Watch the video below.
If you do not do well answering the questions on the screen as the video plays, take the multiple choice megacode scenario below the video.
The multiple choice megacode scenario provides a rationale when you do not answer a question correctly.
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Question 1 of 22
Scenario Data: You find an 67 year old female unconscious and “down” in the hospital hallway floor.
Your Initial quick assessment reveals:
Cardio: No pulses
Resp: No respirations
CNS: No response
You come upon the above patient and you assess that the patient is unresponsive with no respirations, and no pulse. What will be your first intervention?CorrectIncorrect
Question 2 of 22
You have called for help and a defibrillator and 2 coworkers are now available on scene. What is your next intervention?CorrectIncorrect
Question 3 of 22
The patient has NO DNR wrist band so you begin CPR performing chest compressions while your coworker is maintaining the patient’s airway. Shortly, the crash cart arrives with a BVM and a defibrillator. Your coworker begins giving ventilations with the BVM/O2 as you perform chest compressions. What is the correct compression to ventilation (BVM) ratio for 2 man CPR?CorrectIncorrect
Question 4 of 22
Since the crash cart has arrived, what is your next step?CorrectIncorrect
Question 5 of 22
A team member attaches the defibrillator/monitor to the patient. This is what you see on the monitor:
What is the rhythm?CorrectIncorrect
Question 6 of 22
You identify the rhythm as ventricular fibrillation. What should you do now?CorrectIncorrect
Question 7 of 22
Before shocking a patient, which choice below is correct?CorrectIncorrect
Question 8 of 22
You state “I’m clear, you’re clear, everybody’s clear!” Make a visual check and then shock with 120 J. What is your next intervention after the shock?CorrectIncorrect
Question 9 of 22
You provide 5 cycles of CPR. What is the next intervention?CorrectIncorrect
Question 10 of 22
Your rhythm check shows the following rhythm.
What is your next intervention?CorrectIncorrect
Question 11 of 22
You give the 2nd shock to the patient and begin 5 cycles of CPR. What do you do next during CPR?CorrectIncorrect
Question 12 of 22
After the epinephrine is given, you should do what?CorrectIncorrect
Question 13 of 22
After CPR your rhythm check shows continued VF. You shock the patient a 3rd time with 300 J and begin another 5 cycles of CPR. What do you do now?CorrectIncorrect
Question 14 of 22
You give amiodarone 300 mg IV x 1 and finish the 3rd cycle of CPR.
(True or False): The maximum 24 hour cumulative dose for amiodarone is 2.2 mg/kg.CorrectIncorrect
Question 15 of 22
Keeping in mind that the maximum cumulative 24 hour dose for amiodarone is not weight based but is 2.2 grams you continue. You follow the first dose of amiodarone with 5 cycles of CPR then a rhythm check reveals no change. You shock again and start another round of CPR (5 cycles). You can repeat the amiodarone at this time. How much amiodarone do you give for the second dose?CorrectIncorrect
Question 16 of 22
You give a second dose of amiodarone IV, and your team has continued to administer epinephrine 1mg IV every 3-5 minutes. What should you do next?CorrectIncorrect
Question 17 of 22
You complete 5 cycles of CPR and perform a rhythm check. This is what you see on the monitor:
What is the rhythm?CorrectIncorrect
Question 18 of 22
You recognize the rhythm as asystole and promptly provide what medication?CorrectIncorrect
Question 19 of 22
You provide 5 cycles of CPR, perform a rhythm check (no change from asystole), and give another dose of epinephrine 1mg IV, followed by 5 cycles CPR. After the CPR this is what you see:
The patient does not have a pulse. What do you perform next?CorrectIncorrect
Question 20 of 22
You shock (defibrillate) at 360 J and then provide 5 cycles of CPR. Your rhythm check is as shown below:
What should you do at this time?CorrectIncorrect
Question 21 of 22
A pulse check is performed, and the patient has a pulse. Her vital signs are HR 85, occasional spontaneous respirations, BP 102/63. The patient is also having very frequent PVC’s. What are two most important interventions at this time?CorrectIncorrect
Question 22 of 22
Congratulations for saving the patient. She is stable and being transported to the ICU. What would be the beginning slow infusion dose for the antiarrhythmic, amiodarone, infusion?CorrectIncorrect