Slynurse

A pt with STEMI has ongoing chest dicomfort. Heparin 4000 units IV bolus and heparin infusion of 1000 units/hr are being administered. The pt did not take ASA because he has a hx of gastritis, which was tx 5 years ago. What is the next action? A. Give ASA 160 to 325 mg to chew B. Give clopidogrel 300 mg PO C. Give enteric-coated ASA 75 mg PO D. Give enteric-coated ASA 325 mg rectally - ANSWER-A. Give ASA 160 to 325 mg to chew A pt is in pulseless ventricular tachycardia. 2 shocks and 1...

ROSC - ANSWER-Normal state Hypovolemia Management - ANSWER-Iv fluids Hypoxia management - ANSWER-Ventilation, oxygen Lack of electrical activity in the heart and appears as a flat line - ANSWER-Asystole Hydrogen ion (acidosis) management - ANSWER-Sodium bicarbonate hyper/hypokalemia management - ANSWER-Calcium cl, insulin, glucose, sodium bicarb, dialysis Hypo give K Hypothermia management - ANSWER-Rewarming, o2, IVF Absence of detectable pulse and presence of some type of...

Components of the BLS assessment - ANSWER-1. Check responsiveness 2. Shout for help and get AED 3. Check pulse and breathing 4. If no pulse, start CPR 5. If pulse, start rescue breathing 6. Check for shockable rhythm and defibrillate as needed Interruptions in chest compressions should be limited to no more than _____ seconds - ANSWER-10 Chest compressions should be made to a depth of _____ inches - ANSWER-2 How many chest compressions should be administered per minute? - ANSWER-10...

common Causes of PEA that start with "H" - ANSWER-Hypovolemia, hypoxia, hydrogen ion, hyper/hypokalemia, hypothermia Common Causes of PEA that start with "T" - ANSWER-Tension pneumo, tamponade, thrombosis (pulmonary), thrombosis (Coronary) ST elevations - ANSWER-indicating Injury ST depressions - ANSWER-indicating ischemia Most common symptom of myocardial ischemia and infarction is - ANSWER-retrosternal chest discomfort Fibrolytic therapy - ANSWER-within 30 mins PCI treatm...

What rhythm is most common following cardiac arrest in adults? - ANSWER-VF For adult patients with ROSC, targeted temperature management is recommended. What is the goal body temperature and length of time of cooling? - ANSWER-a. Begin at 32 to 36 degrees C (89.6-96.8 F) b. For 24 hours During CPR, waveform capnography is less than 10 mm Hg. What may improve this number? - ANSWER-Improve chest compressions If PETCO2 abruptly increases to a normal value of 35 - 40 mm Hg, what would y...

What is the purpose of defibrillation - ANSWER-Stuns the heart and briefly stops all electrical activity- if the heart is still viable, its normal pacemakers may eventually resume electrical activity What is the initial tx of VF and pulseless VT? - ANSWER-Defibrillation. CPR until defibrillator is available What is the ACLS standard dose of Epinephrine during an adult cardiac arrest? - ANSWER-Give 1 mg every 3-5 minutes What is the ACLS standard dose of Amiodarone during an adult card...

2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? - ANSWER-A) Monitor the patient's PETCO2 3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac who achieved return of spontaneous circulation in the field? - ANSWER-D) Coronary reperfusion-capable medical center 4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? - ANSWER-C) Agonal gasps 6. To pro...

Amiodarone 300mg - ANSWER-A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given. Which drug should be given next? Gain IV or IO access - ANSWER-You arrive on the scene with the code team. High-quality CPR is in progress. An AED has previously advised "no shock indicated". A rhythm check now finds asystole. After resuming high-quality compressions, your next action is to what? Give ASA 160-325 chewed immediately - ANSWER-A patient with ST...

Systematic approach- Unconscious patient - ANSWER-BLS assessment, primary assessment, secondary assessment Systematic approach conscious patient - ANSWER-Primary assessment - secondary assessment Do you start CPR if you're not sure about a pulse - ANSWER-Yes exclamation unnecessary compressions are less harmful than failing to start CPR What are the components of high-quality CPR - ANSWER-Adequate compression depth that at least 2 inches Good body position Adequate compression rate ...

-An adult patient in respiratory arrest with a pulse is ventilated via bag valve mask: -ANSWER- Chest compressions for an adult are performed: -ANSWER-At a rate between 100 and 120 compressions per minute -The ratio of compressions to breaths in adults is: -ANSWER-30:2 An adult patient in respiratory arrest with a pulse is ventilated via bag valve mask: -ANSWER-10 to 12 times per minute (RATIONALE - When there is no advanced airway in place, ventilations should be given 10 to 12 ti...

