Pre-Course Assessment
A 35 yr old woman has palpitations, mild headedness, and a stable tachycardia. The display
suggests a ordinary slender-complex QRS at a price of 180/min. Vagal maneuvers have no
longer been powerful in terminating the rhythm. An IV has been set up. What drug should be
administered IV? - ANS-Adenosine 6mg
A fifty seven year antique female has palpitations, chest pain, and tachycardia. The screen
shows a everyday wide-complicated QRS at a rate of 180 bpm. She will become diaphoretic,
and her blood pressure is eighty/60 mm Hg. Which action do you are taking subsequent? -
ANS-Perform Electrical Cardioversion (Dave is poking you with his finger however it truly is
AHA's solution.) "SYNCHRONIZED, human beings!" Geez.
A 62-yr vintage man has suddenly skilled trouble speakme and left-sided weak point. He
meets preliminary criteria for fibrinolytic remedy, and a CT test is ordered. Which quality
describes the tips for antiplatelet and fibrinolytic remedy? - ANS-Hold aspirin for as a
minimum 24 hrs if rtPA administered
A monitored patient within the ICU developed a surprising onset of slim-complex tachycardia
at a rate of 220/min. The affected person's blood stress is 128/58 mm Hg, the PETCO2 is 38
mm Hg, and the pulse oximetry analyzing is ninety eight%. There is vascular access inside
the left arm, and the affected person has now not been given any vasoactive tablets. A
12-lead ECG confirms a supraventricular tachycardia with out a proof of ischemia or
infarction. The heart charge has not answered to vagal maneuvers. What is your subsequent
movement? - ANS-Administer Adenosine 6mg IV push
A patient has a fast irregular extensive-complicated tachycardia. The ventricular fee is
138/min. He is asymptomatic, with a blood strain of a hundred and ten/70 mm Hg. He has a
history of angina. What must you do? - ANS-Seek expert session. Actually it says "searching
for professional consultation" so now we know that AHA isn't always the region to head for
correct grammar.
A affected person has sinus bradycardia with a coronary heart price of 36/min. Atropine has
been administered to a total dose of three mg. A transcutaneous pacemaker has did not
seize. The patient is pressured, and her blood pressure is 88/fifty six. Which therapy is now
indicated? - ANS-Epinephrine 2-10 mcg/min
A patient is in cardiac arrest. High first-class chest compressions are being given. The
patient is intubated, and an IV has been began. The rhythm is asystole. Which is the primary
drug/dose to administer? - ANS-Epinepherine 1mg IV/IO