3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube whilst
another performs continuous chest comressions. During next bentilation, you note the
presence of a wavefom at the capnogrophy display and a PETCO2 of 8 mm Hg. What is the
significance of this finding? - ANS-Chest compressions won't be powerful.
A 49 y/ofmaile arrives within the ER with persistant epigastric pain. She has been taking
antacids PO for the past 6 hours due to the fact she she had heartburn. BP is 118/seventy
two, heart rate is ninety two/min, resp. Rate is 14 non-labored and O2 sat is 96%. What is
the most appropriate next action? - ANS-Obtain a 12 lead ECG.
A sixty two y/o male pt. Within the ER says his heart is beating speedy. No chest ache or
SOB. BP is 142/ninety eight, pulse price is two hundred/min, reps fee is 14/min, O2 sats are
ninety five at room air. What ought to be the next evaluation? - ANS-Obtain a 12 lead ECG.
A sixty eight y/o lady pt. Skilled a unexpected onset of right arm weak spot. BP is one
hundred forty/90, pulse is 78/min, resp charge is non-worked 14/min, 02 sat is 97%. Lead 2
inside the ECG suggests a sinus rythm. What would be your subsequent movement? -
ANS-Cinncinati Stroke Scale
A monitored pt. In the ICU developed a suddent onset of slender complicated tach at a price
of 220/min. The pt's BP is 128/58, the PETCO2 is 38mm Hg, and the O2 sat is 98%. There
is an EJ installed for vascular get right of entry to. The pt. Denies taking any vasodialators. A
12 lead suggests no ischemia or infarction. Vagal manuevers are ineffective. What is the
following intervention? - ANS-Adenosine 12mg IV
A pt. Has an onset of dizziness. The pt.S heart price is one hundred eighty, BP is 110/70,
resp. Rate is eighteen, O2 sat is ninety eight%. This is a reg narrow complicated tach rythm.
What is the following intervention? - ANS-Vagal manuever.
A pt. In respiration failure will become apneic however contineues to have a strong pulse.
The coronary heart price is losing paridly and now shows a sinus brady charge at 30/min.
What intervention has the best priority? - ANS-Simple airway manuevers and assisted
ventilations.
A pt. Gives to the ER with a brand new onset of dizziness and fatugue. Onexamination, the
pt's coronary heart price is 35 beats/min, BP is 70/50, resp. Fee is 22 according to min, O2
sat is 95%. What is an appropriate 1st medication? - ANS-Atropine zero.5mg
A pt. Affords to the ER with dizziness and SOB with a sinus brady of 40/min. The preliminary
atropine dose changed into useless and your monitor does not offer TCP. What is the ideal
dose of Dopamine for this pt? - ANS-2-10mcg/kg/min