Float Nurse

Continuing with the above scenario.   6/25/12 11:26.  CPR is in progress and ventilations remain adequate with good chest rise so intubation is deferred at this time.  11. What is the first vasoconstrictor that is administered during a pulseless arrest? 12. After the initial defibrillation, what are the subsequent joule settings in the treatment of pulseless VT/VF? a. Monophasic b. Biphasic 13. Name three advantage of using an oropharyngeal airway (OPA) on an unconscious victim in cardiac arrest? a. b. c. 14. What are some precautions that should be observed before applying the defibrillator pads to the patient? a. b. c. d. e. 15. During the treatment of pulseless VF/VT, how often can epinephrine be repeated? 6/25/12 11:28. Epinephrine has been given followed by a rhythm check. The patient remains in this refractory rhythm. A second defibrillation is given at 300J is given without a change in the rhythm. CPR is resumed. Ventilations

06/25/12 11:15  A 70 year old man was brought to the emergency room by his concerned neighbors who stopped by to check on him.   He is lethargic and appears malnourished and dehydrated with sunken eyes, temporomandibular wasting, and a generally thin frail appearance.  His only know medical problem is hypertension.  His neighbors have noted that he has become more reclusive since the death of his wife 8 months ago. 06/25/12 11:21  As he is being examined he loses consciousness and his breathing becomes agonal in nature.   A code blue is announced and CPR is initiated.   He is placed on the defibrillator monitor and the following rhythm is observed: 1.  Identify the following rhythm. a.     Monmorphic VT b.     Wide complex tachycardia c.     Polymorphic VT d.     Torsades de pointe 2.  What is the initial treatment of choice for this patient? a.     CPR and early Intubation b.     Defibrillation at 200 J (biphasic) c.     Cardioversion at 12

Identify the  following EKG rhythm strips. 1. a.        1 st degree heart block b.       2 nd degree heart block type I c.        2 nd degree heart block type II d.    3rd degree heart block 2. a.        Atrial paced b.       AV paced c.        Biventricular paced d.       Ventricular paced 3. a.        Sinus rhythm with multifocal PJCs b.       Sinus arrhythmia with PVCs c.        Sinus tachycardia with unifocal PVCs d.       Sinus tachycardia 4. a.        Normal sinus rhythm b.       Accelerated junctional rhythm c.        Atrial flutter with variable rate d.       2 nd degree AV block type II 5. a.        Sinus arrhythmia b.       Accelerated Junctional rhythm c.        Atrial fibrillation d.       Multifocal atrial tachycardia 6. a.        Sinus rhythm with PJCs b.       Sinus arrhythmia with PACs c.        Sinus rhythm with sinus arrest d.       Sinus node exit block 7. a.        Sinus bradycardia with

Identify the following EKG rhythm strips. 1. a.        Normal sinus rhythm b.       Accelerated junctional rhythm c.        Atrial fibrillation with controlled rate d.       2 nd degree AV block type II 2. a.        Atrial paced b.       AV paced c.        Failure to sense d.       Failure to capture 3. a.        Sinus bradycardia with sinus arrhythmia b.       Atrial fibrillation with slow ventricular response c.        Junctional rhythm d.       Wandering atrial pacemaker 4.     a.        2 nd degree AV block type II with unifocal PVCs b.       Atrial flutter with variable rate and unifocal PVCs c.        Atrial fibrillation with multiform PACs d.       Atrial flutter with ventricular paced beats 5. a.        Normal sinus rhythm b.       Accelerated junctional rhythm c.        Atrial fibrillation with controlled rate d.       2 nd degree AV block type II 6. a.        Sinus arrhythmia

Identify the following EKG rhythm strips. 1. a.        Coarse ventricular fibrillation b.       Torsades de pointe c.        Atrial fibrillation d.       Artifact 2. a.        NSR with PACs b.       NSR with PJCs c.        NSR with PVCs d.       Sinus arrhythmia 3. a.        NSR with trigeminal PVCs b.       NSR with bigeminal PVCs c.        NSR with  trigeminal PACs d.       NSR with bigeminal PACs 4. a.        NSR with trigeminal PVCs b.       NSR with bigeminal PVCs c.        NSR with  trigeminal PACs d.       NSR with bigeminal PACs 5. a.        NSR with trigeminal PVCs b.       NSR with bigeminal PVCs c.        NSR with  trigeminal PACs d.       NSR with bigeminal PACs 6. a.        1 st degree heart block b.       2 nd degree heart block type I c.        2 nd degree heart block type II d.       3 rd degree heart block  7. a.        Monomorphic ven

Identify the following EKG rhythms strips. 1. a.        Atrial paced b.       AV paced c.        Biventricular paced d.       Ventricular paced  2. a.        Sinus arrhythmia b.       Atrial flutter c.        Junctional rhythm d.       Idioventricular rhythm 3. a.        Sinus arrhythmia with T wave inversion b.       Sinus rhythm with peaked T waves c.        Sinus bradycardia with ST elevation d.       Sinus rhythm with inverted T waves 4. a.        Sinus tachycardia b.       Atrial flutter with RVR c.        Junctional tachycardia d.       Ventricular tachycardia 5. a.        Polymorphic ventricular tachycardia b.       Torsades de pointe c.        Ventricular tachycardia deteriorating into VF d.       Wide complex tachycardia 6. a.        Sinus arrhythmia b.       Atrial fibrillation c.        Accelerated Junctional rhythm d.       Multifocal atrial tachycardia 7.