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Sharp ESO 2024/2025 QUESTIONS AND ANSWERS ALREADY PASSED 2024/2025
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Sharp ESO 2024/2025 QUESTIONS AND ANSWERS ALREADY PASSED 2024/2025
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Sharp ESO 2024/2025Nurse beginning ESO will report - ANS1. Life threatening circumstance
2. Precipitating elements
three. Specific ESO implemented
four. Patient response
five. When and which doctor turned into notified
ESO are initiated: - ANSFor lifestyles-threatening patient situations in the absence of the doctor
or specific orders
Adequate CPR - ANS1. Push hard
2. Full chest recoil
three. Minimize interruptions
four. A hundred-a hundred and twenty compressions/min
5. 15 L O2 by means of bag mask (10 breaths consistent with min)
6. 30:2
ETCO2 tracking - ANSUse to assess nice of CPR and examine go back of rosc
How many breaths with advanced airway? - ANS1 breath each 6 seconds
Targeted temperature control - ANSShould be used on all patients now not following instructions
or functional movement within one hundred twenty mins after ROSC
What is a speedy bolus? - ANSFluids administered in 5-15 mins
Non invasive cardiac tracking - ANSDevice that uses bioreactane to determine cardiac output
and is implemented in which to be had by RRT or ICU RN to determine fluid responsiveness
and manual fluid resuscitation
Passive leg raise - ANSPosition affected person flat on their returned, and their legs are
multiplied to 45 levels.
These interventions are instituted for all emergency situations outlined within the ESO
Standardized Procedure: - ANS1.
Obtain intravenous (IV)/intraosseous (IO) get right of entry to
2. Begin IV infusion of regular saline (NS) at keep vein open (KVO). If IV access is unavailable:
Lidocaine, Epinephrine, Atropine, and Naloxone (Narcan) can be administered thru
endotracheal route at doses of two-2 half instances the IV dose.
,Three. If IV get right of entry to is unavailable, Naloxone (Narcan) may be administered IM at
the equal dose as IV management
four. Flush the IV line with 20mL of NS after every IV medicine given and elevate the extremity if
applicable.
Five. In relevant conditions, achieve oxygen (O2) saturation
6.Monitor and record ETCO2 for code blue events.
7. Titrate oxygen to patients' reaction.
Signs (goal): - ANSTachypnea, apnea, respiratory depression, tachycardia, bradycardia,
arrhythmias, hypotension, reduced O2 saturation, dyspnea, change in level of consciousness,
multiplied intracranial stress (ICP), repute epilepticus
Symptoms (subjective) - ANSDizziness, lightheadedness, chest pain, shortness of breath
(SOB), chest ache, weak spot, bloodless, diaphoresis, coronary heart palpitations, anxiousness
What is the preliminary remedy for asystole? - ANSInitiate CPR right away
What is the recommended oxygen drift fee for a patient in asystole? - ANSO2 at 15L/minute
ambu bag (10 breaths/minute)
What remedy is run in asystole and how often? - ANSEpinephrine 1mg IVP/IO (zero.1 mg/mL),
repeat each three-five min
How frequently must pulse assessments be done throughout CPR for asystole? - ANSEvery 2
minutes
What should be demonstrated before starting up treatment for asystole? - ANSVerify with pulse
take a look at and make sure that all leads are related
Bradycardia - Initial Treatment - ANS1. O2 at minimum 10 L/minute (NRBM)
Bradycardia - Atropine Administration - ANS1. Atropine 1mg IVP/IO, repeat every 3-5 mins up to
a maximum of 3 mg
Bradycardia - Dopamine Administration - ANS1. Start Dopamine 400mg/250 mL D5W at five
mcg/kg/minute if above set of rules is useless. ICU or RRT RN to titrate until patient is
asymptomatic.
, Bradycardia - Epinephrine Administration - ANS1. Start Epinephrine 2mg/250 mL NS at
2mcg/minute if above set of rules is ineffective. Titrate to affected person reaction up to 10
mcg/minute. (RRT or ICU RN Only)
What are commonplace causes of Pulseless Electrical Activity (PEA)? - ANSHypovolemia and
hypoxia
What is the advocated preliminary intervention for PEA? - ANSCPR
What mnemonic is used to evaluate feasible reasons of PEA? - ANSH's and T's: Hypovolemia,
hypoxia, hydrogen ion (acidosis), hypo/hyperkalemia, hypoglycemia, hypothermia; Toxins,
tamponade, thrombosis, trauma, anxiety pneumothorax
What is the recommended oxygen delivery approach for PEA? - ANSO2 at 15L/minute through
ambu bag (10 breaths/minute)
What medicinal drug is administered for PEA? - ANSEpinephrine 1mg IVP/IO (0.1mg/ml), repeat
every 3-5 minutes
What is the subsequent step if hypovolemia is thought or suspected in PEA? - ANSInfuse 250
mL NS fast bolus. Repeat in 5 minutes if no medical development. If lactated ringers (LR)
already infusing, may additionally use LR
What imaging have a look at is usually recommended for PEA? - ANSStat chest x-ray (CXR)
What are the criteria for stable ventricular tachycardia? - ANSPatient is aware with a systolic
blood strain (SBP) > ninety and does now not have any risky signs and symptoms/signs and
symptoms.
How need to strong ventricular tachycardia be dealt with? - ANS1. Call physician for orders. 2.
Administer oxygen at no less than 4L/min and titrate to patient reaction. Three. Obtain a 12-lead
ECG. 4. Draw serum potassium (K+) and magnesium (Mg++) degrees.
What are the standards for treating unstable ventricular tachycardia (VT)? - ANSPatient should
be symptomatic, displaying one or extra of the 'risky' symptoms related to the tachycardia.
How should risky VT be treated? - ANSThe affected person ought to be straight away
cardioverted and dealt with with O2, synchronized cardioversion, medications like Midazolam,
12 Lead EKG, and serum K+ and Mg++ tiers need to be checked.
What is the reversal agent for benzodiazepines in the context of treating volatile VT? -
ANSFlumazenil (Romazicon) zero.2 mg IVP over 15 seconds.
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