Med Surg 3 Exam 2 questions with answers
What to do during code blue - CORRECT ANSWER-Assess for responsiveness, CPR, establish IV access,
Primary survey - CORRECT ANSWER-airway, breathing and circulation
Secondary survey - CORRECT ANSWER-advanced airway control, breathing, circulation, differential
diagnosis (why did they code? is it reversible?)
Preventable causes of cardiac arrest - CORRECT ANSWER-5 H's and 5 T's
5 H's - CORRECT ANSWER-Hypovolemia, Hypoxia, Hydrogen Ion (acidosis), Hyper/Hypokalemia,
Hypothermia
5 T's - CORRECT ANSWER-Tablets (overdose), Tamponade (cardiac), Tension pneumothorax, Thrombosis
(coronary), Thrombosis (pulmonary)
Cardioversion - CORRECT ANSWER-returning a heart to normal rhythm
Defibrillation - CORRECT ANSWER-produce temporary asystole for heart's pacemaker to restart
when to cardiovert - CORRECT ANSWER-a-fib, SVT, v-tach with pulse
when to defibrillate - CORRECT ANSWER-v-fib and pulseless v-tach
safe shocking - CORRECT ANSWER-clear
symptomatic bradycardia - CORRECT ANSWER-pale, low bp, and possibly pulseless
epinephrine - CORRECT ANSWER-symptomatic bradycardia, anaphylaxis, severe hypotension
, what does epinephrine do - CORRECT ANSWER-increase heart rate
how often can you give epinephrine - CORRECT ANSWER-q3-5min
atropine - CORRECT ANSWER-symptomatic bradycardia
what does atropine do - CORRECT ANSWER-increases heart rate (aTropine make Tachy)
when can you give atropine - CORRECT ANSWER-as a replacement for epinephrine (if epi is maxed out)
amiodarone - CORRECT ANSWER-ventricular arrhythmias (or oral tx for a-fib)
what happens if amiodarone is given too fast - CORRECT ANSWER-hypotension
when to avoid using amiodarone - CORRECT ANSWER-with other meds that can cause prolonged QT
waves
lidocaine - CORRECT ANSWER-ventricular arrhythmias
lidocaine dose - CORRECT ANSWER-different v-tach with a pulse, v-fib, pulseless v-tach
lidocaine maintenance ratee - CORRECT ANSWER-1-4mg/min
adenosine - CORRECT ANSWER-for SVT
first adenosine dose - CORRECT ANSWER-6mg
second adenosine dose - CORRECT ANSWER-12mg
What to do during code blue - CORRECT ANSWER-Assess for responsiveness, CPR, establish IV access,
Primary survey - CORRECT ANSWER-airway, breathing and circulation
Secondary survey - CORRECT ANSWER-advanced airway control, breathing, circulation, differential
diagnosis (why did they code? is it reversible?)
Preventable causes of cardiac arrest - CORRECT ANSWER-5 H's and 5 T's
5 H's - CORRECT ANSWER-Hypovolemia, Hypoxia, Hydrogen Ion (acidosis), Hyper/Hypokalemia,
Hypothermia
5 T's - CORRECT ANSWER-Tablets (overdose), Tamponade (cardiac), Tension pneumothorax, Thrombosis
(coronary), Thrombosis (pulmonary)
Cardioversion - CORRECT ANSWER-returning a heart to normal rhythm
Defibrillation - CORRECT ANSWER-produce temporary asystole for heart's pacemaker to restart
when to cardiovert - CORRECT ANSWER-a-fib, SVT, v-tach with pulse
when to defibrillate - CORRECT ANSWER-v-fib and pulseless v-tach
safe shocking - CORRECT ANSWER-clear
symptomatic bradycardia - CORRECT ANSWER-pale, low bp, and possibly pulseless
epinephrine - CORRECT ANSWER-symptomatic bradycardia, anaphylaxis, severe hypotension
, what does epinephrine do - CORRECT ANSWER-increase heart rate
how often can you give epinephrine - CORRECT ANSWER-q3-5min
atropine - CORRECT ANSWER-symptomatic bradycardia
what does atropine do - CORRECT ANSWER-increases heart rate (aTropine make Tachy)
when can you give atropine - CORRECT ANSWER-as a replacement for epinephrine (if epi is maxed out)
amiodarone - CORRECT ANSWER-ventricular arrhythmias (or oral tx for a-fib)
what happens if amiodarone is given too fast - CORRECT ANSWER-hypotension
when to avoid using amiodarone - CORRECT ANSWER-with other meds that can cause prolonged QT
waves
lidocaine - CORRECT ANSWER-ventricular arrhythmias
lidocaine dose - CORRECT ANSWER-different v-tach with a pulse, v-fib, pulseless v-tach
lidocaine maintenance ratee - CORRECT ANSWER-1-4mg/min
adenosine - CORRECT ANSWER-for SVT
first adenosine dose - CORRECT ANSWER-6mg
second adenosine dose - CORRECT ANSWER-12mg
