After delivering three shocks, the team leader orders the administration
of amiodarone to a patient in cardiac arrest. What is the dose? –
ANSWER- 300 mg
Current recommendations suggest that hypotension should be treated in
a post-cardiac arrest patient when the systolic blood pressure is less than
90 mmHg or the mean arterial pressure (MAP) is less than: – ANSWER65 mmHg
A post-cardiac arrest patient who experienced in-hospital cardiac arrest
is unable to follow verbal commands. Which interventions would be
appropriate for this patient? – ANSWER- Obtain brain imaging
Initiate targeted temperature management (TTM)
Establish EEG monitoring
Review the rhythm shown here and then decide how Dr. Ruiz should
direct the team’s immediate next actions. – ANSWER- “Kirron, please
continue compressions.”
“Charmar, please charge the defibrillator.”
What are the team’s appropriate next actions? – ANSWER- Obtain
Vascular access
Provide 2 minutes of CPR
After 2 minutes of CPR, the rhythm remains the same. What
interventions are appropriate at this time? – ANSWER- Epinephrine
Shock
CPR
What is the correct dose of epinephrine to give? – ANSWER- 1 mg
At what interval can the epinephrine dose be repeated? – ANSWER- 3 to
5 minutes
At the third rhythm check, the rhythm remains the same. Which actions
are appropriate at this time? – ANSWER- Administer amiodarone
Deliver a third shock
Resume compressions
What is the correct initial dose of amiodarone to give? – ANSWER- 300
mg
If necessary, what is the correct second dose of amiodarone to give? –
ANSWER- 150 mg
In searching for Hs and Ts, which of the following diagnostic tests
would be appropriate to order at this time? – ANSWER- Arterial blood
gases
Serum Electrolyte panel
Based on the rhythm shown on the monitor, what is the appropriate next
action? – ANSWER- check for a pulse
Which of the following actions would be appropriate as care continues?
- ANSWER- Provide 2 minutes of CPR
Continue searching for reversible cuase
What should the team do next? After achieving ROSC – ANSWERAssess and support the patient’s airway, breathing and circulation
How should Dr. Ruiz direct the team’s immediate next actions? –
ANSWER- Endotracheal intubation to facilitate ventilation
Vitals
Laboratory data
12-lead ECG
Initial assessment findings for Mrs. Coleman are as follows:
Blood pressure: 65/52 mmHg
Pulse: 124 bpm
Pulse oximetry: 83%ETCO2: 22 mmHg
Based on these initial assessment findings, what should the team do
next? – ANSWER- IV fluid bolus
Oxygen therapy should be titrated to achieve an oxygen saturation of
94% to 99%.
Ventilation support starting at a rate of 10breaths/min
Depending on how Mrs. Coleman responds to fluid therapy, the team
may need to initiate vasopressor infusion with epinephrine,
Download full exam pdf here https://learnexams.com/search/study?query=