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 19
Scenario Data: A 52 year old male is admitted to the cardiac telemetry unit where you work. He was admitted for episodes of syncope. About 90 minutes after admission, the patient starts to complain of chest discomfort. He has no cardiac history and he is a PPD smoker. Interventions given so far: Telemetry monitor, O2 at 2L per NC, IV started on admission.
Cardio: weak radial pulses, BP (not obtainable)
Resp: CTA Bilaterally from apex to base, RR 26
CNS: alert, oriented, and anxious
Monitor: (see below)
What is the patient’s rhythm?CorrectIncorrect
Question 2 of 19
You recognize this VT as an impending rhythm, and you call for the crash cart to be brought to the room. Before the crash cart arrives, the pt. becomes unresponsive and has no pulse. What should you do now?CorrectIncorrect
Question 3 of 19
The crash cart is now at the bedside. What is the next intervention?CorrectIncorrect
Question 4 of 19
You defibrillate the patient with 120 J. What should always be done after defibrillation?CorrectIncorrect
Question 5 of 19
After defibrillation, you give 5 cycles of CPR. Respiratory therapy is maintaining airway and providing ventilations with a BVM. After the 5 cycles of CPR what should you do?CorrectIncorrect
Question 6 of 19
The rhythm check reveals no change. What is your next intervention?CorrectIncorrect
Question 7 of 19
You shock the patient with 200 J and begin 5 cycles of high quality CPR. What is your next intervention?CorrectIncorrect
Question 8 of 19
You have given the epinephrine 1mg IV and complete the cycle of CPR. What next?CorrectIncorrect
Question 9 of 19
Your rhythm check reveals the following:
The pt. has no pulse. What should you do now?CorrectIncorrect
Question 10 of 19
You shock the patient with 300 J.
(True or False): Your next intervention is to start CPR immediately.CorrectIncorrect
Question 11 of 19
After the shock, you have started 5 cycles of CPR. After this third shock you consider an antiarrhythmic. What two anti-arrhythmics are part of this algorithm?CorrectIncorrect
Question 12 of 19
You give the patient amiodarone. What is the correct first and second dose of IV amiodarone for the pulseless VF algorithm?CorrectIncorrect
Question 13 of 19
The alternative antiarrhythmic is lidocaine. What is the correct first and second dose of IV lidocaine for the pulseless VF algorithm?CorrectIncorrect
Question 14 of 19
You give the patient 300mg amiodarone IV as you continue CPR for 5 cycles. After the CPR your rhythm check is still VF. What will you do?CorrectIncorrect
Question 15 of 19
You shock and give 5 cycles of CPR. Your rhythm check now reveals this:
The patient remains unresponsive. What should you do?CorrectIncorrect
Question 16 of 19
The patient does not have a pulse. What do you see in the rhythm strip?CorrectIncorrect
Question 17 of 19
The patient’s PEA calls for what intervention now?CorrectIncorrect
Question 18 of 19
You continue to follow the right branch of the cardiac arrest algorithm giving CPR, performing rhythm and pulse checks every 2 minutes, pushing epinephrine 1mg IV every 3 to 5 minutes, and performing a thorough H’s and T’s review. After approximately 10 minutes in PEA with failure to respond to treatment what would you begin to consider?CorrectIncorrect
Question 19 of 19
This patient did not survive ACLS treatment, and the team did all that they could do in the resuscitation process. During cardiac arrest brain damage can start to occur within ___________.CorrectIncorrect