Atrial Flutter - ANSWER
Pulseless Electrical Activity - ANSWER
Sinus Bradycardia - ANSWER
Sinus Tachycardia - ANSWER A pt. with *regular* narrow-complex QRS at a rate >150bpm in which vagal maneuvers are ineffective should be given 6mg adenosine IV
Atrial Flutter - ANSWER
Pulseless Electrical Activity - ANSWER
Sinus Bradycardia - ANSWER
Sinus Tachycardia - ANSWER A pt. with *regular* narrow-complex QRS
at a rate >150bpm in which vagal maneuvers are ineffective should be
given 6mg adenosine IV
Synchronized cardioversion is indicated if the pt. is hypotensive, AMS,
shock, ischemic CP, or acute HF
Sinus Bradycardia - ANSWER Sinus bradycardia can be treated with
atropine at an initial dose of 0.5mg
*Not ALL cases of sinus brady needed to be treated with atropine! If pt.
is symptomatic (chest pain, SOB) it requires treatment.
Monomorphic Ventricular Tachycardia - ANSWER
Second Degree Heart Block (Mobitz II) - ANSWER
Fine Ventricular Fibrillation - ANSWER VFib should be treated with
defibrillation followed by 1mg epi if necessary...and of course CPR
Agonal Rhythm/Asystole - ANSWER Asystole is treated with high quality
CPR and epi 1mg or vasopressin 40mg IV/IO
Reentry Supraventricular Tachycardia - ANSWER
Reentry Supraventricular Tachycardia - ANSWER
Normal Sinus Rhythm - ANSWER
, Second Degree Heart Block (Mobitz I) - ANSWER
Polymorphic Ventricular Tachycardia - ANSWER
Second Degree Heart Block (Mobitz II) - ANSWER
Reentry Supraventricular Tachycardia - ANSWER
Third Degree AV Block - ANSWER
Coarse Ventricular Fibrillation - ANSWER
Atrial Fibrillation - ANSWER
Coarse Ventricular Fibrillation - ANSWER
Magnesium is indicated for VF/pulseless VT associated with torsades de
pointes. - ANSWER Which of the following statements about the use of
magnesium in cardiac arrest is most accurate?
Give aspirin 160 to 325 mg chewed immediately. - ANSWER A patient
with ST-segment elevation MI has ongoing chest discomfort. Fibrinolytic
therapy has been ordered. Heparin 4000 units IV bolus was
administered, and a heparin infusion of 1000 units per hour is being
administered. Aspirin was not taken by the patient because he had a
history of gastritis treated 5 years ago. Your next action is to:
Start epinephrine 2 to 10 mcg/min. - ANSWER A patient has sinus
bradycardia with a heart rate of 36/min. Atropine has been
administered to a total of 3 mg. A transcutaneous pacemaker has failed
to capture. The patient is confused, and her blood pressure is 110/60
mm Hg. Which of the following is now indicated?
Do not give aspirin for at least 24 hours if rtPA is administered. -
ANSWER A 62-year-old man suddenly experienced difficulty speaking
and left-side weakness. He was brought to the emergency department.
He meets initial criteria for fibrinolytic therapy, and a CT scan of the
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