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Which of the following does not predispose the patient to digitalis toxicity? Hyponatremia. Remember that potassium, calcium, and magnesium affect cardiac contractility, Which single lead is the most valuable for the diagnosis of ventricular tachycardia? V1 Cardio Sites of MIs Inferior MI - Right Coronary (RC), associated with papillarymuscle ruputure Indicative Changes: II, III, aVFReciprocal Changes: I, AVL Anterior MI - Left Anterior Descending (LAD), associated with ventricular ...

owing statements would reflect that the patient does not understand the long term effects of liver failure? A. “If I stop drinking, my liver will get better.” B. “I need to monitor and limit my salt intake.” C. “It is important that I get more rest.” D. “My skin might become more yellow and change in color.” EXPLANATION Answer: A - The statement that reflects that the patient does not understand the long term effects of liver failure is the statement, “If I stop drinkin...

Define the term deformation (correct answers)abnormality caused by unusual mechanical forces on normal tissue. A low birth weight infant's temperature increases during skin-to-skin care. This is an example of heat transfer by (correct answers)conduction. At the onset of labor the release of catecholamines stimulates (correct answers)increased absorption of lung fluid. An edematous, bruised lesion on the right anterior scalp where the vacuum was applied. This lesion has clearly demarcate...

Which vessel is used as a graft when the minimally invasive direct coronary artery bypass grafting (MIDCABG) procedure is performed? Answer: The internal thoracic (also called the internal mammary) artery is used for a MIDCABG. Which drug has Class II and Class III properties? Answer: Sotalol has both Class II (i.e., β blockade) and Class III (i.e., potassium blockade) effects. Which of the following is a diagnostic finding in hypovolemic shock caused by severe diarrhea? Answer: The patie...

A 62-year-old man is admitted with chest pain. His electrocardiogram reveals ST segment elevation and T wave inversion in leads V1 to V4. Aspirin has been given, and morphine titration and nitroglycerin infusion are used to relieve his chest pain. The patient suddenly develops a loud holosystolic murmur at the lower left sternal border, chest pain, and hypotension 5 days after his myocardial infarction. A pulmonary artery catheter is inserted. Which of the following parameters would be note...

49 year old male with inferior wal MI resulting from 100% occlusion of the RCA. The 12 lead reveals ST elevation in leads II, III, aVF. Where would you see reciprocal changes? - ANS-I, aVL RCA perfuses inferior wall and reciprocal changes would be seen in high lateral wall which is reflected in I and aVL. 46 yo w: pneumonia and sepsis. Treated with 4 days of abs and fluids. Increasingly SOB and now 100% via non-rebreather. ABG 7.20, paCO2 68, PaO2 102, HCO3 28. Bilateral infiltrates. Pt i...

A 5-year-old child with a history of a chronic neuromuscular disease is experiencing respiratory distress. The child is breathing spontaneously and receiving supplemental oxygen. Which additional intervention is a critical component of airway management for this patient? - Correct answer-Airway clearance (e.g., suctioning) A child being cared for in the pediatric telemetry unit suddenly displays the following ECG waveform. The provider prepares to intervene because the child is demonstratin...

Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic, tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of oxygen delivery? - ANSWER Lactate A provider is forming an initial impression of a child using the Pediatric Assessment Triangle (PAT). During which step of the PAT may the provider use the mnemonic TICLS to assess the patient? - ANSWER Appearance A child being cared for in the pediatric telemetry unit s...

A 7-year-old child in cardiac arrest is transported to the pediatric emergency department via emergency medical services. You understand the most common cause of cardiac arrest in children and infants is: Correct ans - Respiratory Failure During your primary assessment of an 8-year-old patient, you suspect the child is experiencing respiratory failure. Which findings would you likely note? Correct ans - Respiratory rate-10/min Diminished Breath sounds Oxygen saturation of 88% In which cl...

A 4-month old infant is brought to the emergency department in cardiac arrest. Which condition would the team identify as the most common cause of cardiac arrest in an infant of this age? - answersudden infant death syndrome is the most common cause in infants younger than 6 months of age. The PALS resuscitation team is providing care to an intubated child in cardiac arrest. Which result best determines the adequacy of the team's chest compressions? - answerEnd-tidal carbon dioxide level ...

