ACTUALQUESTION AND CORRECT DETAILED ANSWERS
RATED A GRADE.
A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room
air. Despite 2 defib attempt, the patient remains in V-fib. Which drug &
dose should be given?
a. lidocaine 1 mg/kg
b. amiodarone 300mg
c. epi 1mg
d. atropine 1 mg ✔✔CORRECT ANSWER✔✔epi 1 mg
A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room
air. despite the drug provided above & continuous CPR, the patient
remains in v-fib. which drug should be given next?
a. atropine 1mg
b. mag sulfate 1g
c. amiodarone 300mg
d. epi 1 mg ✔✔CORRECT ANSWER✔✔c. amiodarone 300mg
, A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room
air. The patient has returned of spontaneous circulation (ROSC) & is not
able to follow commands. Which immediate post-cardiac arrest care
intervention do you choose for the patient?
a. extubate
b. check glucose
c. give epi
d. initiate targeted temp. management ✔✔CORRECT
ANSWER✔✔initiate targeted temperature management
(the guideline no longer has post-arrest optimal glucose level)
A 45M has coronary artery stents placed 2 days ago. Today, he is in
severe distress & crushing chest discomfort. he is pale, diaphoretic, &
cool to the touch. His radial pulse is very weak. Blood pressure is 64/40
mm Hg, respiratory rate is 28 bpm & O2 is 89%. cardiac monitor initially
showed ventricular tachycardia, which quickly changed to v-fib. what
would you have done first if the patient had not gone into v-fib?
a. give atropine 1mg
b. establish IV
c. do a 12 lead