Exam (elaborations)
Sharp ESO/MOCK|17 Questions and Answers|+ Graded
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- Sharp ESO/MOCK|17 Questions And Answers|+ Graded
Sharp ESO/MOCK|17 Questions and Answers|+ Graded
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Sharp ESO/MOCK|17 Questions andAnswers|+ Graded
If IV access unavailable, what meds can you administer through
endotracheal route? - -Narcan, Atropine, Epinephrine
-What dosage can you administer Narcan, Atropine, Epinephrine through ET
tube? - -2-2 1/2 times the IV dose diluted in 10 mL NS flush
-Tx: Asystole - -CPR for 2 min.
O2 at 15L via Bambu bag,
Epinephrine 1 mg IVP repeat q 3-5 min
-Tx: Bradycardia - -O2 at minimum 10L/min nonrebreather mask, Atropine
0.5 mg IVP/IO, repeat q 3-5 min (max 3mg),
transcutaneous pacing as soon as available
-Dopamine for Bradycardia - -If atropine ineffective, start Dopamine 400
mg/250 mK D5W at 5 mcg/kg/min, titrate up to 20 mcg/kg/min.
If Dopamine ineffective, start epinephrine drip 2 mg/250mL NS at 2 mcg/min,
titrate up to 10 mcg/min
-Pulseless Electrical Activity - -Treat like asystole- CPR for 2 min,
O2 at 15 via ambubag,
Epinephrine 1 mg IVP q 3-5 min,
Stat CXR,
if hypovolemia suspected infuse 250 mL NS
-Stable V Tach - -Call physician for orders,
O2 at min 4L/min NC,
Obtain 12 lead EKG,
Draw serum K and Mg
-Unstable V Tach - -O2 at minimum 10 L/min NRBM. If ventricular rate
>150, Biphasic synchronized cardio version.
If patient awake and responsive, give Versed 0.5 mg IVP prior to cardio
version up to total of 1 mg to achieve sedation.
Romazicon is reversal agent for Versed. Push 0.2 mg IVP
-V Fib and Pulseless V tach - -Provide continuous CPR unless defibrillating.
Give meds during CPR.
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