CPAN UPDATED ACTUAL EXAM QUESTIONS CORRECT ANSWERS GRADED A PLUS
Question:
ventricular tachycardia treatment
Answer:
magnesium, lidocaine, or isoproterenol infusion to shorten QT interval
Question:
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
Question:
Second degree AV block Type 1 (Wenckebach)
Answer:
PR interval gets progressively longer until the ventricular beat is dropped irregular rhythm
Question:
Stable tachycardia treatment
Answer:
Adenosine 6mg IV push followed by fluid bolus 12mg dose may be administered twice after initial
6mg dose
Question:
,Unstable tachycardia treatment
Answer:
sedation if conscious and synchronized cardioversion followed by ACLS strategies
Question:
atrial fibrillation/ atrial flutter
Answer:
no organized atrial activities therefore no P waves
Question:
afib/a flutter treatment
Answer:
anticoagulants cardizem or amiodarone to control rate if unstable: cardioversion
Question:
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
Question:
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
Question:
,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
Question:
shock energy for defibrillation
Answer:
give 1 shock: biphasic 120-200J second and subsequent shocks should be equivalent
Question:
ACLS epinephrine dose
Answer:
1mg every 3-5 minutes
Question:
ACLS amiodarone dose
Answer:
first dose: 300mg bolus second dose: 150mg
Question:
ACLS lidocaine dose
Answer:
first dose: 1-1.5mg/kg second dose: 0.5-0.75mg/kg
Question:
reversible causes (H's)
, Answer:
hypovolemia hypoxia hydrogen ion (acidosis) hyperkalemia hypothemia
Question:
reversible causes (T's)
Answer:
tension pneumothorax tamponade cardiac toxins thrombosis pulmonary thrombosis coronary
Question:
respiration rate for continuous CPR in infant/child with advanced airway
Answer:
1 breath every 2-3 seconds (20-30/minute)
Question:
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
Question:
what medications should be avoided for patients with LAST
Answer:
vasopressin calcium channel blockers beta blockers propofol high doses of epi addition local
anesthetic
Question:
Question:
ventricular tachycardia treatment
Answer:
magnesium, lidocaine, or isoproterenol infusion to shorten QT interval
Question:
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
Question:
Second degree AV block Type 1 (Wenckebach)
Answer:
PR interval gets progressively longer until the ventricular beat is dropped irregular rhythm
Question:
Stable tachycardia treatment
Answer:
Adenosine 6mg IV push followed by fluid bolus 12mg dose may be administered twice after initial
6mg dose
Question:
,Unstable tachycardia treatment
Answer:
sedation if conscious and synchronized cardioversion followed by ACLS strategies
Question:
atrial fibrillation/ atrial flutter
Answer:
no organized atrial activities therefore no P waves
Question:
afib/a flutter treatment
Answer:
anticoagulants cardizem or amiodarone to control rate if unstable: cardioversion
Question:
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
Question:
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
Question:
,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
Question:
shock energy for defibrillation
Answer:
give 1 shock: biphasic 120-200J second and subsequent shocks should be equivalent
Question:
ACLS epinephrine dose
Answer:
1mg every 3-5 minutes
Question:
ACLS amiodarone dose
Answer:
first dose: 300mg bolus second dose: 150mg
Question:
ACLS lidocaine dose
Answer:
first dose: 1-1.5mg/kg second dose: 0.5-0.75mg/kg
Question:
reversible causes (H's)
, Answer:
hypovolemia hypoxia hydrogen ion (acidosis) hyperkalemia hypothemia
Question:
reversible causes (T's)
Answer:
tension pneumothorax tamponade cardiac toxins thrombosis pulmonary thrombosis coronary
Question:
respiration rate for continuous CPR in infant/child with advanced airway
Answer:
1 breath every 2-3 seconds (20-30/minute)
Question:
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
Question:
what medications should be avoided for patients with LAST
Answer:
vasopressin calcium channel blockers beta blockers propofol high doses of epi addition local
anesthetic
Question:
