SOLUTIONS GRADED A+
◉ What is the recommended next step after defibrillation attempt.
Answer: begin CPR, starting with chest compressions.
◉ What is the recommended target temperature range for achieving
therapeutic hypothermia after cardiac arrest. Answer: 32-36 *c
◉ Which rhythm requires synchronized cardioversion? Answer:
Unstable supraventricular tachycardia
◉ What is the appropriate interval for an interruption in chest
compressions. Answer: 10 seconds or less
◉ Which treatment or medication is appropriate for the treatment of a
patient in asystole? Answer: epinephrine
◉ A patient in respiratory failure becomes apneic but continues to have a
strong pulse. The heart rate is dropping rapidly and now shows a sinus
bradycardia at a rate of 30/min. What intervention has the highest
priority? Answer: Simple airway maneuvers and assisted ventilation
, ◉ An activated AED does not promptly analyze the rhythm. What is
your next action? Answer: Begin chest compressions.
◉ A 56 year old reports that he has palpitations but not chest pain or
difficulty breathing. BP 132/68, P 130 and regular, R 12 bpm, o2 sat
95%, lead 11 wide complex tach. . What is next action? Answer: Seek
expert consultation
◉ What is an advantage of using hands-free d-fib pads instead of d-fib
paddles? Answer: Hands-free allows for more rapid d-fib.
◉ What is the usual post-cardiac arrest target range for PETCO2 who
achieves return of spontaneous circulation (ROSC)? Answer: 35-40mm
Hg
◉ A patient with pulseless ventricular tachycardia is defibrillated. What
is the next action? Answer: Start chest compressions at a rate of at least
100/min.
◉ What is the purpose of a medical emergency team or rapid response
team? Answer: Improving patient outcomes by identifying and treating
early clinical deterioration
◉ A patient in respiratory distress and with a blood pressure of 70/50
mm Hg presents with the following lead II ECG rhythm: