KAISER EKG FINALS ALL QUESTIONS AND ANSWERS SET A.pdf

KAISER EKG FINALS ALL QUESTIONS AND ANSWERS
SET A+
✔✔pacemaker failure to capture - ✔✔pacemaker spike occurs but is not followed by
QRS complex

✔✔pacemaker failure to sense - ✔✔spike following qrs complex too early

✔✔pacemaker failure to pace - ✔✔missing spike

✔✔r on t phenomenon - ✔✔PVC falls on T wave, can cause v fib

✔✔subendocardial ischemia - ✔✔ST segment depression and T wave inversion

✔✔transmural MI - ✔✔STEMI

✔✔nitro dosage for MI - ✔✔0.4mg sublingual

✔✔ASA dosage for MI - ✔✔325mg

✔✔what to do if chest pain reoccurs after nitro SL - ✔✔5-10 IV nitrate

✔✔how much morphine for MI - ✔✔IV 2-4 mg bolus, with 2-4 mg repeated q 5-10
minutes until relieved or intolerance

✔✔epi is generally used for - ✔✔Vfib, Pulseless ventricular tachycardia when cpr
inefefective and 1-2 defib shocks given

✔✔epi should not be used for - ✔✔cardiogenic shock because it increases myocardial
oxygen demand

✔✔atropine is given in what dosage - ✔✔1 mg every 3-5 min for max of 3 doses

, ✔✔amiodorone - ✔✔Antiarrhythmic

✔✔amiodorone should not be used - ✔✔in polymorphic VT due to prolonged QT
interval

✔✔lidocaine is used for - ✔✔ventricular dysrhythmias, second option

✔✔mag sulfate - ✔✔antiarryth,ic, indicated for torsades de pointes

✔✔adenosine - ✔✔used when vagal maneuvers fail to terminiate stable SVT

✔✔Vfib and vtach primary drugs - ✔✔epi 1mg q3-5 min
amiodarone
lidocaine
mag

✔✔asystole/ PEA primary drugs - ✔✔epi 1 mg q3-5 min

✔✔bradycardia primary drugs - ✔✔atropine 1mg, q3-5 min, max 3 doses
epi infusion
dopamine infusion

✔✔tachycardia primary drugs - ✔✔Adenosine 6mg, then 12 mg if unsuccessful (SVT
narrow complex only)
diltiaxem
betablockers
amiodorone
digoxin
verapimil
magnesium

✔✔acute coronary syndromes primary drugs - ✔✔oxygen
ASA
Nitro
Morphine
fibrinolytic
heparin
beta-blockers

✔✔acute stroke primary drugs - ✔✔tenecteplase
glucose (D50)
labetalol
nitroprusside
nicardipine