Scenario data: You are in the room of an 85 year old patient (female) performing an assessment. In the process of your assessment she gasps and becomes limp and unresponsive. Assessment:

Skin: pale/warm/dry
Cardio: No pulse; (already has IV access)
Resp: No respirations; O2 is already on the patient 2L by NC
CNS: No response
Monitor: No monitor available upon collapse

As the first and only witness in the room at the time of collapse, what is the best first intervention listed below?

You shout for help and a crash cart. A coworker hears you and goes to activate the code blue response and get the crash cart. What is most commonly forgotten in emergencies when beginning CPR? The foot board or head board of hospital beds are often designed to be used as a back board in the case of emergencies.

As you are waiting for the crash cart, you start chest compressions. Shortly, your coworker, and several nurses arrive to assist. The defibrillator is attached to the patient and this is what you see.

The patient is pulseless. What is your first intervention?

You shock with 120 J. As the team leader, what will you ensure happens next?

You perform 5 cycles of CPR. As you complete CPR what is your next intervention?

You perform a rhythm check. This is what you see on the monitor:

The patient has no pulse. What is your next intervention?

After CPR (5 cycles) and a rhythm check (no change), you shock again and follow with continued CPR ( 5 cycles.) The epinephrine will be repeated every 3-5 minutes. Continued VT with no pulse remains. You consider giving an antiarrhythmic at this time and amiodarone is not available. What is your other choice?

You shock a second time and then begin CPR. What is recommended depth for chest compressions?

As CPR is continued, you prepare to administer a medication.
(True or False)
Vasopressin 40 U IV push can be given as a replacement for the 1st or 2nd dose of epinephrine?

You given the patient epinephrine IV push. What is the correct dose of epinephrine in the cardiac arrest algorithm?

You give the lidocaine 1.5 mg/kg . What should you always do immediately after giving any IV medication?

You give the lidocaine followed by a flush, and continue CPR. CPR consists of chest compressions and ventilations of a ratio of 30:2. After CPR, you perform a rhythm check which reveals continued VT. What do you do after the rhythm check?

Defibrillation is followed up with CPR for 5 cycles and now the rhythm check is as follows:

The patient remains unresponsive with no spontaneous breathing. Carotid pulse rate: 40's. What rhythm does the rhythm strip show?

Since the patient is in a second-degree block (type 1) and is symptomatic, you first give atropine 1 mg IV push followed by a 20ml flush of NS. The atropine does not increase the rate. What should your intervention be at this time?

You begin transcutaneous pacing with a rate of 60. The monitor shows good capture. VS at this time are: HR 60; SBP 90/50; Spontaneous respirations with a rate of 14, and the patient remains unresponsive. For this scenario what would be the most likely cause of the sudden cardiac arrest?

Since the cause of the cardiac arrest is most likely acute MI, which if the following is correct?

Congratulations, the patient has been treated effectively and post-resuscitation care has begun. Which of the following will occur during post-resuscitation care?