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20 Cards in this Set
- Front
- Back
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A 53 year old male has shortness of breath, chest discomfort, and weakness. The patient's BP is 102/59, HR of 230, respiratory rate of 16, SpO2 of 96%. Patient is in SVT. IV is in place. What is the next action? |
Vagal Maneuvers
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49 year old male with retrosternal chest pain radiating to the left arm. Patient is diaphoretic and short of breath. BP is 130/88, HR of 110, respiratory rate of 22, SpO2 of 95%. 12 lead reveals ST elevation in at least two of the anterior leads. Unit on scene has already provided 160mg of ASA, IV, and three doses of nitro SL. Patient describes pain as an 8 on a 1-10 scale. What is your next action? |
2-4mg of Morphine
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56 year old with palpitations but denies chest pain or shortness of breath. BP is 132/88, pulse 130 and regular, respiratory rate is 12, and SpO2 is 95%. ECG shows a wide complex tachycardia. After getting a 12 lead and establishing an IV, what do you do next?
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Seek expert consult
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80 year old called 911 stating she was dizzy. Upon your arrival, she is asymptomatic after walking around. BP is 102/80. She is alert and oriented. ECG is a third degree AV block. You have established an IV. What is next? |
Focused history and physical exam
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58 year old with chest pain. BP is 92/58, heart rate is 92, respirations are 14, SpO2 is 97%. What is the next most important assessment step? |
Obtaining 12 lead ECG |
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A patient is in respiratory distress and has a BP of 70/50. Patient is in ventricular tachycardia. What is the appropriate next intervention?
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Synchronized cardioversion
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Patient is witnessed loss of consciousness. The rhythm is ventricular fibrillation. What is your next therapy?
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Defibrillation
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You have completed 2 minutes of CPR. The ECG shows a third degree heart block and the patient remains pulseless. The team resumes CPR. An IV is in place. What is your next therapy?
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1mg of Epinephrine
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Three minutes after witnessing cardiac arrest, your partner inserts an ET tube, while another team member is performing chest compressions. During subsequent ventilations, you notice a waveform on capnography and a PETCO2 of 8. What is the significance of this finding?
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Chest compressions not effective
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For the past 25 minutes, your crew has been working a code. The patient initially presented in v-fib. Since the first shock, asystole has persisted despite two doses of Epi, fluid bolus, and high quality CPR. What is next? *Go with ACLS and NOT with local protocol!!
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Terminate efforts after consult with medical direction
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Patient presents with new onset dizziness. HR is 35, BP is 70/50, respiratory rate is 22, SpO2 is 95%. What is the appropriate first medication?
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Atropine .5mg
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Patient presents with a chief complaint of dizziness and shortness of breath. HR is 40. Initial dose of atropine is ineffective and your pacer is not functioning. What is the appropriate dose of dopamine? |
2-10 mcg/kg/min |
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Patient is complaining of dizziness. HR is 180, BP is 110/70, respiratory rate of 18, SpO2 is 98%. The next appropriate intervention is:
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Vagal maneuvers
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Patient develops a narrow complex tachycardia at a rate of 220. BP is 128/88, PETCO2 is 38, SPO2 98%, IV established. No meds given as of yet. 12 lead shows SVT without ischemia or infarct. There is no response to vagal maneuvers. What is next?
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Adenosine 6mg IV
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49 year old female with epigastric pain. She has been taking antacids for six hours without relief. BP 118/72, HR 92, respiratory rate is 16, SPO2 is 96%. What is next?
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12 Lead
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A patient is in respiratory failure. They are apneic but have a strong pulse. The heart rate is now dropping rapidly and is at 30. You should immediately. Think basics!
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Airway maneuvers and assisted ventilation
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49 year old male with crushing retrosternal chest pain. Patient is pale, cool, diaphoretic, and slow to respond to questions. HR is 190, Respiratory rate is 18, SpO2 is unreadable as there are no radial pulses. ECG is a wide complex tachycardia. What is your next intervention?
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Cardioversion
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You have a patient who has achieved ROSC. What is the FIRST treatment priority now?
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Optimizing ventilation and oxygenation
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What is the recommended IV fluid bolus dose for the patient who receives ROSC but is hypotensive post code? |
1-2L |
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What is the minimum systolic pressure to maintain post code be it with fluids or meds?
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90 |
