CEN Cardiovascular Emergencies Study Guide Exam.

CEN Cardiovascular Emergencies Study Guide Exam. 1. Preload refers to: a. The volume of blood enter- ing the left side of the heart b. The volume of blood enter- ing the right side of the heart c. The pressure in the venous system that the heart must overcome to pump the blood d. The pressure in the arteri- al system that the heart must overcome to pump the blood 2. When suctioning during a car- diac arrest, suctioning should be limited to which of the fol- lowing? a. Less than 5 seconds b. Less than 10 seconds c. Less than 20 seconds d. Less than 30 seconds 3. You are caring for a 65 year old who collapsed outside of the hospital and was brought in to the emergency depart- b. Preload is the volume of blood that enters the right side of the heart. This volume stretches the fibers in the heart prior to contraction. Preload is commonly measured as atrial pressure. B. According to the 2010 BLS and ACLS guidelines, suctioning for longer than 10 seconds may result in pulling too much oxygen out of the airways resulting in hypoxemia. C. Quantitative waveform capnography provides a good indi- cation of the quality of CPR. Levels 10 mm HG indicate either a problem with the quality of CPR or with the placement of the ETT. EtCO2 levels of 1d0 mmHg predicted death in adult patients ment. During CPR, quantitative with cardiac arrest. Measurement of EtCO2 varies directly with waveform capnography shows the cardiac output produced by chest compression . Goal is a PETCO2 level 10 mm HG. Which of the following is the correct response to this find- ing? a. Do nothing; this is normal. 35-45mmg HG or 5-6% CO2. b. Increase the amount of oxy- gen being delivered. c. Attempt to improve the qual- ity of CPR. d. Decrease the amount of oxy- gen being delivered. 4. You are caring for an 85 year old and are having trouble es- tablishing an intravenous line. D. Any drug that can be given via the IV route can also be given via the IO route. Although commonly thought of in reference to pediatric patients, an IO route can be established on any age The ED physician asks for an in- person. IO access is the preferred route over the ETT but not traosseous needle to establish an IO line for medication ad- ministration. Which of the fol- lowing is TRUE about the in- traosseous route of drug ad- ministration? a. It should only be done on children under the age of 16. b. It is preferred over the IV route of drug administration. c. It should only be attempt- ed after all other routes have been attempted. d. Any drug or fluid can be ad- ministered via the IO route. 5. You have defibrillated the pa- tient in ventricular fibrillation. The appropriate action to take next is: a. Do CPR for a 2-minute cycle. IV route; it is often the easiest route to establish while CPR is being done. A. The 2010 ACLS guidelines no longer recommend the stacked defibrillation. Instead, a 2-minute cycle of CPR should be done as the defibrillator is charging. b. Obtain an ECG to determine the rhythm. c. Defibrillate again at a higher dose. d. Give IV Epinephrine. 6. A 55-year-old patient is di- agnosed with Acute Coronary Syndrome (ACS). The ED nurse should expect to give medica- tions to relieve pain and pre- vent clots. Assuming oxygen is needed, what is the correct sequence for these frontline drugs? a. Oxygen, Aspirin, Nitroglyc- erin, Morphine b. Aspirin, Oxygen, Nitroglyc- erin, Morphine c. Nitroglycerin, Oxygen, As- pirin, Morphine d. Aspirin, Oxygen, Morphine, Nitroglycerin 7. A 75-year-old patient has the