Priority questions...something to consider - Answer>> ▪
change in condition make take priority over ABCs (ex: post op
bleeding is priority over an O2 Sat% of 90%)
▪ pick the patient that is going to die first
, You walk into your patient's room and they *don't have a
pulse*, what are you going to do? - Answer>> CPR, press
the code button
You walk into your patient's room and they are *not breathing
but have a pulse*, what are you going to do? - Answer>> bag
resuscitation, press the code button
If you walk into a room with a patient that is in *ventricular
fibrillation (v fib)*
▪ How will they present?
▪ What must we do to get them out of that state? - Answer>>
▪ unconscious, pulseless
▪ shock them with the AED!
If you walk into a room and a patient is alert and oriented,
speaking to you, has a pulse, but their cardiac monitor shows
they are in *ventricular tachycardia*
▪ What are you going to do? - Answer>> ▪ make them bear
down (valsalva maneuver)
▪ make them cough (vagal maneuver)
Which cardiac rhythm requires the patient to take *adenosine*?
- Answer>> Supraventricular Tachycardia (SVT)
What is our priority concern for a patient in *atrial fibrillation (a-
fib)*? - Answer>> ▪ they may end up with a *blood clot*
because the blood is pooling in the atria
Nursing Interventions: *A-fib RVR* - Answer>> *control RVR
for patient:*
▪ give anticoagulants
▪ beta blockers, digoxin, diltiazem
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