Sharp Grossmont ESO | Actual Questions and Answers Latest Updated
2024/2025 (Graded A+)
What is an emergency standing order - ✔✔ESO are initiated for life threatening patient conditions in the
absence of a physician.
What must you document when you institute an ESO - ✔✔MD communication, life threatening
condition, ESO implemented, Patient response, when/which md was notified
what type of documents do you need to complete when implenting an ESO - ✔✔Interdisciplinary note,
provider communication, code blue record, RRT note (by RRT)
CPR with an airway - ✔✔100-120/min, o2 delivered by 15 L bag mask (10 breaths/min)
CPR no airway - ✔✔30 compressions/2 breaths
target temperature management - ✔✔should be considered for patients not FSC or showing purposeful
movement in 120 minutes after ROSC
If IV access unavailable, what is the dose you administer meds at via ETT - ✔✔atropine, narcon, and epi
at 2-2.5 x the IV dose
Define unstable condition - ✔✔serious signs and conditions related to life threatening rhythm or
condition
unstable signs - ✔✔tachypnea, respiratory distress, tachycardia, bradycardia, arrhythmias, LOC,
decreased o2, hypotension, increased ICP, status epilepticus, apnea
unstable symptoms - ✔✔dizziness, lightheadedness, chest pain, SOB, weakness, cold, diaphoretic,
palpitations, anxious
, what is asystole - ✔✔absence of ventricular activity and contraction, no pulse
asystole treatment - ✔✔CPR 100-120 (2 min)
o2 15L/min via ambu bag (10 breaths/min)
epi at 1 mg ivp/io (epi .1mg/ml) repeat every 3-5 minutes
repeat CPR/EPI of no signs of ROSC
transcutaneous pacing NOT recommended
define bradycardia - ✔✔HR less than 50 beats per min. too slow to maintain adequate BP.
define first degree AV block - ✔✔delay of impulse from atria to ventricles. characterized by long PR .20
seconds that is CONSTANT
second degree av block, type 1 (wenckebach) - ✔✔progressive lengthen of PR interval until p wave not
conducted. 3 conductive p waves with progressively lengthening PR intervals and 4th p wave not
followed by QRS
define second degree av block type 2 - ✔✔constant lengthened PR intervals in conducted beats with
one non-conducted p wave.
when associated with MI, carries risk of progressing to complete heart block
define third degree AV block - ✔✔absence of conduction between atria and ventricles. no consistent PR
intervals.
atria and ventricles are depolarized from different pacemakers
unstable bradycardia treatment - ✔✔1. o2 at min 10L/min nonrebreather mask
2. if transverse or epicardial pacing wires present connect to pulse generator and initiate pacing
2024/2025 (Graded A+)
What is an emergency standing order - ✔✔ESO are initiated for life threatening patient conditions in the
absence of a physician.
What must you document when you institute an ESO - ✔✔MD communication, life threatening
condition, ESO implemented, Patient response, when/which md was notified
what type of documents do you need to complete when implenting an ESO - ✔✔Interdisciplinary note,
provider communication, code blue record, RRT note (by RRT)
CPR with an airway - ✔✔100-120/min, o2 delivered by 15 L bag mask (10 breaths/min)
CPR no airway - ✔✔30 compressions/2 breaths
target temperature management - ✔✔should be considered for patients not FSC or showing purposeful
movement in 120 minutes after ROSC
If IV access unavailable, what is the dose you administer meds at via ETT - ✔✔atropine, narcon, and epi
at 2-2.5 x the IV dose
Define unstable condition - ✔✔serious signs and conditions related to life threatening rhythm or
condition
unstable signs - ✔✔tachypnea, respiratory distress, tachycardia, bradycardia, arrhythmias, LOC,
decreased o2, hypotension, increased ICP, status epilepticus, apnea
unstable symptoms - ✔✔dizziness, lightheadedness, chest pain, SOB, weakness, cold, diaphoretic,
palpitations, anxious
, what is asystole - ✔✔absence of ventricular activity and contraction, no pulse
asystole treatment - ✔✔CPR 100-120 (2 min)
o2 15L/min via ambu bag (10 breaths/min)
epi at 1 mg ivp/io (epi .1mg/ml) repeat every 3-5 minutes
repeat CPR/EPI of no signs of ROSC
transcutaneous pacing NOT recommended
define bradycardia - ✔✔HR less than 50 beats per min. too slow to maintain adequate BP.
define first degree AV block - ✔✔delay of impulse from atria to ventricles. characterized by long PR .20
seconds that is CONSTANT
second degree av block, type 1 (wenckebach) - ✔✔progressive lengthen of PR interval until p wave not
conducted. 3 conductive p waves with progressively lengthening PR intervals and 4th p wave not
followed by QRS
define second degree av block type 2 - ✔✔constant lengthened PR intervals in conducted beats with
one non-conducted p wave.
when associated with MI, carries risk of progressing to complete heart block
define third degree AV block - ✔✔absence of conduction between atria and ventricles. no consistent PR
intervals.
atria and ventricles are depolarized from different pacemakers
unstable bradycardia treatment - ✔✔1. o2 at min 10L/min nonrebreather mask
2. if transverse or epicardial pacing wires present connect to pulse generator and initiate pacing
