CPAN COMPLETE EXAMINATION TEST
QUESTIONS WITH VERIFIED SOLUTIONS
●● ventricular tachycardia treatment
Answer: magnesium, lidocaine, or isoproterenol infusion to shorten QT
interval
●● causes of local anesthestic systemic toxicity
Answer: inadvertant vascular injection of drug from nerve blocks and
occasional result from continuous infusion and accumulation of drug for
days
●● Second degree AV block Type 1 (Wenckebach)
Answer: PR interval gets progressively longer until the ventricular beat
is dropped
- irregular rhythm
●● Stable tachycardia treatment
Answer: Adenosine 6mg IV push followed by fluid bolus
- 12mg dose may be administered twice after initial 6mg dose
●● Unstable tachycardia treatment
,Answer: sedation if conscious and synchronized cardioversion followed
by ACLS strategies
●● atrial fibrillation/ atrial flutter
Answer: no organized atrial activities therefore no P waves
●● afib/a flutter treatment
Answer: anticoagulants
cardizem or amiodarone to control rate
if unstable: cardioversion
●● dantrolene dosing for maligent hyperthermia
Answer: 2.5mg/kg IV bolus repeated every 5-10 minutes until symptoms
improve
- dosing as high as 10mg/kg may be needed
●● 2 different concentrations of dantrolene
Answer: - Dantrium/Revonto [20mg/vial] reconstituted with 60 mL
sterile water for injection
- Ryanodex [250 mg/vial] reconstituted with 5 mL sterile water for
injection
●● CPR quality
,Answer: - push hard (at least 2 inches) and fast (at least 100)
- allow full chest recoil
- minimize interruptions
- avoid excessive ventilation
- if no advanced airway 30:2
●● shock energy for defibrillation
Answer: give 1 shock: biphasic 120-200J
second and subsequent shocks should be equivalent
●● ACLS epinephrine dose
Answer: 1mg every 3-5 minutes
●● ACLS amiodarone dose
Answer: first dose: 300mg bolus
second dose: 150mg
●● ACLS lidocaine dose
Answer: first dose: 1-1.5mg/kg
second dose: 0.5-0.75mg/kg
●● reversible causes (H's)
, Answer: hypovolemia
hypoxia
hydrogen ion (acidosis)
hyperkalemia
hypothemia
●● reversible causes (T's)
Answer: tension pneumothorax
tamponade cardiac
toxins
thrombosis pulmonary
thrombosis coronary
●● respiration rate for continuous CPR in infant/child with advanced
airway
Answer: 1 breath every 2-3 seconds (20-30/minute)
●● lipid emulsion therapy rescue for LAST
Answer: initial bolus of 20% lipid emulsion: dose 1.5mL/kg rapidly over
1 minute, followed by continuous infusion at 0.25mL/kg/min
- continue lipid emulsion infusion for at least 10 minutes after patient is
stabilized
QUESTIONS WITH VERIFIED SOLUTIONS
●● ventricular tachycardia treatment
Answer: magnesium, lidocaine, or isoproterenol infusion to shorten QT
interval
●● causes of local anesthestic systemic toxicity
Answer: inadvertant vascular injection of drug from nerve blocks and
occasional result from continuous infusion and accumulation of drug for
days
●● Second degree AV block Type 1 (Wenckebach)
Answer: PR interval gets progressively longer until the ventricular beat
is dropped
- irregular rhythm
●● Stable tachycardia treatment
Answer: Adenosine 6mg IV push followed by fluid bolus
- 12mg dose may be administered twice after initial 6mg dose
●● Unstable tachycardia treatment
,Answer: sedation if conscious and synchronized cardioversion followed
by ACLS strategies
●● atrial fibrillation/ atrial flutter
Answer: no organized atrial activities therefore no P waves
●● afib/a flutter treatment
Answer: anticoagulants
cardizem or amiodarone to control rate
if unstable: cardioversion
●● dantrolene dosing for maligent hyperthermia
Answer: 2.5mg/kg IV bolus repeated every 5-10 minutes until symptoms
improve
- dosing as high as 10mg/kg may be needed
●● 2 different concentrations of dantrolene
Answer: - Dantrium/Revonto [20mg/vial] reconstituted with 60 mL
sterile water for injection
- Ryanodex [250 mg/vial] reconstituted with 5 mL sterile water for
injection
●● CPR quality
,Answer: - push hard (at least 2 inches) and fast (at least 100)
- allow full chest recoil
- minimize interruptions
- avoid excessive ventilation
- if no advanced airway 30:2
●● shock energy for defibrillation
Answer: give 1 shock: biphasic 120-200J
second and subsequent shocks should be equivalent
●● ACLS epinephrine dose
Answer: 1mg every 3-5 minutes
●● ACLS amiodarone dose
Answer: first dose: 300mg bolus
second dose: 150mg
●● ACLS lidocaine dose
Answer: first dose: 1-1.5mg/kg
second dose: 0.5-0.75mg/kg
●● reversible causes (H's)
, Answer: hypovolemia
hypoxia
hydrogen ion (acidosis)
hyperkalemia
hypothemia
●● reversible causes (T's)
Answer: tension pneumothorax
tamponade cardiac
toxins
thrombosis pulmonary
thrombosis coronary
●● respiration rate for continuous CPR in infant/child with advanced
airway
Answer: 1 breath every 2-3 seconds (20-30/minute)
●● lipid emulsion therapy rescue for LAST
Answer: initial bolus of 20% lipid emulsion: dose 1.5mL/kg rapidly over
1 minute, followed by continuous infusion at 0.25mL/kg/min
- continue lipid emulsion infusion for at least 10 minutes after patient is
stabilized
