ESO Test with Complete Solutions

ESO Test with Complete Solutions Asystole 1. CPR for 2 minutes uninterrupted 2. Verify rhythm with pulse check and ensure all leads are connected. Check another lead to make sure it is not fine V-fib. 3. Do not defibrillate asystole. 4. O2 at 15L Bambu bag (8-12 br/min) 5. Epi 1mg q3-5min 1st-Degree AV Block Prolonged PRI (> 0.2 sec) 2nd-Degree AV Block Type I Progressively lengthening of PRI. Usually 3 conducted P waves until a QRS is dropped. 2nd-Degree AV Block Type II Constant PRI. Some conducted P waves and some non-conducted P waves. 3rd-Degree AV Block (Complete Heart Block) P waves and QRS are independent of each other. They are constant but have no relationship to each other. Atria and ventricles are depolarized from different pacemakers. Standing order for V-Fib CPR O2 15L ambu bag defibrillate epi 1mg defibrillate amiodarone 300mg defibrillate epi 1mg defibirillate amiodarone 150mg Standing order for chest pain Aspirin 325mg O2 start at 4L NC - keep SpO2 ≥ 94% NTG 0.4mg if SBP ≥ 90 & HR ≥ 50 Morphine sulfate 2mg IVP if SBP ≥ 90 Give 250 mL NS if hypotension occurs 12-lead EKG Standing order for bradycardia (unstable) O2 at 10L NRBM Initiate pacing Atropine 0.5mg Transcutaneous pacing asap If ineffective: begin dopamine 400mg/250mL D5W at 5 mcg/kg/min (max dose 20) If still ineffective: begin epi 2mg/250 mL NS at 2 mcg/min Standing order for severe anaphylaxis O2 10L NRBM Epi 0.3mg IM (may repeat in 5 min) If no response: 0.1mg Epi IV (push slowly over 5 min) Hydrocortisone 100mg IVP Benadryl 25mg IVP 250 mL NS (may repeat in 5 min)