Your first practice test of every set is on us
Name: Score:
122 Mul tiple choic e questions
Term
What are the adverse features alongside tachycardia which would warrant a DC shock ?
Ii, Iii, Avf (rca Or Circumfl ex)
Apex Of R Ventricl e.
As Per Usual A-e.
Sync ope
Shock
MI
HF1 of 122
Term
What is the - call to balloon time - in context of ACS and ho w long is it?
Thrombo sis, Tamponade , Tension Pneumothor ax, Toxins
In the 2 minut es after the 3rd shock
x < 120 mins.
Time to get ACS patient to PCI.
Consider verapamil 2.5-5mg IV over 2 mins2 of 122 Term
What happens if a DC shock is not synchr onised ?
Leads to impr oved oxygen sa turation.
Results in incr eased blood pressure.
If falls on the T wave can lead to VF.
It can cause the he art to skip a beat.3 of 122
Term
How to mana ge se vere local anaesthetic toxicity ?
Normal , St change s (depr ession ), non specific abnormal ities (T wave inversion).
IV bolus of 20% l ipid emul sion. 1.5ml/k g over 1 min.
IV infusion of 20% l ipid emul sion at 15ml/k g/hr. (Can doubl e rate after 5 mins )
Max of 3 bolus. 5 mins between bol us.
Do not exceed ma x dose of 12mg/k g per pt.
ST depr ession in anterior chest leads (V1-V4). Dominant R wave in V1/V2 reflects posterior
Q wave development .
RCA occlusion commonl y. Dominant circumfl ex artery lesion.
One which pr oduces a urine output of 1 mL-1kg-1h-1 and normal or decr easing pl asma
lactate values4 of 122 Term
If the initial rhythm is VT/pVT you shoul d...(related to shocks )
Give three quick successive (stacked) shock s
These are consider ed as the first shock in the ALS algorithm.
No. Adrenaline is only given after the 3rd shock in VF. If ROSC is achieved be fore this
adrenaline will not be r equired.
True: Hyperinfl ation incr eases thoracic impe danc e. Higher ener gies shoul d be consider ed
if the first shock fails.
AF likely - Bbl ockers and if in he art failure consider digo xin for rate control. amio darone for
rhythm control.5 of 122
Term
During CPR how often shoul d adrenaline be given?
1-2 mins
3-5 mins
15-20 mins
every 2 mins6 of 122
Term
Wher e shoul d electrodes for 3 lead monit oring be attached over?
Muscle
Liver
Cartilage
Bone7 of 122 Term
What does RSVP stand for?
Reason
Story
Vital Signs
Plan
Thrombo sis, Tamponade , Tension Pneumothor ax, Toxins
Situa tion B ackground Assessment Recommenda tion
NO. Only in VF or PVT arrest.8 of 122
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