SHARP ESO 2024/ 2025 Questions and Verified Answers| 100% Correct| A Grade (New Update)
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SHARP ESO
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SHARP ESO
SHARP ESO 2024/ 2025 Questions and
Verified Answers| 100% Correct| A Grade
QUESTION
(New Update)
What are the contraindications for non invasive ventilation NIV?
Answer:
1. Respiratory arrest
2. Inability to maintain a pateny airway or clear secretions
3. Risk for aspiration of h...
what are the contraindications for non invasive ve
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SHARP ESO 2024/ 2025 Questions and Verified Answers| 100% Correct| A Grade (New Update ) QUESTION What are the contraindications for non invasive ventilation NIV? Answer: 1. Respiratory arrest 2. Inability to maintain a pateny airway or clear secretions 3. Risk for aspiration of hastric contents (nausea,vomiting, or bowel obstruction) 4. Preexisting pneumothorax without chest tube or pneumomediastinum 5. Epistaxis 6. Recent facial, oral or skull surgery or trauma 7. Encephalopathy/AMS 8. Hypotension due to suspected intravascular volume depletion 9. Unable to tolarate bipap QUESTION STATUS EPELIPTICUS (generalized tonic -clonic movements lasting more than 3 min or recurrent seizures without return of consciousness) Answer: 1. Protect airway, position in lateral decubitus position, protect pt fr injury 2. O2 min 10l/min NRBM 3. Lorazepam (Ativan) 2 mg IVP/IO over 1 min 4. Draw Na, K, glucose, BUN, Cr, and anticonvulsant levels if appropriate QUESTION SEVERE ANAPHYLAXIS (stridor, wheezing, respiratory distress, pallor, cyanosis, or clinical signs of shock) Answer: 1. O2 at min 10L NRBM 2. Epinephrine (1:1000) 0.3mg IM. Repeat in 5 mins. If no clinic improvement 3. If no response and pt still showing signs of shock, give Epinephrine (1:10,000) 0.1mg IVP/IO slowly over 5 mins. 4. (Hydrocortisone) Solucortef 100 mg IVP/IO 5. DIPHENHYDRAMINE (Benadryl) 25mg IVP/IO 6. INFUSE 250 ml LR or NS. Repeat in 5 minutes if no clinical improvement. QUESTION DOCUMENTATION Answer: Will be made by RN performing ESO standardized procedure including: Unstable or life -threatening condition, precipitating factors if any, treatment/medications administered, biphasic defibrillation or joules, pt's response to interventions, and when/which physician was notified. Code blue will be completed for all cardiac and respiratory arrest events. The RRT record will be completed for all RRT events that utilize ESOs. QUESTION How do you order specific treatments for the unstable or life -threatening condition? Answer: It will be ordered electronically in Cerner by the RN as a standardized procedure, or the Code Blue Record will be completed by RN and signed by the physician, then placed in the chart, this acts as an oder sheet QUESTION NARROW COMPLEX TACHYCARDIA (UNSTABLE) narrow QRS <0.12sec Only at SGH Answer: 1. O2 at minimum 10L/min NRBM 2. If ventricular rate is >150bpm, prepare for immediate cardioversion. Perform synchronized biphasic cardioversion starting at 75 Joules with no stacked shocks. 3. If patient is awake and responsive and drugs are immediately available, give midazolam (Versed) 0.5mg IV/IO to a total of 1mg IV/IO to achieve procedural sedation. 4. If patient has S/S of over sedation (decreased LOC, RR <10/min) Romazicon 0.2mg IVP/IO over 15 sec. May repeat in 45 sec based om pt's response, not to exceed 0.6mg. Romazicon is the reversal agent for Versed.
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