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Sharp Memorial ESO Exam Latest Update Questions and 100% Verified Correct Answers Guaranteed A+
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Sharp Memorial ESO Exam Latest Update 2024 -2025 Questions and 100% Verified Correct Answers Guaranteed A+ Asystole - CORRECT ANSWER: 1. CPR (2 mins) 2. O2 at 15 L/min ambu bag 3. Epinephrine 1 mg IVP/IO (Use Epinephrine 0.1 mg/1ml) Repeat 3 -5 mins Bradycardia - Unstable - CORRECT ANSWER: 1. O2 at minimum 10 L/min NRBM 2. If transvenous leads or epicardial pacing wires present, connect to a pulse generator and initiate pacing per protocol. 3. Atropine 0.5 mg IVP/IO, repeat q3 -5 minutes (max 3mg) 4. Transcutaneous pacing as soon as available. 5. If above algorithm is ineffective, start Dopamine 400 mg/250ml D5W infusion at 5 mcg/kg/min. Titrate to patient response up to 20 mcg/kg/min. 6. If above algorithm is ineffective, start epinephrine 2 mg/250mL NS at 2 mcg/min, titrate to patient response up to 10 mcg/min. (Note: Assess patient for adequate intravascular volume and volume status when using vasoconstrictors) Chest Pain - CORRECT ANSWER: 1. Give aspirin 325 mg non -enteric coasted, chewed or crushed, if not contraindicated and nodose on this date. 2. O2 start at minimum 4 L/min and titrate to maintain SpO2 greater than or equal to 94%. 3. NTG 0.4 mg SL if SBP greater than or equal to 90 mmHg and/or MAP 60 mmHG and HR greater than 50. May repeat every 3 -5 minutes x2. 4. Morphine sulfate 2 mg IVP/IO. If SBP greater than or equal to 90 mmHg q5minutes up to a total of 10 mg. 5. If hypotension develops and no evidence of pulmonary congestion, give 250 ml NS IV/IO (may substituted with LR if currently infusing) and resume treatment for chest pain if not relieved. 6. 12 lead EKG For immediate Post Anesthesia Patients: (This is only administered by PACU nurse) - CORRECT ANSWER: 1. O2 at minimum 10 L/min NRBM 2. Infuse 250 mL NS (may be substituted with LR if currently infusing). Repeat in 5 minutes if no clinical improvement. 3. If fluid bolus ineffective, Ephedrine 5mg/IVP/IO 4. If no improvement within 3 minutes, repeat Epherdine at 10 mg IVP/IO. 5. In the presence of obvious blood loss draw stat H/H and Type & Cross 2 unites of PRBCs. Hypotension: Symptomatic - CORRECT ANSWER: 1. O2 at minimum 10 L/min NRBM 2. If hypovolemia known or suspected, infuse 250 ml NS (may be substituted with LR if currently infusing). Repeat in 5 minutes if no clinical improvement. 3. If SPB less than 90 mmHg, start dopamine 400mg/250mL D5W infuse at 5 mcg/kg/minutes. Titrate until SBP greater than or equal to 90 mmHg and /or MAP greater than 60 mmHg or up to 20 mcg/kg/min. 4. In the presence of obvious blood loss draw stat H/H and Type & Cross 2 units of pRBCs. 5. If suspecting Sepsis, follow SUSPECTED SEPSIS algorithm. Increased Intracranial Pressure - CORRECT ANSWER: In the neurologically impaired patient with dilated pupil associated with other signs of impending herniation (Note: implement only in the absence of specific ICP order) 1. Raise HOB to at least 30 degrees if patient is not hypotensive; place patient's head in midline position. 2. Hyperventilate the intubated patient with FiO2 100% to maintain pCO2 30 -35 mmHg 3. Mannitol 20% (100gm/500mL) rapid IVP/IO using a filter (if filter is readily available) 4. Draw baseline serum K, Na, BUN, Cr, Glucose, and ABG. 5. Insert urinary catheter. Possible Cause of PEA - CORRECT ANSWER: 1. Hypovolemia 2. Hypoxia 3. Hydrogen ion (Acid) 4. Hypo/Hyperkalemia 5. Hypoglycemia 6. Hypothermia 7. Tamponade 8. Toxins 9. Thrombosis 10. Trauma 11. Tension Pneumothorax Pulseless Electrical Activities (PEA) - CORRECT ANSWER: 1. CPR (2 min) and assess for possible causes*. 2. O2 at 15 L/min ambu bag 3. Epinephrine 1 mg IVP/IO (use 0.1mg/ml), repeat q 3 -5 minutes. 4. If hypovolemia known or suspected, infuse 250 mL NS (may be substitute with LR if currently infusing). Repeat in 5 minutes if no clinical improvement. 5. Stat CXR. Respiratory Depression: associated with prior narcotic or benzodiazepine administration - CORRECT ANSWER: 1. O2 at minimum 10L/min NRBM 2. Narcotic -associated respiratory depression Administer Naloxone (Narcan) as follow (maximum dose of 0.4 mg): A: Apnea: 0.4 mg IVP/IO once B: RR less than 10: 0.1mg IVP/IO every 1 minute, may repeat x3 3. For benzodiazepine -associated respiratory depression (apnea to RR less than 10), administer flumazenil (Romazicon) 0.2 mg IVP/IO over 15 seconds. May repeat in 45 seconds based on patient's response, not to exceed 0.6 mg.
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