Immediate Life Support Course Training Exam Questions With Solved Solutions.
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Course
Sudden Cardiac Arrest
Institution
Sudden Cardiac Arrest
When the EWS is between 1-4 what should happen? - Answer Should have obs done every 4-6 hours and the registered nurse should be informed who must assess the patient.
The registered nurse will decide if increased frequency of monitoring is needed
If the EWS is 3 in a single parameter what...
Immediate Life Support Course Training
Exam Questions With Solved Solutions.
When the EWS is between 1-4 what should happen? - Answer Should have obs done every 4-6 hours
and the registered nurse should be informed who must assess the patient.
The registered nurse will decide if increased frequency of monitoring is needed
If the EWS is 3 in a single parameter what should happen? - Answer Obs should be done hourly.
Registered nurse should inform medical team who should review and decide whether escalation of care
is necessary.
If the EWS is 5-6 what should happen? - Answer Obs should be done hourly
registered nurse should inform medical team caring for the patient
Registered nurse to request a reveiw by a clinician or team with core competencies in the care of acutely
ill patients.
Provide care in an environment with monitoring facilities
If EWS is 7 of more what should happen? - Answer Continuous monitoring required
Emergency assessment by a team with critical care competencies including practitioners with advanced
airway management skills.
Inform medical team caring for patient
Consider transfer to a higher dependency unit
,What are possible causes of airway obstruction? - Answer CNS depression
Blood
Vomitus
Foreign body
Direct trauma to the face
Epiglottitis
Pharyngeal swelling
Laryngospasm
Bronchospasm
Bronchial secretions
Blocked tracheostomy or laryngectomy.
What is the most common cause of sudden cardiac arrest? - Answer An arrhythmia secondary to an
acute coronary syndrome
What is the commonest initial cardiac arrest rhythm? - Answer Ventricular fibrillation
List some causes of ventricular fibrillation - Answer ACS
hypertensive heart disease
valve disease
drugs: antiarrhythmic drugs/TCAs/ digoxin
inherited cardiac diseases (long QT syndrome)
acidosis
abnormal electrolytes
hypothermia
electrocution
Outside of the hospital what is the commonest cause of sudden cardiac death? - Answer Coronary
artery disease
, What are features of syncope that indicate a high probability of arrhythmic syncope? - Answer Syncope
in the supine position
Syncope during or after exercise
Syncope with only brief prodromal symptoms
repeated episodes of unexplained syncope
Syncope in individuals with a family history of sudden death or inherited condition
When should you start CPR? - Answer The patient is unconscious, unresponsive and is not breathing
normally (occasional gasps are not normal and are signs of cardiac arrest)
In an A-E assessment what 3 things are crucial for you to do in A? - Answer 1. Look for airway
obstruction
2. treat the obstruction: suction- manouvres, insertion of an airway.
3. Give oxygen at a high concentration- 15L
What do you need to check in the B of an AtoE assessment? - Answer 1. look listen and feel for resp
distress
2.count resp rate
3. assess the depth of breathing and chest expansion
4. note chest deformity- look for drains
5. get the O2 sats
6. Listen to breath sounds
7. Percuss the chest
8. Auscultate the chest
9. Check the position of the Trachea
10.feel chest wall for surgical emphysema
11. in respiratory failure use the venturi 4L (28%)
12. if depth or rate of breathing inadequate then 2 person bag mask or pocket mask ventilation. Call for
expert help!
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