt to a hospital with CT scan capabilities 15 minutes away.
  • obstruction of venous return from the brain
  • switch providers ~ every 2 min or q 5 compression cycles
dopamine \n\npost cardiac arrest
  • Evidence of igor mortis
  • 5-10 mcg /kg
  • .1-.5 mcg/kg per minute
  • PETCOs > or = 10 mm hg
what is the appropriate dose of dopamine for a pt with bradycardia when the initial dose of atropine was ineffective?
  • 2-10 mcg/kg p/min
  • 2-10 mcg/kg per minute
  • Continuous waveform capnoraphy
  • Peripheral intrvenous
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and HR is 92/mi, nonlabored respiratory rate is 14 breaths/min and the pulse ox reading is 97%. What is the assessment step is most important now?
  • Obtaining a 12-lead ECG
  • Obtaining a 12 lead ECG
  • Responding to verbal commands
  • cincinnati prehospital stroke scale
Which is a safe and effective practice within the defib sequence
  • suction during withdrawl but no longer then 10 seconds
  • be sure o2 is not blowing over patient chest during shocks
  • Prolonged interruption in chest compressions
  • Be sure oxygen is not blowing over the patient's chest during the shock
which action is included in bls survey
  • early defib
  • 35-40 mm Hg
  • allow complete chest recoil
  • 8-10 B/min
what action improves the quality of chest compressions delivered during a resuscitation attempt?
  • continue CPR while charging the defibrillator
  • Peripheral intravenous
  • switch providers ~ every 2 min or q 5 compression cycles
  • Obstruction of venous return from the brain
pt in respiratory failure becomes apnic but continues have strong pulse Hr dropping rapidly now showing sinus brady at rate of 30 /min. what intervention has highest priority?
  • Identifying and treating early clinical deterioration
  • Obstruction of venous return from the brain
  • simple airway maneuvers and assisted ventilation
  • Obtaining a 12 lead ECG
What is the best stratigy for preforming High quality CPR on a PT with advanced airway?
  • Continuous waveform capnoraphy
  • Optimizing oxygenation and ventilation
  • Continous chest compressions without pauses and 10 ventilations per minute.
  • continuous Wave form capnography
3 mins after witnessing a cardiac arrest, 1 member inserts an ET tube while another performs chest compress. During subsequent ventilation, you notice the presence of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What does this mean?
  • Chest compressions may not be effective
  • synchronized cardio-version
  • allow complete chest recoil
  • cincinnati prehospital stroke scale
which rhythm synchronized cardioversion?
  • early defib
  • NSR on monitor with no pulse
  • review patients home medications
  • PETCOs > or = 10 mm hg
Which condition is a contraindication to therapeutic hypothermia during the post cardiac arrest. For patients who achieve return of spontaneous circulation?
  • Obstruction of venous return from the brain
  • continuous Wave form capnography
  • responding to verbal commands
  • begin chest compressions
What are the T'S
  • atropine .5 mg bolus repeat every 3-5 minutes \n\nMAX 3 MG
  • Hypovolemia \nHypoxia \nhydrogen Ion (acidosis)\nhypo/hyperkalimia \nHypothermia
  • Obstruction of venous return from the brain
  • tension Pneumo \ntamponade (cardiac) \ntoxins\nthrombosis, pulmonary/coronary
which situation best describes PEA
  • early defib
  • .1-.5 mcg/kg per minute
  • Normal sinus rhythm without a pulse
  • continue CPR while charging the defibrillator
sudden on set dizziness with HR 180 b/p 110/70, R 18, O2 98% room air, lead II ecg sinus tachy. what is the next appropriate intervention?
  • vagal maneuvers
  • 35-40 mm Hg
  • begin chest compressions
  • adenosine 6 mg IV
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