Float Nurse

Answers 1. Nitroglycerine 2. Aspirin 3. Nitroglycerine 4. Metoprolol 5. Morphine

21. A patient with Wolf-Parkinson-White syndrome may receive and infusion of this mediation to help control the rate. a.  Amiodarone b.  Cardizem c.  Lopressor d.  Verapamil 22. You are using a monophasic defibrillator.   What is the energy level for subsequent defibrillations for a patient with refractory ventricular fibrillation? a.  200 J b.  300 J c.  360 J d   400 J  23. A patient in PEA can receive repeat doses of this medication every 3 – 5 minutes. a. Vasopressin b. Epinephrine c. Sodium bicarbonate d. Nitroglycerin  24. This medication used in ACS can be repeated up to 3 times.   It should not be given to patients who use phosphodiesterase inhibitors. a. Aspirin 81mg b. Morphine 2-4mg c. Nitroglycerine 0.4mg d. Plavix 75 mg   25. This medication combination may be administered to a PEA patient who is severely hyperkalemic. a....

16. In unstable bradycardia this medication may be considered as an alternative to pacing.  At higher doses its alpha adrenergic properties predominate.  It is administered in mg/kg/min. a.  Norepinephrine b   Epinephrine c.  Dopamine d.  Amiodarone 17. This medication reduces afterload and venous return to the heart.  Because of these properties it should not be used with patients who have a right ventricular infarct. a.   Nitroglycerin b.  Dopamine c.  Amiodarone d.  Adenosine 18. In refractory VF/VT the second dose of this medication is .50mg -.75 mg/kg.   a.  Amiodarone b.  Epinephrine c.  Lidocaine d. Vasopressin 19. This medication is not given in bolus doses.  Thus, a patient with VT with a pulse might receive an infusion of this medication. a. Lidocaine b. Epinephrine c. Cardizem d. Procainamide 20. The maximum dose of this m...

11. Which ectopic rhythm does not usually respond to cardioversion.  a.  Ventricular tachycardia b.  Atrial fibrillation c.  Multifocal atrial tachycardia d.  Orthodromic SVT 12. The maximum cumulative dose of this medication is 2.2 grams in 24 hours a.  Amidodarone b.  Vasopressin c.  Procainamide d.  Magnesium 13. A short term AV node blocking agent that has both therapeutic and diagnostic value a.  Lopressor b.  Verapamil c.  Diltiazem d.  Adenosine 14. Two end points of administration for this medication is 17mg/kg or suppression of the arrhythmia. a. Amidodarone b. Sotalol c. Procainamide d. Lidocaine 15. Patient’s with cocaine induced ACS should not receive this class of medications. a.  Beta-blockers b.  Nitroglycerine c.  Benzodiazapines d.  Salisyliates Answers 11.   c.  Multifocal atrial tachycardia 12. ...

6. Match the initial dosage with the correct ACLS drug:  150mg IV a.  Amiodarone b.  Lidocaine c.  Sotalol d.  Aspirin 7. Match the initial dosage with the correct ACLS drug:  1mEq/kg a.  Altepase b.  Sodium bicarbonate c.  D50W d.  Diltiazem 8. In PEA, this drug is given as an alternative to epinephrine either as a first dose before epinephrine or as a second dose to epinephrine. a.  Amiodarone b.  Lidocaine c.  Sotalol d.  Vasopressin  9. As an ACS medication, this drug can be given as a spray, tablet, or IV. a.  Aspirin b.  Morphine c.   Nitroglycerin d.  Retavase 10. The second dose of this drug is 150mg for refractory VF. a.  Lidocaine b.  Atenolol c.  Procainamide d.  Amiodarone Answers 6.    a.  Amiodarone 7.    b.  Sodium bicarbonate 8.    d.  Vasopressin 9...

1. Match the initial dosage with the correct ACLS drug:  40 units IV a.  Amiodarone b.  Lopressor c.  Vasopressin d   Epinephrine              2. Match the initial dosage with the correct ACLS drug:  300mg IV a.  Cardizem b.  Procainamide c.  Nitroglycerine d   Amiodarone 3. Match the initial dosage with the correct ACLS drug:  0.5mg a.  Atropine b.  Adenosine c.  Amiodarone d.  Atenolol 4. Match the initial dosage with the correct ACLS drug:  1 – 1.5 mg/kg a.  Procainamide b.  Lidocaine c.  Magnesium d.  Dopamine 5. Match the initial dosage with the correct ACLS drug:  2.5 – 5mg IV a.  Verapamil b.  Plavix c.  Lopressor d.  Norepinephrine Answers 1.   c.  Vasopressin 2.   d   Amiodarone 3...

