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Sharp ESO Assessment Comprehensive Questions (Frequently Tested) and Complete Solutions Graded A+

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Sharp ESO Assessment Comprehensive Questions (Frequently Tested) and Complete Solutions Graded A+

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Sharp ESO
Module
Sharp ESO

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Sharp ESO Assessment
Comprehensive Questions
(Frequently Tested) and Complete
Solutions Graded A+
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Aystole - Answer: CPR (w/ pulse checks) in 2 min cycles

O2 @ 15L Ambu (10 breaths/min)

Epi 1 mg (0.1 mg/ml) IVP q3-5 mins

,Symptomatic Bradycardia - Answer: NRBM @ 10L min (titrate to pt's
response)

Pace, if wires (transvenous/epicardial)

Atropine 1mg q3-5 mins (max 3mg)

Transcutaneous pacing ASAP

DA 400mg/250 mL D5W @ 5mcg/kg/min (RRT/ICU titrate until aympto,
SBP >= 90 or MAP>=65; max 20mcg/min)

If ineffective, RRT/ICU can start epi 4mg/250ml NS @ 2mcg/min (max
10 mcg/min)



Symptomatic Heart Blocks - Answer: NRBM @ 10L min (titrate to pt's
response)

Pace, if wires (transvenous/epicardial)

Atropine 1mg q3-5 mins (max 3mg)

Transcutaneous pacing ASAP

If ineffective— dopamine 400mg/250 mL D5W @ 5mcg/kg/min
(RRT/ICU titrate until aympto, SBP 90+ or MAP 65+; max 20mcg/min)

If DA ineffective, RRT/ICU can start epi 4mg/250ml NS @ 2mcg/min
(max 10 mcg/min)

, PEA H's - Answer: Hypovolemia, hypoxia, hydrogen ions (acidosis),
hypo/hyperkalemia, hypoglycemia, hypothermia



PEA T's - Answer: Toxins, tamponade, thrombosis, trauma, tension
pneumothorax



PEA - Answer: CPR w pulse checks in 2 min cycles

O2 @ 15L Ambu bag (10 breaths/min)

Epi 1mg (0.1mg/mL) IVP q3-5 min

If hypovolemia— 250 NS/LR bolus q5 min (max x2)

STAT CXR



Stable VTACH - Answer: Call MD

O2 min @ 4; titrate to pt response

12 Lead EKG

K/Mg



Unstable VTACH - Answer: NRBM min 10L - titrate to pt response

If HR >150- synch. cardioversion @ 200 J

Versed 0.5 mg IVP prior (if awake) to sedate (max 1 mg)

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