A 2-year-old child arrives at the emergency department with the parents. The child is unresponsive, is not breathing and has no pulse. Two emergency department providers begin high-quality CPR. Which action(s) by the providers demonstrates high-quality CPR? - Compressing the chest about 2 inches Providing ventilations that last about 1 second each Giving 2 ventilations to every 15 compressions Allowing the chest to recoil fully after each compression A 2-year-old child is brought to the p...

1. A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency department by her parents. During your assessment, you find that the infant responds only to painful stimulation. The infant has good bilateral breath sounds, cool extremities, and a capillary refill time of more than 5 seconds. The infant's blood pressure is 85/65 mmHg and glucose is 30 mg/dL. You administer 100% oxygen via face mask and start an IV. Which treatment is the most appropriate ...

As the only lifeguard performing CPR on a & year old child, you would perform cycles of: - ANSWER 30 chest compressions and 2 ventilations Which of the following would you identify as the universal sign that a conscious person is choking? - ANSWER Clutching the throat The patron asks, "Should we move them to the first aid room?" What should you do next? - ANSWER Tell the patron the victim should not be moved since there is no immediate danger. How can you best protect yourself from poss...

A 12-year-old child being evaluated in the pediatric intensive care unit displays the following ECG waveform. The team interprets this as which arrhythmia? Ans - second degree Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic, tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of oxygen delivery? Ans - Lactate A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory...

atrioventricular node - Answer- AV Automated External Defibrillator - Answer- AED Bag-valve Mask resuscitator - Answer- BVM body substance isolation - Answer- BSI cardiopulmonary resuscitation - Answer- CPR Communicate proper info/warnings Recognize some one in need of care Attempt to rescue Provide emergency care at your level of training. - Answer- CRAP electrocardiogram - Answer- ECG Emergency Action Plan - Answer- EAP 1 Early recognition and access 2 Early CPR 3 Early defibrilla...

What is the find model stand for - Answer- F-figure out the problem I-identify possible solutions N-name the pros and cons D-decide which is best, and act what are some possible topics in in-service training - Answer- -servaillence and recognition -water and land rescue skills -emergency response skills -decision making protocall -facility rules -customer service -records and papers -physical conditioning what's the purpose if the FIND model - Answer- for decision making SDS - Ans...

PR Should be performed on a victim who is... - Answer In Cardiac Arrest or unconscious with an obstructed airway. After an AED says "No Shock Advised," it is best to... - Answer Perform CPR for about 2 minutes. When giving chest compressions to an adult, how do you position your hands? - Answer Heel of one hand on the center of the chest with the other hand on top. Once you have turned on the AED, you should... - Answer Apply the pads and allow the AED to analyze the heart rhythm. When...

You are caring for a child who was resuscitated after a drowning event. The child is intubated and ventilated with 100% oxygen with equal breath sounds and exhaled CO2 detected. The heart rate is slow and the monitor shows sinus bradycardia. The skin is cool, mottled, and moist; distal pulses are not palpable and the central pulses are weak. Intravenous access has been established. The core temperature is 37.3oC. Based on the PALS bradycardia algorithm, which of the following should be prov...

Guidelines for effective scanning include... - Answer- scanning your zone, staying focused, maintaining active posture, searching the entire volume of water and moving your head and eyes. How long does it take for brain damage, or even death, to occur once a victim is drowning? - Answer- 4-6 minutes How long does it take for cardiac arrest to occur once a victim is drowning? - Answer- 3 minutes How long does you lifeguard certification last? - Answer- 2 years When asking for consent, sta...

Parents of a 1-year-old female phoned EMS when they picked up their daughter from the babysitter. Paramedics perform an initial impression revealing an obtunded infant with irregular breathing, bruises over the abdomen, abdominal distension, and cyanosis. Assisted bag-mask ventilation with 100% oxygen is initiated. On primary assessment heart rate is 36/min, peripheral pulses cannot be palpated, and central pulses are barely palpable. Cardiac monitor shows sinus bradycardia. Chest compressi...