1. 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
... [Show More] action?
Start chest compressions of at least 100 per min.
2. 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?
Obtaining a 12 lead ECG.
3. When you see a suspected asystole or PEA what are the first actions that you
need to take in order to ensure that is the rhythm you see?
increase gain on monitor, check leads to make sure none have fallen off
4. You have completed 2 min of CPR. The ECG monitor displays a rhythm and the
pt. has no pulse. You partner resumes chest compressions and an IV is in place.
What management step is your next priority?
Administer 1mg of epinepherine
5. An AED does not promptly analyze a rhythm. What is your next step?
Begin chest compressions.
6. Which action increases the chance of successful conversion of ventricular
fibrillation?
Providing quality compressions immediately before a defibrillation attempt.
7. What are the 5 H's and 5 T's
5H's: Hypovolemia, Hypoxia, Hydrogen ion, HYpo/Hyperkalemia, Hypothermia
5 T's: Toxins, Tamponade, Tension pneumothorax, thrombosis (coronary or
pulmonary)
8. What is the treatment for Hypothermia
warm saline rapid infuser, bear hugger, increase temp on vent
9. What is the reversal drug for opiates and the dosage
Narcan 0.4-2 mg
10.During a pause in CPR, you see a narrow complex rhythm on the monitor. The
pt. has no pulse. What is the next action?
Resume compressions
11.What is the BEST strategy for performing high-quality CPR on a patient with an
advanced airway in place?Provide continuous chest compressions without pauses and 10 ventilations per
minute.
12.Which action is a component of high-quality chest compressions?
Allowing complete chest recoil
13.What is the reversal drug for benzodiazepiens
Romazincon 0.2 mg, 0.3, then 0.5 till a max dose of 3 mg
14.Three minutes after witnessing a cardiac arrest, one member of your team
inserts an endotracheal tube while another performs continuous chest
compressions. During subsequent ventilation, you notice the presence of a
waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is
the significance of this finding?
Chest compressions may not be effective.
15.What is a good diagnostic tool to determine if a patient is in cardiac tamponade
Echo machine to see if there's fluid
16.For the past 25 minutes, an EMS crew has attempted resuscitation of a patient
who originally presented in ventricular fibrillation. After the first shock, the ECG
screen displayed asystole, which has persisted despite 2 doses of epinephrine, a
fluid bolus, and high-quality CPR. What is your next treatment?
Consider terminating resuscitive efforts after consulting medical control.
17.Which situation BEST describes PEA?
Sinus rhythm without a pulse
18.What are the symptoms of your patient having a tension pneumothorax
tracheal deviation, JVD, difficulty bagging, Low 02 sat
19.During your assessment, your patient suddenly loses consciousness. After
calling for help and determining that the patient is not breathing, you are unsure
whether the patient has a pulse. What is your next action?
Begin chest compressions.
20.What is an advantage of using hands-free defibrillation pads instead of
defibrillation paddles?
Hands-free pads allow for a more rapid defibrillation. [Show Less]