Slynurse

Interruptions in chest compressions are only justifiable for the following interventions - ANSWER-Rhythm/pulse checks, defibrillation, and intubation Interruptions in chest compressions should be limited to how many seconds? - ANSWER-10 seconds or less Name three reasons why excessive ventilation should be avoided in cardiac arrest patients - ANSWER-1. Adverse hemodynamic effects from increased intrathoracic pressures 2. Potential decreases in cerebral blood flow when the PaCO2 drops (ca...

What are the H's of Cardiac Arrest? - ANSWER-Hypovolemia Hypoxia Hydrogen Ion (Acidosis) Hyper/Hypokalemia Hypothermia Hypoglycemia What are the T's of Cardiac Arrest - ANSWER-Toxins (Overdose) Tamponade (Cardiac) Tension Pneumothorax Trauma Thrombosis How do you manage a V-Fib/Pulseless V-Tach Arrest? - ANSWER-If Witnessed, Defibrilate ASAP If Un-Witnessed, CPR for 5 Cycles/2 Minutes Defibrillate at Manufacturer's Recommendation Establish IV/IO ASAP Epinephrine 1mg IVP AS...

Which are the elements of a system of care? - ANSWER-Structure, processes, system, patient outcome What element of a system of care is represented by properly functioning resuscitation equipment? - ANSWER-Structure Among others, which factor has been associated with improved survival in patients with cardiac arrest? - ANSWER-Immediate high- quality CPR What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival? - ANSWER-Activation of emergency response Wha...

During a primary assessment, what tool would you use to determine a patient's level of consciousness? NIHSS AVPU model Mini-Mental State Exam Braden scale - ANSWER-AVPU model Which assessments would be included in a primary assessment? Select all correct options that apply. Obtaining a medication history Assessing adequacy of perfusion Checking airway patency Obtaining a health history - ANSWER-Assessing adequacy of perfusion Checking airway patency A concept that helps...

You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? - ANSWER-Start chest compressions of at least 100 per min. You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most important now? - ANSWER-Obtaining a 12 lead ECG. Identification of Chest Disc...

You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? - ANSWER-Start chest compressions of at least 100 per min. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now? - ANSWER-Obtaining a 12 lead E...

Sinus Bradycardia - ANSWER-Please identify the rhythm by selecting the best single answer. Reentry supraventricular tachycardia - ANSWER-Please identify the rhythm by selecting the best single answer. Second-degree AV block (Mobitz II block) - ANSWER-Please identify the rhythm by selecting the best single answer. Agonal rhythm/asystole - ANSWER-Please identify the rhythm by selecting the best single answer. Third-Degree AV block - ANSWER-Please identify the rhythm by selecting the b...

Which of these tests should be performed for a pt with suspected stroke as early as possible but no more than 20 min after hospital arrival? - ANSWER-Noncontrast CT scan of head Which best describes this rhythm? - ANSWER-Monomorphic Vent Tach Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? - ANSWER-Measure from the corner of the mouth to the angle of mandible You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The C...

A patient with sinus bradycardia and a heart rate of 42 bpm has diaphoresis and a BP of 80/60 mm Hg. What is the initial dose of atropine? - ANSWER-0.5 mg When can you use magnesium in cardiac arrest? - ANSWER-pulseless VT associated with torsades de pointes A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138/min. He is asymptomatic, with a blood pressure of 110/70 mm Hg. He has a history of angina. What should you do? - ANSWER-Seek expert consultation ...

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? Sy...

lidocaine initial push for cardiac arrest - ANSWER-1-1.5 mg/kg IVP lidocaine further doses for cardiac arrest - ANSWER-0.5-0.75 mg/kg IVP lidocaine max dose - ANSWER-3mg/kg lidocaine post arrest infusion - ANSWER-1-4 mg/min Magnesium Sulfate for cardiac arrest involving torsades or hypomagnesemia - ANSWER-1-2 g 5 to 20 mins magnesium sulfate for torsades with a pulse, or AMI with hypomagnesemia - ANSWER-1-2 g over 5 to 60 mins magnesium infusion to control torsades, or further ...

You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? - ANSWER-Start chest compressions of at least 100 per min. You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most important now? - ANSWER-Obtaining a 12 lead ECG. What is the preferred method...

Primary Survey - ANSWER-ABCD A-airway B-breathing C-circulation D-defibrilation Secondary Survey - ANSWER-IAID I-intabate (if resp. arrest or can't get good venitlaiton) A-access airway I-IV/IO access for Drugs D-differential diagnosis (H's & T's) What do you do with a non responsive patient? - ANSWER-1st survey, then second survey Med Administration - ANSWER--IV access: large bore 18 g -Site: AC -always flush after med admin What do you do if AED determines non-shockabl...

3˚ AV block p and qrs completely separate - ANSWER-Identify the rhythm. Pulseless electrical activity (PEA) - ANSWER-Identify the rhythm. Coarse ventricular fibrillation - ANSWER-Identify the rhythm. Reentry supraventricualr tachycardia (SVT) - ANSWER-Identify the rhythm. Sinus bradycardia - ANSWER-Identify the rhythm. Polymorphic ventricular tachycardia - ANSWER-Identify the rhythm. 3˚ AV block - ANSWER-Identify the rhythm. Reentry Supraventricular tachycardia (SVT) ...

in cardiac arrest when do you first introduce medical intervention? which drug? - ANSWER-after 2 rounds of CPR/shock after 2nd shock give 1 mg epinephrine every 3-5 minutes when do you introduce amiodarone during cardiac arrest? - ANSWER-after the 3rd shock give 300 mg bolus of amiodarone if second dose is needed give 150mg as second dose what rhythms are shockable in cardiac arrest - ANSWER-VF VT what rhythms are not shockable in cardiac arrest - ANSWER-asystole PEA if you are i...

1. Which type of atrioventricular block best describes this rhythm? - ANSWER-C) Second-degree type II 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 i...

You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? - ANSWER-Start chest compressions of at least 100 per min. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now? - ANSWER-Obtaining a 12 lead E...

BEST PLAYLIST I'VE FOUND FOR ALL HEART.ORG ACLS CODES! - ANSWER- This is a good starting point for Jose (big Megacode at end): In which situation does bradycardia require treatment? - ANSWER-Hypotension Which intervention is most appropriate for the treatment of a patient in asystole? - ANSWER-Epinephrine You arrive on the scene with the code team. High-quality CPR is in progress. An AED has previousy advised "no shock indicated." A rhythm check now finds asystole. After resuming...

Define Market Segmentation - ANSWER--maximize resources -tailor to market -more defined market frofile The 1964 Fair Housing protects what? - ANSWER--Race -Color -Religion -National Origin -Sex -Familial Status -Handicap What is the minimum number of required bids? - ANSWER-3 What are the five P's? - ANSWER--Place -Price -Product -People -Promotion What should be the main focus of an effective incentive program? - ANSWER-Job performance True or False: Someone with H...

What are the three keys to good customer service? - ANSWER-• Communication • Attitude • Relationships What is the cost of turnover when a resident leaves a community? - ANSWER-• The cost of turnover is generally more then 1-2 months rent per move out. What are the 5 techniques to building rapport? - ANSWER-• Express a genuine interest in the other person. • Be genuinely friendly • Create physical rapport • Be an active listener • Seek agreement What are the 10 ...