ESO/EKG Sharp Exam Questions And Answers

ESO/EKG Sharp Exam Questions And Answers ESO for Asystole (aka Ventricular Standstill) - ANS 1. CPR 2min uninterrupted 2. 15L 02 ambu bag 3. Epinephrine 1 mg IVP/IO (use epinephrine 0.1 mg/ml), repeat q 3-5 minutes. Flat line or P wave w/ no QRS's. ESO or bradycardia - ANS 1. 02 10L NRBM pacing wires present, initiate pacing 3.Atropine 0.5mg IVP/IO can repeat 3-5min up to 3mg. 4. transcutaneous pacing asap 5. if ineffective, dopamine 400mg/250ml D5W@5mcg/kg/min. Titrate response up to 20 mcg/kg/min 6. ineffective give epinephrine 2mg/250NS@2mcg/min, titrate response up to 10mcg/min. *Assess adequate intravascular volume/volume status prior to vasoconstrictors. ESO for PEA - ANS 1. CPR 2 min & look for causes H's (hypovolemia, hypoxia, hyper/o -kalemia, hypoglycemia, hypothermia); T's (toxins, tamponade, thrombosis, trauma, tension pneumothorax). 2. O2 15L ambu 3. Epinephrine 1 mg IVP/IO (use epinephrine 0.1 mg/mL), repeat q 3-5 minutes 3. if hypovolemia suspected bolus 250ml NS (LR if already infusing), repeat in 5min if no improvement. 4. Stat CXR ESO for Ventricular Tachycardia (stable wide complex) - ANS 1) call physician for orders 2) O2 4L NC, titrate per status 3) 12 Lead EKG 4) Draw K+ & Mag++ ESO for Vtach (UNSTABLE, wide complex) - ANS 1) O2 10L NC 2) 150 biphasic: synchronized cardioversion for dose listed on defib. If responsive, give Versed (midazolam) 0.5 IVP/IO prior to cardioversion. May repeat x1 to achieve sedation. *Romazicon reversal for midazolam IVP 0.2mg over 15 sec. may repeat in 45sec up to 0.6mg. 3. Draw K+ and Mag++ ESO for VFibb/Pulseless Vtach - ANS No stacked shocks. Cont CPR unless defibbing. Give meds during CPR. Immediate defib if witnessed arrest. 1. CPR 2min or until defib arrives. 2.O2 15L ambu 3.Defib (joules per approved dose) 4. Epinephrine 1mg (use 0.1mg/ml) 5. defib 6. Amiodarone 300mg IVP/IO 7. defib 8. Repeat Epinephrine 8. defib 9. Amiodarone 150mg IVP/IO 10. If rhythm persists: debib, CPR, repeat epi q3-5min. ESO for chest pain - ANS 1) aspirin 325mg if not contraindicated. 2) O2 min 4LNC titrate so sat= or94% 3)NTG is SBP90 and/or MAP60 & HR50, May repeat 3-5minx2. 4)morphine 2mg if SBP90 q5min up to 10mg. 5) if hypotension develops & no pulm congestion suspected, bolus 250NS (or LR if running) & resume tx for chest pain if unrelieved. 6) Stat EKG ESO symptomatic hypotension - ANS 1) O2 10LNRBM 2) if hypovolemia suspected bolus 250NS (or LR if running). Repeat in 5min if needed. 3) if SBP90 dopamine 400mg/250ml D5W