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Name: Score:51 Multiple choice questions
,Term 1 of 51
According to the AHA, what percentage of acute coronary syndrome patients die before ever
reaching the hospital?
Up to 33% of ACS patients are delayed in treatment (PCI) with ED evaluations.
Source: AHA 2010 Guidelines
In the Adult Post Cardiac Arrest algorhythm, the recommendations are:
- maint. SPO2 of >/=94%
- mon. PETCO2 (target 35-40)
- tx. SBP < 90 w/:
- 1-2 ltr. IVFB (NS or LR)
- Epi, Dop, or Levo infusion:
- Dop (5-10 mcg/kg/min) = 70 kg pt. = 350-700 mcg/min.
Reference: 2010 AHA Guidelines
It is estimated that up to 70% of acute coronary syndrome patients, meaning victims of both
unstable, non-STEMI, as well as STEMI, die before ever reaching a hospital for treatment of
the event.
This emphasizes the importance of "early" detection, intervention, and transport.
Source: 2010 AHA Guidelines
In the Adult Post Cardiac Arrest algorhythm, the recommendations are:
- maint. SPO2 of >/=94%
- mon. PETCO2 (target 35-40)
- tx. SBP < 90 w/:
- 1-2 ltr. IVFB (NS or LR)
- Epi, Dop, or Levo infusion:
- Epi (0.1-0.5 mcg/kg/min) = 70 kg pt. = 7-35 mcg/min.
Reference: 2010 AHA Guidelines
,Term 2 of 51
An intra-arterial relaxation pressure of < ____ indicates ineffective compressions.
Excessive ventilation can cause:
- gastric inflation
- increased intrathoracic pressures
- decreased venous return
- overall lower survival
Reference: 2010 AHA Guidelines
Therapeutic hypothermia is the only post-arrest intervention that has been clinically proven
to improve neurologic recovery according to the AHA.
Reference: AHA 2010 Guidelines
Intra-arterial relaxation pressures of < 20mmHg correlate with poor CPP (coronary
perfusion pressure) and ineffective compressions.
Reference: 2010 AHA Guidelines
The AHA recommends that all victims of acute stroke be transported to a "comprehensive"
stroke center.
Reference: 2010 AHA Guidelines
, Term 3 of 51
What are the 5 contraindications to giving Nitroglycerin in the setting of ACS according to the
AHA?
The 4 contraindications to Nitroglycerin are:
- Severe bradycardia
- Tachycardia
- Hypotension
- PDE-I's for erectile dysfunction w/in the last 24-48 hrs.
- Right ventricular infarction
Source: AHA 2010 Guidelines
The "5 H's and T's" are:
- Hypovolemia
- Hypoxia
- Acidosis (H+ acidosis)
- Hypo-/Hyper-kalemia
- Hypothermia
- Tension Pneumothorax
- Cardiac Tamponade
- Toxins (Drug OD, Exposure)
- Pulmonary Thrombosis
- Coronary Thrombosis
Reference: 2010 AHA Guidelines
During CPR, once an advanced airway has been placed, the ventilation rate changes to:
- 1 every 6-8 seconds (8-10/min.)
For rescue breathing,
- 1 every 5-6 seconds (10-12/min.)
Reference: 2010 AHA Guidelines
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