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1. A patient is in refractory ventricular fibrillation and has 150 mg IV amiodarone
received multiple appropriate defribillation shocks, ep-
inephrine 1 mg IV twice, and an initial dose of amio-
darone 300mg IV. The patient is intubated. Which
best describe the recommended second does of amio-
darone for this patient?
2. A 35-year-old woman has palpitations, light-headed- Adenosine 6 mg
ness, and a stable tachycardia. The monitor shows a
regular narrow-complex QRS at a rate of 180/min. Va-
gal maneuvers have not been effective in terminating
the rhythm. An IV has been established. Which drug
should be administered?
3. A patient has a rapid irregular wide-complex tachycar- Seeking expert consulta-
dia. The ventricular rate is 138/min. He is asympto- tion
matic, with a blood pressure of 110/70 mm Hg. He has
a history of angina. What action is recommended next?
4. A patient with possible STEMI has ongoing chest dis- Use of a phosphodiestrase
comfort. What is a contraindication to nitrate adminis- inhibitor within the previ-
tration? ous 24 hours
5. How does complete chest recoil contribute to effective Allows maximum blood re-
CPR? turn to the heart
6. A patient becomes unresponsive. You are uncertain if a start high quality CPR
faint pulse is present. They rhythm shown here is seen
on the cardiac monitor. An IV is in pace. Which action
do you take next?
7. A patient has been resuscitated from cardiac arrest.
During post-ROSC treatment, the patient becomes un-
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responsive, with the rhythm shown here. Which action Give an immediate un-
is indicated next? synchronized high-energy
shock (defibrillation dose)
8. You are caring for a 66-year-old man with a history A
of a large intracerebral hemorrhage 2 months ago.
He is being evaluated for another acute stroke. The
CT scan is negative for hemorrhage. The patient is
receiving oxygen via nasal cannula at 2 L/min, and an
IV has been established. His blood pressure is 180/100
mm Hg. Which drug do you anticipate giving to this
patient?
Aspirin
Glucose (D50)
Nicardipiner
tPA
9. In which situation does bradycardia require treat- B
ment?
12-lead ECG showing a normal sinus rhythm
Hypotension
Diastolic blood pressure greater than 90 mm Hg
Systolic blood pressure greater than 100 mm Hg
10. Which intervention is most appropriate for the treat- C
ment of a patient in asystole?
Atropine
Defibrillation