HENRY FORD CC EXAM QUESTIONS & ANSWERS
Practical Portion of the exam - Answers - Assisting with intubation
O2 devices
Nasal/pharyngeal Airways
Suctioning
Rhythm Competencies
5 Lead placement
Atropine (Atropisol) p21 - Answers - anti arrhythmic, anticholergenic, muscarinic
antagonist
Used for: Symptomatic Bradycardia
Administer: Give over 20 seconds
Dosage: Admin 0.5mg every 3-5 min up to 3mg
SE: Tachycardia
Amiodarone (Cordarone) p18 - Answers - anti arrhythmic
Used for: VFib, Pulseless VTach
Administer: Diluted push
Dosage: 300mg then 150mg if needed
Note: Do not give to pts in block or cardiogenic shock
Effects: hypotension, bradycardia
Adenosine (Adenocard) p17 - Answers - anti arrhythmic
Used for: Stable narrow complex SVT
Administer: Rapid IV push
Dosage: 6mg followed by 20mL NS flush. If no response in 1-2 min 12mg, 20mg flush.
Epinephrine (Adrenalin, Epifrin, Epipen) p 39 - Answers - Beta +Alpha Adrenergic,
catecholamine
Used for: VFib, Pulseless VTach, PEA, Asystole, anaphylaxis, profound bradycardia
Administer: as many times as needed IV, IM
Dosage: 1mg every 3 min followed by 20mg flush
SE: Tachycardia, palpitations, hypertension
Lidocaine (Xylocaine) p47 - Answers - anti arrhythmic
Used for: alt to amiodarone. VF/Pulseless VT
Administer:
Dosage: 1-1.5mg/kg repeat in 5-10min
Note: do not use in impaired liver fnx
Dopamine (Intropin) p36 - Answers - Inotropic, Beta1 Adrenergic, Catecholamine
Used for: Improving perfusion, shock
Administer:
Dosage: Low dose - 2-5mcg best for renal bloodflow
***Middle 5-10mcg BEST for cardiac
,Large 10mcg/kg/min generalized vasoconstrictor (amputations)
Dobutamine (Dobutrex) p35 - Answers - Inotropic, Beta1 Adrenergic, Catecholamine
Used for: ^ contractile force which ^SV + ^CO (uses more O2 though), decrease
preload and afterload
Administer: IV and titrate based on BP/CO etc
Dosage: 2-15 mcg/kg/min up to 40mcg/kg/min
SE: ^ HR, ^BP, Dysrhythmias
Nitroglycerine (Nitrol) p 59 - Answers - Vasodilator
Used for: decreasing afterload, preload, PCWP, myocardial o2 demand
Administer: in glass bottle, titrate 5-10mcg/min q 3-5min
Dosage: 50mg in 500mL D5 10-100 mcg/min
max dose is 200mcg/min
Nipride (Nitroprusside) p60 - Answers - POTENT Vasodilator
Used for: hypertensive crisis, cardiogenic shock
Administer:
Dosage:initial 1-2 mcg/kg
maintenance 0.5-10 mcg/kg
SE: Cyanide toxicity, hypotension, N+V, Abd pain
Norepinephrine (Levophed) pg61 - Answers - Vasopressor + inotropic
Used for: ^b/p, contractility
Administer: in 250cc D5W
Dosage: 4mg
SE: anxiety, tissue necrosis (give through CL), hyperglycemia, hypocalemia
ACE Inhibitors - Answers - Examples: PRIL Drugs-Enalapril (Vasotec), Lisinopril,
Captopril (Capoten)
Used for: Controlling high BP
Angiotensin II receptor blockers (ARB's) - Answers - Examples: Losartan (Cozaar),
Valsartan (Diovan)
Used for: Antihypertensive, vasodilator
Calcium Channel Blockers p77 - Answers - Examples: PINE drugs-Diltiazem
(Cardizem), Amlopine, Nicardipine, Nifedipine (Procardia), Verapamil (Isoptin, Calan)
Used for: slow HR
Phosphodiesterase inhibitors - Answers - Examples: Milrinone
Used for: decrease work of breathing
Mucomyst - Answers - Anti-inflammatory
Used for:Tx for acetaminophen OD or Decrease work of breathing.