The Effects of Epinephrine During a Pulseless Arrest  Drug Therapy: Epinephrine ·          Epinephrine 1mg (1:10,000 solution) IV/IO q3-5min ·          ETT dose (1:1000 solution) 2mg diluted in 10cc of NS ·          Increases systemic vascular resistance (vasoconstriction) ·          Increase coronary and cerebral perfusion pressures during CPR ·          Escalating or high doses without demonstrable benefit ·          After drug delivery and approximately 5 cycles (or about 2 minutes) of CPR then recheck the rhythm  Algorithms  and dosages ·         Pulseless VF/VT   Epinephrine 1mg (1:10,000 solution) IV/IO q3-5min ·     Asystole:   Epinephrine 1mg (1:10,000 solution) I...

1. What is the initial dose of Amiodarone that is used in the treatment of pulseless ventricular tachycardia? a.  150 mg b.  200 mg   c.  250 mg   d.  300 mg 2. What is the initial dose of epinephrine that is used in the treatment of pulseless electrical activity? a.  0.5 mg/kg b. 1 mg/kg c.  0.5 mg d. 1 mg   3. What is the 2 nd dose of Lidocaine that is used in the treatment of pulseless ventricular fibrillation? a. 150 mg b. 0.5-0.75 mg/kg c.  40 units d. 6 mg 4. In the initial treatment of tachycardia in which the patient is found to be pulseless, what are the recommended medication combinations? a.  Epinephrine and vasopressin b.  Amiodarone and Lidocaine c.  Atropine and Dopamine d. Magnesium and Sodium bicarbonate 5. What is the maximum cumulative dose of Amiondarone in a 24 hour period? a. 1.1 grams b. 2.2 grams c. 3.3 grams d. 4.4 grams 6. Magnesium is...

31.   What is the maintenance dosage of Amiodarone in the post arrest setting? 32.  What are some precaution for using Lidocaine after returning to spontaneous circulation? 33.  What two vasopressors drugs are recommended in the treatment of pulseless VF/VT? 34.  What are the therapeutic effects of epinephrine and vasopressin during a pulseless arrest? 35. 10.  Match the following medications with their correct corresponding dosages. a. 1st dose of Diltiazem                        5mg b. 2nd dose of Adenosine                     0.25mg/kg c. 1st dose of Verapamil                       12mg d. 1st d...

26. What is the initial dose of Lidocaine when administered to an adult through an ET tube during pulseless VT/VF? a. Lidocaine 2-3mg/kg via ET tube b. Lidocaine 1-1.5mg/kg c. Lidocaine 0.5-0.75mg/kg d. Lidocaine 1-4mg/min 27. What are the recommendations for giving vasopressin during a cardiac arrest? 28. What are the recommended drug dosages when giving medications through the ET tube? 29. Name 5 medications that may be used in the treatment of pulseless VT? 30. What is the first antiarrhythmic and dosage that can be administered during a VF arrest? a. Procainamide b. Amiodarone c. Bretylium d. Quinidine Answers 26. a. Lidocaine 2-3mg/kg via ET tube 27. Vasopressin 40u IV may be given as a onetime dose before epinephrine or as a second dose after the initial dose of epinephrine. 28. Typically the drug dose given by the ET tube route is 2-2.5 times the recommended IV dose. 29. Epinephrine Vasopressin Amiodarone Lidocai...

21. What is the initial dosage of Lidocaine used in the treatment of pulseless VT/VF?   a. Lidocaine is no longer recommended for treatment of pulseless vF/VT   b. 1.0 – 1.5mg/kg IV/IO   c. 0.5mg IV/IO   d. 150mg IV infusion over 10 minutes 22. What is the first vasoconstrictor that is administered during a pulseless arrest?   a. Epinephrine or vasopressin   b. Amiodarone or Lidocaine   c. Magnesium or sodium bicarbonate   d. Isoproterenol or epinephrine 23. What is the dosage of magnesium used in the treatment of torsade de pointe?   a. 0.5-0.75mg/kg IV/IO   b. 1-2 grams IV   c. 1mEq/kg   d. 2-10mcg/kg/min 24. What is the dose of bicarbonate in a cardiac arrest?   a. 5mg IV/IO    b. 300mg IV/IO    c. 1mEq/kg IV/IO    d. 2-10mcg/kg/min 25.  According to the AHA, under what circumstances is the use of Sodium bicarbonate indicated during a car...

16. A patient weighting 100kg is being treated for Asystole.  What is the maximum dose of Vasopressin that can be given? a.         40mg/kg/min b.         40units/kg c.         40mcg/min d.         40units. 17 Name the drug: Stimulates alpha and beta adrenergic receptors. Produces bronchodilation and increases heart rate and force of contractions.  Increases the electrical activity in the myocardium and automaticity. a.         Epinephrine b.         Dopamine c.         Sodium Bicarbonate d.         Atropine 18. Name the drug: Neutralizes excess buildup of acid caused by severe hypoxic states, helps restore normal pH a.  ...

