You are caring for a patient with a a. start fibrinolytic therapy ASAP
suspected stroke whose symptoms started
2 hours ago. The CT was normal with no
sign of hemorrhage. The patient does not
have any contraindications to fibrinolytic
therapy. Which treatment is best?
a. start fibrinolytic therapy ASAP
b. hold fibrinolytic therapy for 24 hours
c. order an echo before fibrinolytic
administration
d. wait for MRI result
For STEMI pt, maximum goal time for ED 90 mins
door-to-balloon-inflation time for PCI?
a. 150 mins
b. 180 mins
c. 120 mins
d. 90 mins
Which is the recommended oral dose of 160-325 mg
ASA for a pt w/ suspected ACS?
a. 81 mg
b. 325-650 mg
c. 160-325 mg
d. 40 mg
chest compressions during for adult rate 100-120/min
effect of excessive ventilation decreased cardiac output
a. decresed cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return
1/7
, temperature to achieve targeted 32-36C
temperature management after cardiac
arrest
3 mins into cardiac arrest resuscitation a. chest compression may not be effective
attempt, one member of your team inserts
an endotracheal tube while another
performs chest compressions.
Capnography shows a persistent waveform
& a PETCO2 of 8mmHg. What is the
significance of the finding?
a. chest compression may not be effective
b. The endotrachael tube is in the
esophagus
c. the team is ventilating the patient too
often
d. the patient meets the criteria for
termination of efforts
Your patient is in cardiac arrest and has monitor the patient's PETCO2
been intubated. to assess CPR quality, you
should
In addition to clinical assessment, which is continous waveform capnography
the most reliable method to confirm &
monitor correct placement of an
endotracheal tube?
A 45M had coronary artery stents placed 2 answer has to do with acute coronary syndrome
days ago. Today he is in severe distress and
reporting "crushing" chest discomfort. He is
pale, diphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is
64/40, respiratory is 28 bpm/min and O2
set is 89% on room air.
A 45M had coronary artery stents placed 2 a. chest compression
days ago. Today he is in severe distress and
reporting "crushing" chest discomfort. He is
pale, diphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is
64/40, respiratory is 28 bpm/min and O2
set is 89% on room air. When applied, the
cardiac monitor initially showed ventricular
tachycardia, which then quickly changed to
ventricular fibrillation. What do we do?
a. chest compression
b. vasoactive meds
c. vascular access
d. advanced airway
2/7
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