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Sharp ESO Latest Update Questions and 100% Verified Correct Answers Guaranteed A+
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Sharp ESO Latest Update Questions and 100% Verified Correct Answers Guaranteed A+
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Sharp ESO Latest Update 2024 -2025 120 Questions and 100% Verified Correct Answers Guaranteed A+ 3 types of Ventricular Tachycardia: - CORRECT ANSWER: 1. Stable 2. Unstable 3. Pulseless antecubital vein - CORRECT ANSWER: First target for IV access if a central line is not present Asystole - CORRECT ANSWER: i. CPR (2 min.) ii. O2 at 15 L/min. ambu bag iii. Epinephrine 1 mg IVP/IO (use epinephrine 0.1 mg/ml), repeat every 3 -5 minutes iv. Repeat CPR and epinephrine administration if no signs of ROSC Asystole treatment - CORRECT ANSWER: Asystole represents total absence of ventricular activity/contraction. There is no pulse associated with this rhythm. Initiate CPR immedicately. a. CPR for 2 minutes b. O2 at 15ml/min. ambu bag (10 breaths per minute) c. Epinephrine 1mg IVP/IO (Use Epinephrine 0.1mg/ml) repeat every 3 -5 minutes d. Repeat CPR and Epinephrine administrations if not signs of ROSC -NO defibrillation -Transcutaneous pacing for asystole is not recommended as it is ineffective Asystole treatment - CORRECT ANSWER: i. CPR (2 min.) ii. O2 at 15 L/min. ambu bag iii. Epinephrine 1 mg IVP/IO (use epinephrine 0.1 mg/ml), repeat q 3 -5 minutes iv. Repeat CPR and Epinephrine administration if no signs of ROSC Availability of medications required for ESOs: - CORRECT ANSWER: Medications that are part of an ESO must be readily available for administration to the patient Bradycardia unstable (Heart Rate less than 50bpm) - CORRECT ANSWER: i. O2 at minimum 10L/min. non -rebreather mask ii. If transvenous leads or epicardia pacing wires present, connect to a pulse generator and initiate pacing per protocol. If no response, perform the following: iii. Atropine 1mg IVP/IO, repeat every 3 -5 minutes (max 3 mg) iv. Transcutaneous pacing as soon as possible. v. If above algorithm is ineffective, start dopamine 400mg/250ml D5W infusion at 5mcg/kg/minute. Titrate to patient response up to 20mcg/kg/minute. vi. If above is ineffective, start epinephrine 2mg/250ml NS at 2mcg/min., titrate to patient reponse up to 10mcg/minute NOTE: Assess patient for adequate intravascular volume and volume status when using vasoconstrictors.) Bradycardia -Unstable (includes heart blocks) - CORRECT ANSWER: 1. Bradycardia is defined as heart rate less than 50 beats per minute. This rhythm is too slow to maintain an adequate blood pressure. 2. The patient must be symptomatic, exhibiting one or more of the "unstable" signs/symptoms related to the slow rate. 3. Bradycardias range from sinus bradycardia to complete, third degree heart block. Chest Pain - CORRECT ANSWER: i. O2 start at minimum 4L/min. NC and titrate to maintain SPO2 greater than or equal to 94%. ii. Nitroglycerin 0.4mg sublingual if SBP greater than or equal to 90 mmHg and HR greater than 50. May repeat every 3 -5 minutes x2. iii. Morphine sulfate 2mg IVP/IO, if SBP greater than or equal to 90 mmHg every 5 minutes up to a total of 10mg. iv. Give aspirin 325 mg non -enteric coated, chewed or crushed. If not contraindicated and no dose give on this date. v. If hypotension develops and no evidence of pulmonary congestion, give 250ml NS IV/IO (may be substituted with LR if currently infusing) and resume treatment for chest pain if not relieved. vi. 12 lead EKG Chest pain - CORRECT ANSWER: The most common presentation of an acute coronary syndrome (ex: unstable angina; non -Q wave MI; Q -wave MI Chest pain suggestive of ischemia may be described as: - CORRECT ANSWER: a. Uncomfortable pressure, fullness, squeezing, or pain in the center of the chest lasting several minutes (usually more than 15 minutes) b. Pain spreading to the shoulders, neck, arms, jaw; or pain in the back or between the shoulder blades c. Chest discomfort with light -headedness, fainting, sweating, nausea, or shortness of breath d. A global feeling of distress, anxiety or impending doom It is important to respond immediately when symptoms of myocardial ischemia are present. A high priority is to provide pain relief. Circumstance under which an ESO Competent RN may perform ESO standarized procedures: - CORRECT ANSWER: Emergency standing orders will be initiated by ESO competency -validated RNs in the absense of a physician. Coarse and fine V Fib - CORRECT ANSWER: Used to describe the amplitude of the rhythm Coarse VFib - CORRECT ANSWER: Usually indicates a recent onset of V -Fib that may be corrected with immediate defibrillation Comatose Adult - CORRECT ANSWER: No eye opening to pain and no purposeful motor responseThe benefits of buying summaries with Stuvia:
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