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Terms in this set (48)
A patient with a suspected 7:30 p.m.
stroke arrives at the
emergency department at
In accordance with National Institute of Neurological
7:10 p.m. The stroke team
Disorders and Stroke guidelines, the stroke team,
ensures that a neurologic
emergency physician or other expert must conduct a
assessment and brain
computed tomography or neurologic assessment and obtain computed tomography
magnetic resonance imaging or magnetic resonance imaging within 20 minutes after
is obtained by which time? the patient’s arrival in the emergency department. That
would be 7:30 p.m. for this patient.
A patient in the telemetry Synchronized cardioversion
unit is stable. Cardiac
monitoring indicates the For a patient with ventricular tachycardia who is
patient has ventricular stable, has a pulse and has a corrected QT interval
tachycardia with a pulse. greater than 0.46 seconds, synchronized cardioversion
is the recommended treatment.
Further assessment reveals
that the corrected
QT interval is greater than
0.46 seconds. Which
treatment would be
appropriate at this time?
, “We delivered 1 ventilation every 6 seconds and chest
compressions at a rate of 100 to 120 compressions per
A resuscitation team is minute.”
debriefing following a recent
event. A patient experienced
cardiac arrest, and advanced When an advanced airway has been placed in a patient
cardiac life support was who is in cardiac arrest, compressions and ventilations are
initiated. The patient delivered continuously with no interruptions. One
required the placement of provider delivers 1 ventilation every 6 seconds, while the
an advanced airway to second provider performs compressions at a rate of 100 to
maintain airway patency. 120 compressions per minute.
Which statement indicates
that the team performed
high-quality CPR?
A healthcare provider 35 to 45 mmHg
initiates ventilations to
ensure adequate breathing
End-tidal carbon dioxide values in the range of 35 to 45
and oxygenation. While
mmHg confirm adequacy of ventilation.
ventilations are being
performed, capnography is
established to evaluate the
adequacy of the
ventilations. The healthcare
provider determines that
ventilations are adequate
based on which end-tidal
carbon dioxide (ETCO2)
value?
, Absence of discrete P waves and
presence of irregularly irregular QRS
An ECG strip of a patient in complexes.
the emergency department
reveals the following
rhythm. Which feature The two key features of atrial
would the healthcare fibrillation on ECG are the
provider interpret as absence of discrete P waves and
indicating atrial fibrillation? the presence of irregularly
irregular QRS complexes.
A patient in cardiac arrest 1. ETCO2 50 mmHg
experiences return of 2. PaCO2 35 mmHg
spontaneous circulation. As
3. SaO2 92%
part of post-cardiac arrest
care, the patient is receiving
mechanical ventilation. Mechanical ventilation should be started at a rate of 10 to
Which finding(s) would 12 breaths per minute and adjusted as necessary to keep
indicate the need for change ETCO2 levels in the range of 35 to 40 mmHg and PaCO2
in the ventilator settings to levels in the range of 40 to 45 mmHg. The minimum
optimize the patient's fraction of inspired oxygen necessary to maintain an SaO2
ventilation and oxygenation? of at least 94% is used.
The following capnogram is D
from a patient experiencing
respiratory distress. At which
The ETCO2 value is measured at the
point in the waveform would
end of exhalation (point D), which
the patient's ETCO2 level be
represents the peak level.
measured?