the heart
A pt has been resuscitated from cardiac arrest. During post-ROSC tx, the pt becomes
unresponsive, with the rhythm shown here. Which action is indicated next? - Give an
immediate unsynchronized high-energy shock (defibrillation dose)
What action minimizes the risk of air entering the victim's stomach during bag-mask
ventilation? - Ventilating until you see the chest rise
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, A pt was in refractory vfib. A third shock has just been administered. Your team looks to
you for instructions. What is your next step? - resume high-quality chest compressions
After initiation of CPR and 1 shock for vfib, this rhythm is present on the next rhythm
check. A second shock is given, and chest compressions are resumed immediately. An IV is
in place, and no drugs have been given. Bag-mask ventilations are producing visible chest
rise. What is your next intervention? - Give epinephrine 1 mg IV/IO
A 35-year-old woman presents with a CC of palpitations. She has no chest discomfort, SOB,
or light-headedness. Her BP is 120/78 mmHg. Which intervention in indicated first? - Vagal
maneuvers
A pt becomes unresponsive. You are uncertain if a faint pulse is present. They rhythm
shown here is seen on the cardiac monitor. An IV is in place. Which action do you take next?
- Start high-quality CPR
A pt's 12-lead ECG is transmitted by the paramedics and shows a STEMI. When the pt
arrives in the ER, the rhythm shown here is sen on the cardiac monitor. The pt has
resolution of moderate (5/10) CP after 3 doses of sublingual nitroglycerin. BP is 104/70
mmHg. Which intervention is most important in reducing this pts in-hospital and 30-day
mortality rate? - Reperfusion therapy
What is the maximum interval for pausing chest compressions? - 10 seconds
What is the recommended compression rate for high-quality CPR? - 100 to 120
compressions per minute
Which action is likely to cause air to enter the victim's stomach (gastric inflation) during
bag-mask ventilation? - Ventilating too quickly
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