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Cardiac Fisdap: Ricky Review questions with correct answers
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Cardiac Fisdap: Ricky Review questions with correct answers
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Cardiac Fisdap: Ricky Review questions with correctanswers
Wide complex rhythm at 36 bpm. Where does it originate? Correct
Answer-a. Purkinje fibers
Athletic male. No stress whatsoever. EKG showing brady rhythm
(around 58 bpm). What should you do? Correct Answer-a. Nothing
Person in cardiac arrest. Monitor shows complex alternating between up
and down. What is it? Correct Answer-a. Torsades de Pointes
--Instructor's Note: common complex in alcoholics, pregnant PTs, and
malnourished PTs. Treat with magnesium sulfate
Aspirin dosage for chest pain PT Correct Answer-a. 160-325mg
V1 lead placement Correct Answer-4th intercostal space, right of
sternum
Beta-blocker overdose (medication name ends with -lol). Falling HR and
BP. Treatment? Correct Answer-a. Glucagon
--Instructor's Note: Glucagon helps push potassium back into the cells.
Stabilizes HR and raises BP.
Crushing chest pain. 12-lead shows ST elevation in II, III, and aVF.
What should you do Correct Answer-a. O2, baby aspirin, right-sided
EKG.
, --Instructor's Note: Inferior STEMI. 90% of inferior wall MIs also have
right ventricular infarction. In this case, withhold nitro, pain medication,
and give fluid bolus.
Female PT in cardiac arrest. Defibrillated 4 times. ET tube in place. End
tidal CO2 suddenly increases. What do you have? What will you?
Correct Answer-a. ROSC. Finish CPR for 2-minute cycle. Check pulse
after
V3 and V4 look at what? Correct Answer-Anterior wall
How does reducing preload affect someone with pulmonary edema?
Correct Answer-a. Leads to left sided heart failure, drowns the lungs in
fluid
-- Pulmonary edema equals left side heart failure
Chest pain in female PT. Internal defibrillator fires. Monitor shows a
rhythm. What should you do? Correct Answer-a. Obtain 12 lead and
transport
What is a delta wave? Correct Answer-a. Slurred upstroke with a short
PR
--Instructor's Note: Can't give adenosine due to AV block. Accessory
pathways will fire only to ventricle and double HR and decrease cardiac
output. Give amiodarone drip instead
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