ETCO2 monitoring Use to assess quality of CPR and evaluate return of rosc
How many breaths with advanced airway? 1 breath every 6 seconds
Targeted temperature management Should be used on all patients not following commands or purposeful movement
within 120 mins after ROSC
What is a rapid bolus? Fluids administered in 5-15 mins
Non invasive cardiac monitoring Device that uses bioreactane to determine cardiac output and is implemented
where available by RRT or ICU RN to determine fluid responsiveness and guide
fluid resuscitation
Passive leg raise Position patient flat on their back, and their legs are elevated to 45 degrees.
These interventions are instituted for all emergency 1.
situations outlined in the ESO Standardized Procedure: Obtain intravenous (IV)/intraosseous (IO) access
2. Begin IV infusion of normal saline (NS) at keep vein open (KVO). If IV access is
unavailable: Lidocaine, Epinephrine, Atropine, and Naloxone (Narcan) may be
administered via endotracheal route at doses of 2-2 1/2 times the IV dose.
3. If IV access is unavailable, Naloxone (Narcan) may be administered IM at the
same dose as IV administration
4. Flush the IV line with 20mL of NS after each IV medication given and elevate
the extremity if applicable.
5. In applicable situations, obtain oxygen (O2) saturation
6.Monitor and document ETCO2 for code blue events.
7. Titrate oxygen to patients' response.
Signs (objective): Tachypnea, apnea, respiratory depression, tachycardia, bradycardia, arrhythmias,
hypotension, decreased O2 saturation, dyspnea, change in level of consciousness,
increased intracranial pressure (ICP), status epilepticus
Symptoms (subjective) Dizziness, lightheadedness, chest pain, shortness of breath (SOB), chest pain,
weakness, cold, diaphoresis, heart palpitations, anxiousness
, SHARP ESO Exam 2026-2027 Questions and Answers | Already Passed A+ (Verified)
What is the initial treatment for asystole? Initiate CPR immediately
What is the recommended oxygen flow rate for a patient O2 at 15L/minute ambu bag (10 breaths/minute)
in asystole?
What medication is administered in asystole and how Epinephrine 1mg IVP/IO (0.1 mg/mL), repeat every 3-5 min
often?
How frequently should pulse checks be performed Every 2 minutes
during CPR for asystole?
What should be verified before initiating treatment for Verify with pulse check and ensure that all leads are connected
asystole?
Bradycardia - Initial Treatment 1. O2 at minimum 10 L/minute (NRBM)
Bradycardia - Atropine Administration 1. Atropine 1mg IVP/IO, repeat every 3-5 minutes up to a maximum of 3 mg
Bradycardia - Dopamine Administration 1. Start Dopamine 400mg/250 mL D5W at 5 mcg/kg/minute if above algorithm is
ineffective. ICU or RRT RN to titrate until patient is asymptomatic.
Bradycardia - Epinephrine Administration 1. Start Epinephrine 2mg/250 mL NS at 2mcg/minute if above algorithm is
ineffective. Titrate to patient response up to 10 mcg/minute. (RRT or ICU RN Only)
What are common causes of Pulseless Electrical Activity Hypovolemia and hypoxia
(PEA)?
What is the recommended initial intervention for PEA? CPR
What mnemonic is used to assess possible causes of H's and T's: Hypovolemia, hypoxia, hydrogen ion (acidosis), hypo/hyperkalemia,
PEA? hypoglycemia, hypothermia; Toxins, tamponade, thrombosis, trauma, tension
pneumothorax
What is the recommended oxygen delivery method for O2 at 15L/minute via ambu bag (10 breaths/minute)
PEA?
What medication is administered for PEA? Epinephrine 1mg IVP/IO (0.1mg/ml), repeat every 3-5 minutes