Routine Cardiac Care

Question 1

Serial 12-leads should be conducted every ___ minutes with confirmed STEMI.

a. 5 minutes
b. 10 minutes
c. 15 minutes
d. 20 minutes

Answer 1

b. 10 minutes

Question 2

If no STEMI present, when should a 12-lead be obtained again?

Answer 2

During a change in patient condition.

Question 3

In a normotensive patient, a saline lock or rate of _____ NS should be initiated.

a. 5 mL/hr
b. 10 mL/hr
c. 20 mL/hr
d. 30 mLhr

Answer 3

c. 20 mL/hr

(20mL/1Hr)(1Hr/60 min)(60 gtt set) = 20gtt/min

Question 4

____mg of ASA should be administered to chest pain patients.

Answer 4

324

Question 5

Ondansetron ___ IV/IO/ODT for nausea/vomiting.

a. 2 mg
b. 4 mg
c. 6 mg
d. 8 mg

Answer 5

b. 4 mg

* Given over 2 minutes

Question 6

In the case of ____ on 12-lead, medical control should be contacted.

Answer 6

wide complex tachycardia

Question 7

Morphine sulfate is given q5m IV to reduce pain. What is the dose?

Answer 7

2-5 mg

Question 8

Fentanyl ___ IV q5min for pain.

Answer 8

50 mcg

Question 9

Max dose of Fentanyl

Answer 9

200 mcg

Question 10

Over what duration is IV Fentanyl administered?

Answer 10

2 minutes

Question 11

Fentanyl may be given by what route(s) if IV access is not obtained?

Answer 11

50 mcg IM/IN

Question 12

NTG should be cautiously administered in the case of ____.

Answer 12

Inferior MI (STEMI in II, III, aVF)

Question 13

What route of administration should be avoided in AMI patients?

a. IV
b. IM
c. IN
d. IO

Answer 13

b. IM

Due to compensatory mechanisms, blood flow may not be adequate to the musculature

Question 14

Dose of SL nitroglycerin

Answer 14

0.4 mg/spray

Question 15

Be alert for heart blocks in ____ MI.

Answer 15

septal (V1, V2 STEMI)