A 42-year-old woman presents to the emergency department with complaints of
fatigue, shortness of breath, back pain and nausea. A 12-lead ECG is obtained and
shows ST-segment depression in leads II, III, and aVF and intermittent runs of
nonsustained ventricular tachycardia. Cardiac serum markers...
ALS RC Final Exam 2023 A 42 -year-old woman presents to the emergency department with complaints of fatigue, shortness of breath, back pain and nausea. A 12 -lead ECG is obtained and shows ST -segment depression in leads II, III, and aVF and intermittent runs of nonsustained ventricular tachycardia. Cardiac serum markers are elevated. These findings suggest which condition? - High -risk non -ST-segment elevation ACS (NSTE -ACS) A patient is being treated in the emergency department and is determined to have NSTE -ACS. Invasive management is planned based on which finding? - Ventricular tachycardia A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag -valve -mask (BVM) resuscitator. The development of which condition during t he provision of care would lead the team to suspect that improper BVM technique is being used? - Pneumothorax A patient is admitted to the emergency department of a large medical center. The patient is diagnosed with STEMI. The facility is capable of admi nistering PCI. To achieve the best outcomes, therapy should be administered to this patient within what time frame? - Within 90 minutes of the patient's first medical contact A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to providing continuous high -quality CPR, what is the other priority intervention for this patient? - Administering epinephrine as early as possible A patient is in cardiac arrest. The underlying cause is thought to be opioid toxicity. Which statement accurately describes the use of naloxone for this patient? - Naloxone should be administered as soon as possible but is not a priority over high-quality CPR and AED use. Which statement accurately reflects the management of cardiac arrest in a pregnancy of 26 weeks' gestation? - Resuscitative cesarean delivery (RCD) should be performed within 5 minutes from the time of arrest. Cardiac monitoring indicate s that a patient has a ventricular tachyarrhythmia. The patient has a pulse and is not showing any signs of hemodynamic compromise. A 12-lead ECG reveals an irregular rhythm with QRS complexes greater than 0.12 second in duration. Which action would be app ropriate at this time? - Consider an antiarrhythmic medication A 20 -year-old man with respiratory depression is brought to the emergency department by his parents. Opioid overdose is suspected, and an initial dose of naloxone is administered at 10 p.m. Th e patient does not respond to this initial dose. The team would expect to administer a second dose after how many minutes? - 2 minutes Assessment of a patient in the emergency department reveals that the patient is experiencing respiratory compromise. Fro m the assessment, the team identifies that the patient is in the earliest stage of this condition. Which stage would this be? - Respiratory distress A patient is experiencing respiratory distress secondary to an exacerbation of chronic obstructive pulmona ry disease. The patient begins to exhibit signs and symptoms of worsening respiratory function and experiences respiratory arrest. The team intervenes, delivering ventilations via BVM resuscitator. The team should provide ventilations at a rate of 1 ventil ation: - Every 6 seconds A 30 -year-old patient has been brought to the emergency department in cardiac arrest. The cardiac monitor shows the following rhythm. Interpretation of this rhythm would suggest which of the following as a possible precipitating f actor EKG: VFIB - Electrocution A patient enters the emergency department in respiratory compromise. The team is monitoring the patient using capnography and identifies that ETCO2 levels are initially 33 mmHg and later 40 mmHg. From these readings, the t eam identifies that the patient is progressing in what stage of respiratory compromise? - Respiratory distress A member of the resuscitation team is preparing to defibrillate a patient in cardiac arrest using a biphasic defibrillator. The team member woul d set the energy dose according to the manufacturer's recommendations, which is usually: - 120 to 200 joules The following capnogram is from a patient experiencing respiratory distress. At which point in the waveform would the patient's ETCO2 level be mea sured? - D
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Kingamor. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.00. You're not tied to anything after your purchase.
