Sharp ESO/MOCK Exam Questions with Complete Solutions
Sharp ESO/MOCK Exam Questions with Complete Solutions If IV access unavailable, what meds can you administer through endotracheal route? Narcan, Atropine, Epinephrine What dosage can you administer Narcan, Atropine, Epinephrine through ET tube? 2-2 1/2 times the IV dose diluted in 10 mL NS flush Tx: Asystole CPR for 2 min. O2 at 15L via Bambu bag, Epinephrine 1 mg IVP repeat q 3-5 min Tx: Bradycardia O2 at minimum 10L/min nonrebreather mask, Atropine 0.5 mg IVP/IO, repeat q 3-5 min (max 3mg), transcutaneous pacing as soon as available Dopamine for Bradycardia If atropine ineffective, start Dopamine 400 mg/250 mK D5W at 5 mcg/kg/min, titrate up to 20 mcg/kg/min. If Dopamine ineffective, start epinephrine drip 2 mg/250mL NS at 2 mcg/min, titrate up to 10 mcg/min Pulseless Electrical Activity Treat like asystole- CPR for 2 min, O2 at 15 via ambubag, Epinephrine 1 mg IVP q 3-5 min, Stat CXR, if hypovolemia suspected infuse 250 mL NS Stable V Tach Call physician for orders, O2 at min 4L/min NC, Obtain 12 lead EKG, Draw serum K and Mg Unstable V Tach O2 at minimum 10 L/min NRBM. If ventricular rate 150, Biphasic synchronized cardio version. If patient awake and responsive, give Versed 0.5 mg IVP prior to cardio version up to total of 1 mg to achieve sedation. Romazicon is reversal agent for Versed. Push 0.2 mg IVP V Fib and Pulseless V tach Provide continuous CPR unless defibrillating. Give meds during CPR. CPR until defibrillator arrives O2 at min 15 L ambu bag Defibrillate Epinephrine 1 mg IVP Defibrillate Amiodarone 300 mg IVP Defibrillate Epinephrine 1 mg IVP Defibrillate Amiodarone 150 mg IVP If rhythm persists, defibrillate, CPR, epinephrine 1 mg IVP q 3-5 min
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