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ESO SHARP Questions with Detailed Verified
Answers
What to do for asystole (3)
Ans: 1. CPR x2 minutes (100-120 compressions/min)
2. O2 at 15l ambu bag (10 bpm)
3. Epi 1mg IVP q3-5 minutes
How do you verify asystole is not v-fib?
Ans: Check another lead
What is NOT recommended for asystole?
Ans: 1. Transcutaneous pacing
2. Defib (dangerous)
What does bradycardia include?
Ans: Heart blocks
What is first degree heart block?
Ans: Prolonged PR interval > .20 seconds; prolonged conduction of atrial impulses
without loss of any impulses
What is second degree heart block type 1 (Weikenbach)?
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Ans: Progressive prolongation of the PR interval until a P wave is not conducted
What is second degree heart block type 2?
Ans: Constant PR intervals in conducted beats and more than one non-conducted P
wave
What is a third degree AV heart block?
Ans: Complete absence of conduction between atria and ventricles. There are no
constant PR intervals.
What is the treatment for symptomatic bradycardia and heart blocks?
Ans: 1. O2 at 10L NRBM
2. If transvenous or epicardial wires present - start pacing
3. Atropine 1mg IVP q3-5 minutes (max 3mg)
4. Transcutaneous pacing ASAP
5. If alogorithm above ineffective and SBP <90 start:
—> dopamine 400mg/250ml D5W
—> rate is 5-20mcg/kg/min
—> if dopamine ineffective: epi 2mg/250ml NS at 2mcg/min and titrate up to 10mcg
What is a PEA?
Ans: Presence of electrical activity that fails to generate a detectable pulse
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What are the two most common causes of a PEA?
Ans: Hypovolemia and hypoxia
What are the possible causes of a PEA? (6 H's & 5 T's)
Ans: 1. Hypovolemia
2. Hypoxia
3. Hydrogen ion (acidosis)
4. Hypo/Hyperkalemia
5. Hypoglycemia
6. Hypothermia
1. Toxins
2. Tamponade
3. Thrombosis
4. Trauma
5. Tension pneumothorax
How is a PEA treated for ESO? (4)
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ESO SHARP Questions with Detailed Verified
Answers
What to do for asystole (3)
Ans: 1. CPR x2 minutes (100-120 compressions/min)
2. O2 at 15l ambu bag (10 bpm)
3. Epi 1mg IVP q3-5 minutes
How do you verify asystole is not v-fib?
Ans: Check another lead
What is NOT recommended for asystole?
Ans: 1. Transcutaneous pacing
2. Defib (dangerous)
What does bradycardia include?
Ans: Heart blocks
What is first degree heart block?
Ans: Prolonged PR interval > .20 seconds; prolonged conduction of atrial impulses
without loss of any impulses
What is second degree heart block type 1 (Weikenbach)?
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Ans: Progressive prolongation of the PR interval until a P wave is not conducted
What is second degree heart block type 2?
Ans: Constant PR intervals in conducted beats and more than one non-conducted P
wave
What is a third degree AV heart block?
Ans: Complete absence of conduction between atria and ventricles. There are no
constant PR intervals.
What is the treatment for symptomatic bradycardia and heart blocks?
Ans: 1. O2 at 10L NRBM
2. If transvenous or epicardial wires present - start pacing
3. Atropine 1mg IVP q3-5 minutes (max 3mg)
4. Transcutaneous pacing ASAP
5. If alogorithm above ineffective and SBP <90 start:
—> dopamine 400mg/250ml D5W
—> rate is 5-20mcg/kg/min
—> if dopamine ineffective: epi 2mg/250ml NS at 2mcg/min and titrate up to 10mcg
What is a PEA?
Ans: Presence of electrical activity that fails to generate a detectable pulse
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What are the two most common causes of a PEA?
Ans: Hypovolemia and hypoxia
What are the possible causes of a PEA? (6 H's & 5 T's)
Ans: 1. Hypovolemia
2. Hypoxia
3. Hydrogen ion (acidosis)
4. Hypo/Hyperkalemia
5. Hypoglycemia
6. Hypothermia
1. Toxins
2. Tamponade
3. Thrombosis
4. Trauma
5. Tension pneumothorax
How is a PEA treated for ESO? (4)
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