VERIFIED ANSWERS|100% CORRECT|
GRADE A+ 2024
ACLS, what is it? - ANSWER Orderly approach to providing advanced emergency care for a patient with a
cardiac related problem
Stroke is the _____? - ANSWER 1. Third leading cause of death
2.
If the GCS is less then 8 you? - ANSWER 1. Intubate
What diagnostic thing should you check if you're trying to rule out stoke? - ANSWER 1. Their blood sugar
Conditions that can Mimic Strokes? - ANSWER 1.Bell's Palsey
2.Brain Tumors
3.Concussions
4.Drug Overdose
5.Eclampsia
6.Hypoglycemia
7.SDH
Hospital Stroke Center TIMELINE: - ANSWER 1. Physician Evaluation 10 minutes
2. Neurologic Expertise 15 minutes
3. CT Completion 25 minutes
4. CT Read 45 Minutes
5. Drug intervention 60 minutes
6. Neuro-surg availability 2 hours
7. Monitored Bed 3 hours
, Tpa Times - ANSWER ⬤ GOAL: < 3 hours up to 4.5 hours after SxS onset of last normal
⬤ (Narcan and D50 are miracle drugs)
Epinephrine: Indications? - ANSWER ⬤ Cardiac arrest
⬤ Bradycardia that has not responded to atropine or for which atropine is inappropriate while waiting
for a pacemaker
⬤ Hypotension
⬤ Allergic Reactions (asthma)
Cardiac arrest meaning what? - ANSWER ◦VF
◦Pulseless VT
◦Asystole
◦Pulseless electrical activity
Epinephrine what is the mechanism of action? - ANSWER ⬤Alpha-agonist⬤
◦Constricts arterioles in the skin, mucosa, kidneys, and viscera, thus increasing systemic vascular
resistance.
◦The main reason we give it in a code.
⬤Beta1-agonist⬤
◦Increases force of contraction
◦Increases heart rate
◦Increases myocardial workload and oxygen requirements
⬤Beta2-agonist⬤
◦Relaxes bronchial smooth muscle
◦Dilates vessels in skeletal muscle and in cerebral, pulmonary, coronary, and hepatic vessels
Epinephrine: Dosing for ⬤Symptomatic bradycardia⬤ - ANSWER ◦Continuous infusion at 2 to 10
mcg/min