ANSWERS |READY TO PASS
Which of the following are the "H's" causes of reversible cardiac arrest?
Select all that apply: - ANSW✔✔Hypothermia
Hypoxia
Hyperkalemia/hypokalemia
Hypovolemia
Acidosis
Which of the following are the "T" causes of reversible cardiac arrest? -
ANSW✔✔Tension pneumothorax
Toxins
Cardiac tamponade
Pulmonary thrombosis
Coronary thrombosis
What is the only intervention that can restore an organized rhythm in
patients with ventricular fibrillation (VF)? - ANSW✔✔Early and
effective defibrillation
What is the most common symptom of myocardial ischemia and
infarction? - ANSW✔✔Retrosternal chest pain
,Which demographic group experiencing acute coronary syndromes is
more likely to present without chest pain? - ANSW✔✔Females
Oxygen should be delivered to a patient who has obvious signs of heart
failure if the oxygen saturation is less than? - ANSW✔✔90%
Obtaining a what is the most important assessment tool for a patient
displaying signs and symptoms of acute coronary syndrome? -
ANSW✔✔12 lead ekg
What is the time goal for how quickly you should complete a fibrinolytic
checklist once the patient arrives in the emergency department? -
ANSW✔✔10 minutes
When should oxygen be administered? - ANSW✔✔If the patient is
dyspneic or hypoxemic, has obvious signs of heart failure, or has an
arterial o2 saturation that is less than 90% or unknown.
Which is a contraindication to the administration of aspirin for the
management of a patient with acute coronary syndromes? -
ANSW✔✔Recent GI bleeding
What are the contraindications of nitroglycerin? - ANSW✔✔-If patient
has a confirmed inferior wall stemi or right ventricular infarction
,-avoid nitro if patient has hypotension, bradycardia, or tachycardia
-if patient recently has taken sildenafil, vardenafil, or tadalafil in the
past 24-48 hrs
What is a physiological effect of nitroglycerin? - ANSW✔✔Reduces
preload
Which clinical findings represents a contraindication to the
administration of nitroglycerin? - ANSW✔✔Confirmed right ventricular
infarction
When is morphine indicated? - ANSW✔✔In STEMI patients with severe
chest discomfort that does not respond to nitrates
What should you always monitor after giving morphine? -
ANSW✔✔Monitor BP and respiratory rate
When should you use caution when giving morphine? - ANSW✔✔Use
caution when patient is in NSTE-ACS because of the association of
mortality
, If someone starts developing hypotension after giving morphine or
nitroglycerin? - ANSW✔✔Administer fluids
Which class of medications commonly given to patients with acute
coronary syndrome may be adversely affected by morphine
administration? - ANSW✔✔Oral anti platelet meds
What is the benefit of morphine when given for management of acute
coronary syndrome? - ANSW✔✔Central nervous system analgesic
You obtain a 12-lead ECG in a patient with retrosternal chest pain.
Which ECG finding is suggestive of high risk non-ST-segment elevation
acute coronary syndrome? - ANSW✔✔Dynamic t wave inversion
Upon reviewing a patients 12 lead ECG, you note ST segment elevation
of 2mm in leads 2, 3, and aVF.
How would you classify the ECG finding? - ANSW✔✔ST-segment
elevation myocardial infarction
What is the time goal for how quickly you should complete a fibrinolytic
checklist once the patient arrives in the emergency department? -
ANSW✔✔10 min