11. What is the initial IV/IO dose of epinephrine for a patient in PEA a. 1mg/kg of a 1:1000 solution b. 1mg of a 1:1000 solution c. 1mg/kg of a 1:10,000 solution d. 1mg of a 1:10,000 solution 12. When used to treat asystole and PEA, all of the following are true regarding epinephrine EXCEPT? a.         Must be given slowly over 2 minutes b.         May be given every 3-5 minutes c.         May be given via an endotracheal tube at 2-2.5mg d.         It may increase the heart rate and BP 13. What is the recommended dose of epinephrine 1:1000 via the ET tube? a.         1mg b.         2mg c.         3mg d.        ...

6. In contrast to other catecholamines, Dopamine at low doses (1-2ug/kg/min) can be expected to result in: a. An increase in blood pressure b. Hypotension c. Renal vasodilation d. Tachycardia 7. What is the correct dosage of epinephrine used in the treatment of unstable bradycardia? a. Epinephrine 1mg IV push q3-5 minutes b. Epinephrine infusion 5-20ug/kg/min c. Epinephrine infusion between 2-10ug/min d. Epinephrine 40u IV push, then 0.03units/hr 8. Atropine sulfate reverses cholinergic-mediated decreases in heart rate. All of the following are true regarding the effects of atropine EXCEPT: a. In the presence of an MI, it may worsen ischemia or increase the zone of infarction b. It will likely be ineffective in patients with transplanted hearts c. The recommended atropine dose for bradycardia is 0.5 mg IV every 3 to 5 minutes d. It is the first line treatment in patients with bradycardia with symptoms of poor perfusion 9. Epinephrine infusion may be used for...

1. For a patient in symptomatic bradycardia which medication may be given first? A.       Dopamine 5ug/kg IV push         B.       Atropine 0.5mg IV push C.       Norepinephrine 2u/kg IV push    D.       Epinephrine 2mg IV push 2. Atropine: A.   Is always given for a heart rate less than 60 bpm.           B.   Cannot be given via ET tube.     C.   Has a maximum total dosage of 3 mg IV in the setting of cardiac arrest   D.   When given IV for unstable bradycardia, should always be given slowly   3. What is the correct dosage of Isoproterenol? A.       1-5 mcg/kg./min B.       2-10ug/min C.       2-10ug...

Identify the pharmacologic therapy for the following rhythms. 1. a.  Adenosine 6mg IV fast flush, followed by 12mg if rhythm unchanged b.  Amiodarone 150mg IV infused over 20 minutes, may repeat once c.  Atenolol 5mg IV over 5 minutes d.  Atropine 0.5mg IV up to 0.4mg/kg 2. Serum potassium of 6.9 a.  Lidocaine 1.5mg/kg IV push b.  Calcium chloride 10%, D50, Insulin c.  Epinephrine or Vasopressin d.  Nitroglycerin and Nipride 3. a.  Calcium gluconate b.  Sodium bicarbonate c.  Thiamine hydrochloride d.  Magnesium 4. Wide complex tachycardia a.   Diltiazem 15-20mg IV over 2 minutes b.   Dobutamine 2-20mcg/kg/min c.   Naloxone 0.4mg up to 6mg d.   Adenosine 6mg rapid IV push 5. a.   Procainamide 1-4mg/min infused until rhythm surpressed b.   Lidocaine 0.75mg/kg if rhythm refractory to initial dose c.   Epinephrine 1mg (1;10,000) IV q3-5 mi...

Identify the pharmacologic therapy for the following rhythms. 1. a.  Verapamil 2.5mg IV over 2 minutes b.  Vasopressin 40 units IV if epinephrine unsuccessful c.  Norepinephrine 0.1-0.5mcg/minute until rhythm surpressed d.  Flumazenil 0.2mg IV over 15 seconds fast flush technique 2. a.  Reteplase 10 units IV bolus over 2 minutes b.  Atropine 0.5mg IVq3-5 minutes not to exceed 0.4mg/kg c.  Diltiazem 0.25mg/kg IV over 2 minutes d.  Milrinone 50mcg/kg over 10 minutes IV loading dose, stop if QRS widens over 50% 3. a.  Atropine 1mg IV push not to exceed 4mg b.  Nitroglycerin 10mcg/min titrate for effect c.  Epinephrine 1mg (1:10,000) IV q3-5 minutes d.  Adenosine 6mg IV push, if ineffective then 12mg IV push 4. a.  Lidocaine 1-4mg/minute and observe for CNS effects b.  Dopamine 2mcg/kg/min titrated up to 20 mcg/kg/min c.  Amiodarone 0.5mg/min x 6 hr, then 1mg/min x 18 hr d.  Nitr...