Pharm + Practical Flashcards
(26 cards)
Drug for asystole =
epinephrine
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock. Which drug should be administered first?
A. Lidocaine 1 mg/kg IV/IO
B. Sodium bicarbonate 50 mEq IV/IO
C. Epinephrine 1 mg IV/IO
D. Atropine 1 mg IV/IO
C. Epinephrine 1 mg IV/IO
A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138/min. He is asymptomatic, with a blood pressure of 110/70 mm Hg. He has a history of angina. What action is recommended next?
- Give adenosine 6 mg IV bolus
- Seeking expert consultation
- Giving lidocaine 1 to 1.5 mg IV bolus
- Performing synchronized cardioversion
- Seeking expert consultation
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. The patient is confused, and her blood pressure is 88/56 mm Hg. Which therapy is now indicated?
A. Adenosine 6 mg
B. Normal saline 250 mL to 500 mL bolus
C. Atropine 1 mg
D. Epinephrine 2 to 10 mcg/min
Epinephrine 2 to 10 mcg / min
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a heparin infusion of 1000 units per hour are being administered. The patient did not take aspirin because he has a history of gastritis, which was treated 5 years ago. What is your next action?
A. Give enteric-coated aspirin 325 mg rectally
B. Give aspirin 162 to 325 mg to chew
C. Give enteric-coated aspirin 75 mg orally
D. Give clopidogrel 300 mg orally
B. Give aspirin 162 to 325 mg to chew
You arrive on the 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. After resuming high-quality compressions, which action do you take next?
A. Call for a pulse check
B. Establish IV or IO access
C. Insert a laryngeal airway
D. Perform endotracheal intubation
B. Establish IV or IO access
In which situation does bradycardia require treatment?
A. Systolic blood pressure greater than 100 mm Hg
B. 12-lead ECG showing a normal sinus rhythm
C. Diastolic blood pressure greater than 90 mm Hg
D. Hypotension
Hypotension
A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established. Which drug should be administered?
A. Adenosine 6 mg
B. Atropine 0.5 mg
C. Lidocaine 1 mg/kg
D. Epinephrine 2 to 10 mcg/kg per minute
A. Adenosine 6 mg
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. What is the initial dose of atropine?
A. 0.1 mg
B. 0.5 mg
C. 1 mg
D. 3 mg
1 mg
A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. Which best describes the guidelines for antiplatelet and fibrinolytic therapy?
A. Hold aspirin for at least 24 hours if rtPA is administered
B. Give heparin if the CT scan is negative for hemorrhage
C. Give aspirin 162 to 325 mg to be chewed immediately
D. Give aspirin 120 mg and clopidogrel 75 mg orally
A. Hold aspirin for at least 24 hours if rtPA is administered
A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300 mg IV. The patient is intubated. Which best describes the recommended second dose of amiodarone for this patient?
A. 1 to 2 mg/min infusion
B. 150 mg IV push
C. 1 mg/kg IV push
D. 300 mg IV push
B. 150 mg IV push
monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. The patient’s blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. The heart rate has not responded to vagal maneuvers. What is your next action?
A. Perform synchronized cardioversion at 200 J
B. Administer adenosine 6 mg IV push
C. Perform synchronized cardioversion at 50 J
D. Administer amiodarone 300 mg IV push
B. Administer adenosine 6 mg IV push
What is the indication for the use of magnesium in cardiac arrest?
A. Ventricular tachycardia associated with a normal QT interval
B. Shock-refractory ventricular fibrillation
C. Pulseless ventricular tachycardia-associated torsades de pointes
D. Shock-refractory monomorphic ventricular tachycardia
C. Pulseless ventricular tachycardia-associated torsades de pointes
You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. He is being evaluated for another acute stroke. The CT scan is negative for hemorrhage. The patient is receiving oxygen via nasal cannula at 2 L/min, and an IV has been established. His blood pressure is 180/100 mm Hg. Which drug do you anticipate giving to this patient?
A. rtPA
B. Nicardipine
C. Glucose (D50)
D. Aspirin
D. Aspirin
A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180/min. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Which action do you take next?
A. Establish IV access
B. Perform electrical cardioversion
C. Seek expert consultation
D. Obtain a 12-lead ECG
B. Perform electrical cardioversion
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given. Which drug should be given next?
A. Amiodarone 300 mg
B. Epinephrine 3 mg
C. Adenosine 6 mg
D. Lidocaine 0.5 mg/kg
A. Amiodarone 300 mg
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One dose of epinephrine was given after the second shock. An antiarrhythmic drug was given immediately after the third shock. You are the team leader. Which medication do you order next?
A. Epinephrine 3 mg
B. Epinephrine 1 mg
C. Sodium bicarbonate 50 mEq
D. A second dose of the antiarrhythmic drug
B. Epinephrine 1 mg
Which action should you take immediately after providing an AED shock?
Choose the correct option and select submit.
A. Start rescue breathing
B. Resume chest compressions
C. Check the pulse rate
D. Prepare to deliver a second shock
B. Resume chest compressions
You are providing bag-mask ventilations to a patient in respiratory arrest. How often should you provide ventilations?
Choose the correct option and select submit.
A. Every 14 seconds
B. Every 6 seconds
C. Every 10 seconds
D. Every 12 seconds
B. Every 6 seconds
How often should you switch chest compressors to avoid fatigue?
- About every 4 minutes
- About every 2 minutes
- About every 3 minutes
- About every 5 minutes
- About every 2 minutes
What is the recommended compression rate for high-quality CPR?
A. 50 to 20 compressions per minute
B. 100 to 120 compressions per minute
C. 90 to 100 compression per minute
D. 70 to 80 compressions per minute
B. 100 to 120 compressions per minute
What is the recommended depth of chest compressions for an adult victim?
A. At least 2.5 inches
B. At least 1.5 inches
C. At least 2 inches
D. At least 3 inches
C. At least 2 inches
What is the maximum interval for pausing chest compressions?
A. 20 seconds
B. 15 seconds
C. 10 seconds
D. 25 seconds
C. 10 seconds
Your patient is not responsive and is not breathing. You can palpate a carotid pulse. Which action do you take next?
A. Apply an AED
B. Obtain a 12-lead ECG
C. Start rescue breathing
D. Start an IV
C. Start rescue breathing
