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A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. Two attempts at peripheral IV access have been unsuccessful. The next recommended access route of administration for the delivery of drugs during CPR is |
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| Intraosseous |
| External jugular vein |
| Endotracheal |
| Sub Clavin |
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Your patient has been intubated. IV/IO access is not available. Which combination of drugs can be administered by the endotracheal route of administration? |
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| VF/Pulseless VT Case: Routes of Access for Drugs |
| Epinephrine, vasopressin, amiodarone |
| Vasopressin, amiodarone, lidocaine |
| Amiodarone, lidocaine, epinephrine |
| Lidocaine, epinephrine, vasopressin |
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A patient has a rapid irregular wide complex tachycardia. The ventricular rate is 138. He is asymptomatic with a blood pressure of 110/70 mmHg. He has a history of angina. Which of the following actions is recommended? |
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| Give adenosine 6 mg IV bolus |
| Give lidocaine 1 to 1.5 mg IV bolus |
| Immediate synchronized cardioversion |
| Seek expert consultation |
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A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. Of the following, which drug and dose should be administered first by the IV/IO route? |
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| Sodium bicarbonate 50 mEq |
| Atropine 1 mg |
| Epinephrine 1 mg |
| Vasopressin 20 U |
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Which of the following statements about the use of magnesium in cardiac arrest is most accurate? |
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| Magnesium is indicated for VF refractory to shock and amiodarone or lidocaine |
| Magnesium is indicated for shock refractory monomorphic VT |
| Magnesium is indicated in VF/pulseless VT associated with torsades de pointes |
| Magnesium is contraindicated in VT associated with a normal QT interval |
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A patient is in cardiac arrest. High quality chest compressions are being given. The patient is intubated and an IV has been started. The rhythm is asystole. The first drug/dose to administer is |
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| Epinephrine 3 mg via endotracheal tube (ET) |
| Epinephrine 1 mg or Vasopressin 40 U IV or IO |
| Atropine 0.5 mg IV or IO |
| Atropine 1 mg IV or IO |
| Dopamine 2 to 20 ?g/kg per minute IV or IO |
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A patient is in pulseless ventricular tachycardia. Two shocks and one dose of epinephrine have been given. The next drug/dose to anticipate to administer is |
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| Epinephrine 3 mg |
| Vasopressin 40 U |
| Amiodarone 150 mg |
| Amiodarone 300 mg |
| Lidocaine 0.5 mg/kg |
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A patient is in refractory ventricular fibrillation. High quality CPR is in progress and shocks have been given. One dose of epinephrine was given after the second shock. An antiarrhythmia drug was given immediately after the third shock. What drug should the team leader request be prepared for administration next? |
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| Second dose of epinephrine 1 mg |
| Escalating dose epinephrine 3 mg |
| Repeat the antiarrhythmia drug |
| Sodium bicarbonate 50 mEq |
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You arrive on scene with the Code Team. High quality CPR is in progress. An AED has previously advised ?no shock indicated?. A rhythm check now finds asystole. The next action you would take is to |
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| Call for a pulse check |
| Place a Combitube or laryngeal mask airway |
| Place IV or IO access |
| Attempt endotracheal intubation with minimal CPR interruption |
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A 35yearold woman has palpitations, lightheadedness and a stable tachycardia. The monitor shows a regular narrow complex QRS at a rate of 180 per minute. Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established. What drug should be administered IV? |
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| Atropine 0.5 mg |
| Lidocaine 1 mg/kg |
| Adenosine 6 mg |
| Epinephrine 2 to 10 ?g/kg per minute |
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A 57yearold woman has palpitations, chest discomfort and tachycardia. The monitor shows a regular wide complex QRS at a rate of 180 per minute. She becomes diaphoretic and blood pressure is 80/60 mmHg. The next action is to: |
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| Obtain 12 lead electrocardiogram |
| Establish IV and give sedation for electrical cardioversion |
| Perform immediate electrical cardioversion |
| Give amiodarone 300 mg IV push |
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A bradycardia rhythm is treated when: |
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| Heart rate is less than 60 per minute with or without symptoms |
| Blood pressure is less than 100 mmHg systolic with or without symptoms |
| Chest pain or shortness of breath is present |
| The patient has an MI on the 12lead electrocardiogram |
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