Quiz_________________?
A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe
distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the
touch. His radial pulse is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28
breaths per minute, and oxygen saturation is 89% on room air. When applied, the cardiac
monitor initially showed ventricular tachycardia, which then quickly changed to ventricular
fibrillation. Despite 2 defibrillation attempts, the patient remains in ventricular fibrillation.
Which drug and dose should you administer first to this patient? -
Answer✅
Epinephrine 1 mg
Quiz_________________?
A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe
distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the
touch. His radial pulse is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28
breaths per minute, and oxygen saturation is 89% on room air. When applied, the cardiac
monitor initially showed ventricular tachycardia, which then quickly changed to ventricular
fibrillation. Despite the drug provided above and continued CPR, the patient remains in
ventricular fibrillation. Which other drug should be administered next? -
Answer✅
Lidocaine 1 to 1.5 mg/kg
Quiz_________________?
1
, A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe
distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the
touch. His radial pulse is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28
breaths per minute, and oxygen saturation is 89% on room air. When applied, the cardiac
monitor initially showed ventricular tachycardia, which then quickly changed to ventricular
fibrillation. In addition to defibrillation, which intervention should be performed
immediately? -
Answer✅
Chest compressions
Quiz_________________?
A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe
distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the
touch. His radial pulse is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28
breaths per minute, and oxygen saturation is 89% on room air. When applied, the cardiac
monitor initially showed ventricular tachycardia, which then quickly changed to ventricular
fibrillation. On the basis of this patient's initial presentation, which condition do you suspect
led to the cardiac arrest? -
Answer✅
Acute coronary syndrome
Quiz_________________?
A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe
distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the
touch. His radial pulse is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28
breaths per minute, and oxygen saturation is 89% on room air. When applied, the cardiac
monitor initially showed ventricular tachycardia, which then quickly changed to ventricular
fibrillation. The patient has return of spontaneous circulation and is not able to follow
commands. Which immediate post-cardiac arrest care intervention do you choose for this
patient? -
Answer✅
Initiate targeted temperature management
2