A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to providing continuous high-quality CPR, what is the other priority intervention for this patient? - ANSWER-Administering epinephrine as early as possible A patient has experienced return of spontaneous circulation (ROSC) after cardiac arrest. The healthcare team is conducting a secondary assessment to determine the possible cause of the patient's cardiac arrest. Before the arrest, the patient exhibited jugular...

You are providing bag-mask ventilations to a patient in respiratory arrest. How often should you provide ventilations? - ANSWER-About every 5-6 seconds A 45-year-old woman with a history of palpitations develops light headedness and palpitations. She has recieved adenosine 6 mg IV for the rhythm shown here, without conversion of the rhythm. She is now extremely apprehensive. Her blood pressure is 128/70 mm Hg. What is the next appropriate intervention? - ANSWER-Administer adenosine 12 mg IV ...

12. Which is the primary purpose of a medical emergency team or rapid response team? A Improving care for patients admitted to critical care units B. Improving patient outcomes C. Providing diagnostic consultation to emergency department patients D. Providing online consultation to EMS personnel in the field -ANSWER-B. Improving patient outcomes 13. Which is the recommended next step after a defibrillation attempt? A Check the ECG evidence of a rhythm B. Open the patient's airway ...

High Performance Teams - Resuscitation Triangle - ANSWER-Compressions, AED/Monitor Defibrillator, Airway Resuscitation Triangle: Compressions - ANSWER-Assess, 5 cycles of compressions, alternates with AED/defibrillator Resuscitation Triangle: AED/Monitor/Defibrillator - ANSWER-Brings and operates, alternates with compressor every 5 cycles/2 minutes/signs of fatigue Resuscitation Triangle: Airway - ANSWER-Opens airway, provides bag ventilation, inserts an airway as appropriate High P...

Rate of chest compressions for adults - ANSWER-100-120 compressions per minute Ratio of compressions to breaths in adults - ANSWER-30:2 Rate of bag valve mask ventilation for adults in respiratory arrest - ANSWER-Once every 5-6 seconds or 10-12 times per minute Treatments for hypotension following cardiac arrest - ANSWER-IV dopamine infusion, IV epinephrine infusion IV Ringer's lactate, IV normal saline *The leader in team resuscitation must be able to perform all the skills if ...

Which class of medications commonly given to patients with acute coronary syndromes may be adversely affected by morphine administration A. Phosphodiesterase inhibitors B. Oral antiplatelet medications C. Beta blockers D. Calcium channel blockers - ANSWER-Oral antiplatelet medications What is a benefit of morphine when given for the management of acute coronary syndromes? A. Central nervous system analgesia B. Increases systemic vascular resistance C. Increases left ventricular preload...

What element of a system of care is represented by properly functioning resuscitation equipment? System Structure Process Patient outcome - ANSWER-Structure What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival? Activation of emergency response Defibrillation Advanced resuscitation High-quality CPR - ANSWER-Activation of emergency reponse What are signs of clinical deterioration that would prompt the activation of rapid response system? Sym...

Lesson1: system of care. Which quality improvement component of systems of care best describes the capture and review of data related to resuscitation education, processes, and outcomes? - ANSWER-Measurement Lesson1: system of care.Which one of the following is an interdependent component of systems of care? - ANSWER-Structure Lesson2: Science of Resuscitation.What is an effect of excessive ventilation? - ANSWER-decreased CO Lesson2: Science of Resuscitation. Which is the maximum inter...

Cardiac Arrest VF/Pulseless VT drugs--names - ANSWER-Epinephrine, Vasopressin, Amiodarone Cardiac Arrest VF/Pulseless VT drugs--details - ANSWER-1. Epinephrine 1 mg Q 3-5 minutes 2. Vasopressin 40 U can replace first or second dose of Epi 3. Amiodarone: first dose 300 mg bolus, second dose 150 mg Reversible causes of cardiac arrest: 5 Hs - ANSWER-1. Hypovolemia 2. Hypoxia 3. Hydrogen ion/acidosis 4. Hypo-/hyperkalemia 5. Hypothermia Reversible causes of cardiac arrest: 5 Ts - AN...

Your patient is in cardiac arrest and has been intubated. to assess CPR quality, what should you do? - ANSWER-monitor the patients PETCO2 Which facility is the most appropriate EMS destination for a patient with sudden Cardiac Arrest who achieved return of spontaneous circulation in the field? - ANSWER-coronary reperfusion capable Medical Center what sign is a likely indicator of cardiac arrest in an unresponsive patient? - ANSWER-agonal gasps To properly ventilate a patient with a rep...