Certified Emergency Nurse-(CEN) Test| Questions
with 100% Correct Verified Answers
Calcium channel blockers are used to - ANSWER treat hypertension and dysrhythmias,
restrict the regular flow of calcium into the heart and blood vessels, reduce the workload of
the heart and oxygenation need
Commonly used calcium channel blockers are - ANSWER amlodipine, diltiazem, felodipine,
verapamil
Vasopressors are used to - ANSWER treat hypotension, cause constriction of blood
vessels, increase MAP
Commonly used vasopressors are - ANSWER epinephrine, dobutamine, dopamine,
norepinephrine
Do not use diuretics in patients with - ANSWER kidney failure, dehydration, pregnancy,
hypotension, gout, hypokalemia
NSTEMI includes ST depression which reflects - ANSWER ischemia resulting from a partial
blockage of the coronary artery
STEMI indicates - ANSWER complete occlusion of a coronary artery
, STEMI EKG findings - ANSWER ST elevation of 1mm in 2 or more leads, or a new left bundle
branch block
Medications contraindicated during the acute phase of an MI (STEMI) include - ANSWER NSAIDs
An aortic dissection is - ANSWER a tear in the innermost layer of the aorta allowing blood to
enter the aortic media and causing reduced blood flow through the vessels
Aortic dissection signs and symptoms - ANSWER acute onset of severe sharp, ripping, or
tearing pain in the chest and/or abdomen; blood pressure difference of 20 mmHg between left
and right arms; weak, unequal pulses; anxiety; deviated trachea
Epinephrine dose during cardiac arrest - ANSWER 1 mg every 3 to 5 minutes
Amiodarone and lidocaine are the 2 anti-dysrhythmics preferred for - ANSWER shock-refractory
V-fib or pulseless V-tach
V-fib treatment - ANSWER CPR, defibrillation
For shock-refractory V-fib (V-fib that is unresponsive to shocks) - ANSWER Administer
amiodarone
V-tach with pulse treatment - ANSWER amiodarone
Supraventricular tachycardia is - ANSWER an umbrella term for rhythms that are more than
150 bpm because the heart is beating so fast it is impossible to determine the actual underlying
rhythm.
Treatment for stable supraventricular tachycardia - ANSWER vagal maneuver, adenosine
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