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 21
Scenario data: An 82 year old female in your ER complains of weakness, lightheadedness, and mild pain in her chest. You are assessing her at this time.
Cardio: Weak radial pulse, HR 32, BP 70/30
Resp: CTA in all lung fields, RR 22
CNS: Weak but responds to questions, oriented
Monitor: (see below)
What is the patient’s rhythm?CorrectIncorrect
Question 2 of 21
The patient is in sinus bradycardia at this time and is symptomatic. What are some important initial interventions?CorrectIncorrect
Question 3 of 21
In the bradycardia algorithm there are two pathways (observe the patient and transcutaneous pacing) that can be chosen. What is the primary decision point that will determine which pathway to choose?CorrectIncorrect
Question 4 of 21
You have determined that the patient has symptomatic sinus bradycardia with poor perfusion. For your first intervention you give 0.5mg IV bolus of atropine.
The patient’s condition does not change. Based on the assessment what will be your next intervention?CorrectIncorrect
Question 5 of 21
Which medication is as an alternative to pacing in symptomatic unstable bradycardia?CorrectIncorrect
Question 6 of 21
As you prepare for transcutaneous pacing, the patient states that she does not feel well and becomes short of air. This is what you see on the monitor.
What is the rhythm?CorrectIncorrect
Question 7 of 21
You recognize that the patient’s condition is worsening and she is in a 3rd degree block (complete block) so you begin pacing. Your attempts to pace the patient fail, and she becomes unresponsive. She has no pulse and you see this rhythm change.
Identify the rhythm.CorrectIncorrect
Question 8 of 21
You identify the rhythm as ventricular fibrillation. What algorithm are you going to use for this rhythm?CorrectIncorrect
Question 9 of 21
With witnessed VF what is your first intervention?CorrectIncorrect
Question 10 of 21
You shock with 120 Joules. What is your next intervention?CorrectIncorrect
Question 11 of 21
CPR includes ventilations and chest compressions. What is the correct compression to ventilation ratio when using a BVM with multiple rescuers?CorrectIncorrect
Question 12 of 21
After 5 cycles of CPR your next intervention is __________________CorrectIncorrect
Question 13 of 21
There is no change, the patient remains in VF and has no pulse. What is your next intervention?CorrectIncorrect
Question 14 of 21
After the 2nd shock (200 Joules), you start 5 cycles of CPR. What medication should you give at this time?CorrectIncorrect
Question 15 of 21
(True or False): Medications should be given during CPR cycles?CorrectIncorrect
Question 16 of 21
You give 1mg epinephrine IV and know to repeat every 3-5 minutes. You follow the epinephrine with completion of 5 cycles of CPR, a rhythm check and a shock delivery (300 J) since there was no rhythm change. You begin another cycle of CPR and want to give an antiarrhythmic. Amiodarone is not available. What is your other choice?CorrectIncorrect
Question 17 of 21
What is the correct dosage for the initial dose of lidocaine?CorrectIncorrect
Question 18 of 21
You give the first dose of lidocaine followed by 5 cycles of CPR. After the CPR your rhythm check shows the rhythm below. The patient has a pulse. VS are HR 80; BP 110/70; RR 4. The patient remains unresponsive:
What is this rhythm?CorrectIncorrect
Question 19 of 21
Congratulations! The patient has a return of spontaneous circulation (ROSC). The patient remains unresponsive. In this scenario which of the following would be important in the post-resuscitation phase?CorrectIncorrect
Question 20 of 21
Since targeted temperature management needs to be implemented you should choose a single target temperature between _____°C and _____°C selected, achieved, and then maintained constantly for at least 24 hours.CorrectIncorrect
Question 21 of 21
True or False: Prophylactic administration of lidocaine to patients with acute coronary syndromes is not recommended.CorrectIncorrect