, Bronchodilators - Answers - Examples: Proventil, Epinephrine, Atrovent, spiriva, ,
albuterol, Methylxanthines: Aminophyllin
Used for: Decrease work of breathing.
Drugs used to reduce intracranial pressure (ICP) - Answers - Examples:
Neuromuscular block, sedation, mannitol (osmotic diuretic)
Dilantin (Phenytoin) p65 - Answers - anti-epileptic drug
Used for: seizures
Administer: Slow IVP no faster than 20 mg/min minibag or 50mg/min IVP - or orally up
to 1000mg
Dosage: 100mg
Drugs used for sedation - Answers - Examples: Valium, Midazolam (Versed),
Morphine, Fentanyl, Propofol
Minimal sedation - Answers - purpose to relax pt, no additional monitoring needed, no
change in vital signs OR LOC
Moderate Sedation - Answers - Pt still has control of airway but have airway equipment
on hand, pt can respond ot verbal command
Deep sedation - Answers - Only respond to pain, Intubated, no control of airway
normal ABG values - Answers - Normal Values:
PO2 80-100
pH 7.35-7.45
PC02 35-45
HCO3 (bicarb) 22-26
Base excess -2 - +2
abnormal values could result from respiratory or metabolic causes.
remember: ROME
respiratory opposite, metabolic equal (same direction) when deciding if respiratory
acidosis vs metabolic alkalosis etc
Respiratory Acidosis causes - Answers - CNS depression, COPD, Pulmonary edema,
Pneumothorax
Respiratory Alakalosis causes - Answers - Anxiety/pain, respiratory distress, fever,
atelectasis
Metabolic Acidosis causes - Answers - DKA, Renal failure, Anaerobic metabolism,
ingestion of etho, ingestion of salicylates, loss of base through diarrhea
Practical Portion of the exam - Answers - Assisting with intubation
O2 devices
Nasal/pharyngeal Airways
Suctioning
Rhythm Competencies
5 Lead placement
Atropine (Atropisol) p21 - Answers - anti arrhythmic, anticholergenic, muscarinic
antagonist
Used for: Symptomatic Bradycardia
Administer: Give over 20 seconds
Dosage: Admin 0.5mg every 3-5 min up to 3mg
SE: Tachycardia
Amiodarone (Cordarone) p18 - Answers - anti arrhythmic
Used for: VFib, Pulseless VTach
Administer: Diluted push
Dosage: 300mg then 150mg if needed
Note: Do not give to pts in block or cardiogenic shock
Effects: hypotension, bradycardia
Adenosine (Adenocard) p17 - Answers - anti arrhythmic
Used for: Stable narrow complex SVT
Administer: Rapid IV push
Dosage: 6mg followed by 20mL NS flush. If no response in 1-2 min 12mg, 20mg flush.
