Sharp ESO Exam Questions and Answers

Sharp ESO Exam Questions and Answers End Tidal CO2 - Answer ️️ -the maximum CO2 concentration at the end of each tidal breath, which can be used to assess disease severity and response to treatment. Reflects cardiac output during CPR. Can be used to measure the effectiveness of cardiac compressions and assessment of return of spontaneous circulation (ROSC) after cardiac event ROSC - Answer ️️ -Return of spontaneous circulation is established with the presence of palpable pulse, blood pressure, abrupt sustained increase in end tidal CO2 (typically 40mmHg) after cardiac arrest therapeutic hypothermia - Answer ️️ -Core temperature 32-36 C (89.6-96.8 F) joules for defibrillation - Answer ️️ -Defibrillation Joules: 200 joules joules for cardioversion - Answer ️️ -Cardioversion joules: 200 joules Physicians may order for conditions not covered in ESO policy For the patient not following commands after 120 minutes of ROSC - Answer ️️ -Consider initiation of therapeutic hypothermia Treatment of pulseless arrests - Answer ️️ -Provide 2 minutes of CPR-avoiding interruptions in compressions Asystole treatment - 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 Unstable Bradycardia - Answer ️️ -i. O2 at minimum 10 L/min. NRBM ii. If transvenous leads or epicardial pacing wires present, connect to a pulse generator and initiate pacing per protocol. If no response, perform the following: iii. Atropine 1 mg IVP/IO, repeat q 3-5 minutes max 3 mg iv. Transcutaneous pacing as soon as possible If above algorithm is ineffective: v. Start dopamine 400 mg/250 ml D5W infusion at 5 mcg/kg/minute. Titrate to patient response up to 20mcg/kg/minute