A pt with STEMI has ongoing chest dicomfort. Heparin 4000 devices IV bolus and heparin
infusion of one thousand units/hr are being administered. The pt did now not take ASA because
he has a hx of gastritis, which become tx five years ago. What is the following movement?
A. Give ASA one hundred sixty to 325 mg to chew
B. Give clopidogrel three hundred mg PO
C. Give enteric-lined ASA 75 mg PO
D. Give enteric-covered ASA 325 mg rectally - ANSA. Give ASA one hundred sixty to 325 mg to
chunk
A pt is in pulseless ventricular tachycardia. 2 shocks and 1 dose of epinephrine were given.
Which drug ought to be given subsequent?
A. Adenosine 6 mg
B. Amiodarone 300 mg
C. Epinephrine 3 mg
D. Lidocaine 0.Five mg/kg - ANSB. Amiodarone three hundred mg
A pt is in cardiac arrest. V fib has been refractory to an initial shock. If no pathway for medicinal
drug management is in location, which technique is favored
A. Central line
B. Endotracheal tube
C. External Jugular vein
D. IV or IO - ANSD. IV or IO
What is the indicatio for using Mg in cardiac arrest?
A. V tach associated with a everyday QT c program languageperiod
B. Surprise-refractory monomorphic v tach
C. Pulseless v tach-related torsades de pointes
D. Shock-refractory v fib - ANSC. Pulseless v tach-associated torsades de pointes
You arrive at the scene with the code crew. CRP is in progess. An AED formerly suggested "no
shock indicated." A rhythm chec now unearths asystole. After resuming compressions, which
movement do you're taking next?
A. Call for a pulse take a look at
B. Set up IV or IO get admission to
C. Insert a laryneal airway
, D. Perform endotracheal intubation - ANSB. Set up IV or IO get admission to
A pt is in cardiac arrest. V fib has been refractory to a 2nd shock. Which drug must be
administered first?
A. Atropine 1 mg IV/IO
B. Epinephrine 1 mg IV/IO
C. Lidocaine 1 mg/kg IV/IO
D. Sodium bicarbonate 50 mEq IV/IO - ANSB. Epinephrine 1 mg IV/IO
A pt with sinus bradycardia and a HR of forty two/min has diaphoresis and a BP of eighty/60
mg. What is the initial dose of atropine?
A. 0.1 mg
B. Zero.5 mg
C. 1 mg
D. Three mg - ANSB. 0.5 mg
A pt is in refractory V fib. CRP is in progess. One dose of epinephrine changed into given after
the second one shock. An antiarrhythimic drug turned into given immediate after the thirst
surprise. You are the crew leader. Which med do you order subsequent?
A. Epinephrine 1 mg
B. Epinephrine 3 mg
C. Sodium bicarbonate 50 mEq
D. A second dose of the antiarrhythmic drug - ANSA. Epinephrine 1 mg
A monitored pt inside the ICU developed a sudden onset of slender-complicated tachycardia at
220/min. The pt BP is 128/fifty eight. The PETCO2 is 38 mm Hg, and the puse Ox is 98%. There
is a vascular get right of entry to within the L arm, and the pt has no longer been given any
vasoactive tablets. An ECG confirms supraventricular tachycardia and not using a proof of
ischemia or infarction. The HR has not responsed to vagal maneuvers. What is the following
movement?
A. Administer adenosine 6 mg IV push
B. Administer amiodarone three hundred mg IV push
C. Perform synchronized cardioversion at 50 J
D. Perform synchronized cardioversion at 2 hundred J - ANSA. Administer adenosine 6 mg IV
push
A pt has a fast abnormal extensive-complicated tachycardia. The ventricular charge is 138/min.
He is asx with a BP of one hundred ten/70. PMHx of angina. What movement is recommended
subsequent?
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