Epinephrine (Adrenalin, Epifrin, Epipen) p 39 - Answers - Beta +Alpha Adrenergic,
catecholamine
Used for: VFib, Pulseless VTach, PEA, Asystole, anaphylaxis, profound bradycardia
Administer: as many times as needed IV, IM
Dosage: 1mg every 3 min followed by 20mg flush
SE: Tachycardia, palpitations, hypertension
Lidocaine (Xylocaine) p47 - Answers - anti arrhythmic
Used for: alt to amiodarone. VF/Pulseless VT
Administer:
Dosage: 1-1.5mg/kg repeat in 5-10min
Note: do not use in impaired liver fnx
Dopamine (Intropin) p36 - Answers - Inotropic, Beta1 Adrenergic, Catecholamine
Used for: Improving perfusion, shock
Administer:
Dosage: Low dose - 2-5mcg best for renal bloodflow
***Middle 5-10mcg BEST for cardiac
,Large 10mcg/kg/min generalized vasoconstrictor (amputations)
Dobutamine (Dobutrex) p35 - Answers - Inotropic, Beta1 Adrenergic, Catecholamine
Used for: ^ contractile force which ^SV + ^CO (uses more O2 though), decrease
preload and afterload
Administer: IV and titrate based on BP/CO etc
Dosage: 2-15 mcg/kg/min up to 40mcg/kg/min
SE: ^ HR, ^BP, Dysrhythmias
Nitroglycerine (Nitrol) p 59 - Answers - Vasodilator
Used for: decreasing afterload, preload, PCWP, myocardial o2 demand
Administer: in glass bottle, titrate 5-10mcg/min q 3-5min
Dosage: 50mg in 500mL D5 10-100 mcg/min
max dose is 200mcg/min
Nipride (Nitroprusside) p60 - Answers - POTENT Vasodilator
Used for: hypertensive crisis, cardiogenic shock
Administer:
Dosage:initial 1-2 mcg/kg
maintenance 0.5-10 mcg/kg
SE: Cyanide toxicity, hypotension, N+V, Abd pain
Norepinephrine (Levophed) pg61 - Answers - Vasopressor + inotropic
Used for: ^b/p, contractility
Administer: in 250cc D5W
Dosage: 4mg
SE: anxiety, tissue necrosis (give through CL), hyperglycemia, hypocalemia
ACE Inhibitors - Answers - Examples: PRIL Drugs-Enalapril (Vasotec), Lisinopril,
Captopril (Capoten)
Used for: Controlling high BP
Angiotensin II receptor blockers (ARB's) - Answers - Examples: Losartan (Cozaar),
Valsartan (Diovan)
Used for: Antihypertensive, vasodilator
Calcium Channel Blockers p77 - Answers - Examples: PINE drugs-Diltiazem
(Cardizem), Amlopine, Nicardipine, Nifedipine (Procardia), Verapamil (Isoptin, Calan)
Used for: slow HR
Phosphodiesterase inhibitors - Answers - Examples: Milrinone
Used for: decrease work of breathing
Mucomyst - Answers - Anti-inflammatory
Used for:Tx for acetaminophen OD or Decrease work of breathing.
, Bronchodilators - Answers - Examples: Proventil, Epinephrine, Atrovent, spiriva, ,
albuterol, Methylxanthines: Aminophyllin
Used for: Decrease work of breathing.
Drugs used to reduce intracranial pressure (ICP) - Answers - Examples:
Neuromuscular block, sedation, mannitol (osmotic diuretic)
Dilantin (Phenytoin) p65 - Answers - anti-epileptic drug
Used for: seizures
Administer: Slow IVP no faster than 20 mg/min minibag or 50mg/min IVP - or orally up
to 1000mg
Dosage: 100mg
Drugs used for sedation - Answers - Examples: Valium, Midazolam (Versed),
Morphine, Fentanyl, Propofol
Minimal sedation - Answers - purpose to relax pt, no additional monitoring needed, no
change in vital signs OR LOC
Moderate Sedation - Answers - Pt still has control of airway but have airway equipment
on hand, pt can respond ot verbal command
Deep sedation - Answers - Only respond to pain, Intubated, no control of airway
normal ABG values - Answers - Normal Values:
PO2 80-100
pH 7.35-7.45
PC02 35-45
HCO3 (bicarb) 22-26
Base excess -2 - +2
abnormal values could result from respiratory or metabolic causes.
remember: ROME
respiratory opposite, metabolic equal (same direction) when deciding if respiratory
acidosis vs metabolic alkalosis etc
Respiratory Acidosis causes - Answers - CNS depression, COPD, Pulmonary edema,
Pneumothorax
Respiratory Alakalosis causes - Answers - Anxiety/pain, respiratory distress, fever,
atelectasis
Metabolic Acidosis causes - Answers - DKA, Renal failure, Anaerobic metabolism,
ingestion of etho, ingestion of salicylates, loss of base through diarrhea
