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21 Cards in this Set
- Front
- Back
A 52 year woman with a history of hypertension and type II diabetes presents to the ER complaining of chest pain for the past hour, radiating into her jaw. She complains of shortness of breath. The patient is placed on a cardiac monitor. Evaluation: * Skin: clammy and diaphoretic* CV: regular rate and rhythm without audible murmurs, rub or gallop * CNS: alert and oriented x 4, but appears uncomfortable and anxious. 1. Identify the rhythm: |
NSR with pvc unifocal
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Your immediate intervention is: |
obtain 12 leak ekg |
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While you are starting the IV, the patient vomits and collapses. The monitor reveals this rhythm: |
begin cpr |
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After shocking the patient with 120 Joules utilizing a biphasic monitor, you should next: |
give cpr
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After repeating CPR, the monitor continues to show v-fib. What is your next intervention? |
shock at 120-200j
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The dosage of 120-200 J is given by the defibrillator preferred by the AHA. This type of defibrillator is: |
biphasic
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In ACLS, what action immediately follows each shock? |
CPR |
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Your next consideration after CPR, in light of the continuing v-fib on the monitor, should now be: |
epinephrine 1 mg IV |
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You have given 1 mg epinephrine IV. How often can you repeat this dose? |
every 3-5 min
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What other medication can replace the first dose of epinephrine? |
vasopressin 40 units
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After giving the epinephrine, what is your next intervention? |
continue CPR |
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After completing administration of epinephrine and the 5 cycles of CPR, what is your next intervention? |
check rhythm |
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The patient remains pulseless, but now has the following rhythm: What is your next intervention? |
shock
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The patient remains in pulseless v-tach after a shock of 200 J. You should: |
consider amiodarone
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You have given one dose of amiodarone during this code. You are ready to give another dose. What is the correct dosage? |
150 mg |
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After repeating amiodarone and completing 5 cycles of CPR, you see the following rhythm: |
5 cycles of CPR
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You have successfully intubated your patient. There was minimal interruption in CPR. You gave 1 mg. epinephrine during intubation. The rhythm strip is below: What is the rhythm? |
ventricular fibrillation
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What is your next action? |
shock |
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The patient has return of spontaneous circulation, with a blood pressure of 90/60, with no spontaneous breathing. The patient is hooked to the ventilator. The rhythm strip reveals: |
amiodarone infusion
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Identify the rhythm: |
first degree AV block
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