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You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT was normal with no sign of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy. Which treatment is best? a. start fibrinolytic therapy ASAP b. hold fibrinolytic therapy for 24 hours c. order an echo before fibrinolytic administration d. wait for MRI result a. start fibrinolytic therapy ASAP For STEMI pt, maximum goal time for ED door-to-balloon-inflation tim...

Within the first 10 minutes, on the basis of the patient showing symptoms suggestive of myocardial ischemia, what will your first actions include (if not completed by EMS before arrival)? o Obtain a 12-lead electrocardiogram (ECG) o Administer a blood thinner o Administer aspirin and establish IV access o Activate the ST-segment elevation myocardial infarction (STEMI) team o If SPO2 is less than 90%, start oxygen o Assess airway, breathing, and circulation (ABCs) o Administer epinephrine ...

Ventricular Tachycardia A patient is being treated in the emergency department and is determined to have NSTE-ACS. Invasive management is planned based on which finding? - Ventricular Tachycardia - Atrial Fibrillation - Ventricular Fibrillation - Atrial Tachycardia On the lower RIGHT abdomen A healthcare provider is establishing cardiac monitoring using a five-electrode system. The healthcare provider demonstrates proper use of the system by placing the green electrode in...

When performing CPR on an unresponsive choking victim what modification should you incorporate? Each time you open the airway look for the obstructing object Members of the team know their boundaries and ask for help before the resuscitation attempt worsens. Match this statement with the most appropriate element of team dynamics listed. Knowing your limitations Rapid defibrillation is a link in the adult Chain of Survival. Why is this important to survival? It eliminates the abn...

A 12-year-old child being evaluated in the pediatric intensive care unit displays the following ECG waveform. The team interprets this as which arrhythmia? second degree Laboratory tests are ordered for a child who has been vomiting for 3 days and is diaphoretic, tachypneic, lethargic and pale. Which test would the provider use to determine the adequacy of oxygen delivery? Lactate A 9-year-old patient is presenting with decreased breath sounds, bradycardia, slowed respiratory...

Start CPR, beginning with? Compression rate? Where is hand placement? Compression depth? Chest compression. 100-120 compressions/minute. Mid-nipple line and lower half of breastbone. 2 inches to 2.4 inches depth What to do before approaching a patient? Start CPR after confirming that a patient has what? How long does it take to confirm a pulse or no pulse? Which type of sound is not considered a normal breathing pattern? Which type of sound is a sign of card...

Sudden cardiac arrest in an adult is MOST LIKELY caused by Ventricular fibrillation The "chain of survival" is used: To describe the most effective approach for treating sudden cardiac arrest The links in the "chain of survival" in children is slightly different than for adults and includes: Prevention, early CPR, early activation of EMS, early pediatric advanced life support, and integrated post-cardiac arrest care. A roofer was electrocuted when his aluminum ladder ...

A 48-year-old man became unresponsive shortly after presenting to you with nausea and generalized chest discomfort. You observe gasping breathing and are unsure if you feel a pulse. You should know: A. Call for help and begin chest compressions. B. Wait until breathing stops and then check again for a pulse. C. Begin chest compressions only if you are certain a pulse is absent. D. Observe the patient for 2 minutes, then reassess his breathing and pulse. A. Call for help and begin chest comp...

You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT was normal with no sign of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy. Which treatment is best? a. start fibrinolytic therapy ASAP b. hold fibrinolytic therapy for 24 hours c. order an echo before fibrinolytic administration d. wait for MRI result a. start fibrinolytic therapy ASAP For STEMI pt, maximum goal time for ED door-to-balloon-inflation tim...

A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag-valve-mask (BVM) resuscitator. The development of which condition during the provision of care would lead the team to suspect that improper BVM technique is being used? Select the correct answer to this question. Rib fracture Esophageal injury Pneumothorax Hypertension Pneumothorax 1 A member of the resuscitation team is preparing to administer medications intravenously to a patient...