Atropine may (Choose three.):

A. not be given via the endotracheal tube

B. exacerbate ischemia in an acute MI

C. cause tachycardia

D. increase the rate of sinus bradycardia

What are the end points of a procainamide loading infusion in the non-arrest situation?

A. pretreatment QRS complex is widened by 50%

B. hypotension

C. 17 mg/kg drug has been injected

D. the dysrhythmia is suppressed

E. All of the above

A patient in the ED develops recurrent chest discomfort (8/10) suspicious for ischemia. His monitored rhythm becomes irregular as seen above. Oxygen is being administered by nasal cannula at 4 L/min and an intravenous line is patent. Blood pressure is 160/96 mmHg. There are no allergies or contraindications to any medication. You would first order

A. Lidocaine 1 mg/kg IV and infusion 2 mg/min

B. Morphine sulfate 2 to 4 mg IV

C. Nitroglycerin 0.4 mg SL

D. Amiodarone 150 mg IV

E. Intravenous nitroglycerin initiated at 10 ug/min and titrated

You arrive on-scene and find a 56-year-old diabetic woman complaining of chest discomfort. She is pale and diaphoretic, complaining of lightheadedness. Her blood pressure is 80/60 mmHg. The cardiac monitor documents the rhythm above. She is receiving oxygen at 4 L/min by nasal cannula, and an IV has been established. Transcutaneous pacing has been requested but is not yet available. Your next order is

A. Give morphine sulfate 4 mg IV

B. Start dopamine at 2 to 10 ug/kg per minute

C. Give atropine 0.5 mg IV

D. Give atropine 1 mg IV

E. Give nitroglycerin 0.4 mg SL

T/F: During cardiac arrest, sodium bicarbonate should be administered every 5 minutes to prevent metabolic acidosis.

A. True

B. False

Which of the following statements is most accurate regarding the administration of vasopressin during cardiac arrest?

A. Vasopressin can be administered twice during cardiac arrest

B. Vasopressin is indicated for VF and pulseless VT prior to the delivery of the first shock

C. The correct dose of Vasopressin is 40 U administered IV or IO

D. Vasopressin is recommended instead of epinephrine for the treatment of asystole

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What is the effect of a dopamine infusion at greater than 5 mcg/kg/min?

A. Peripheral artery vasoconstriction.

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The obligation to provide care is a concept known as:

A. Duty to act

SIMULATION

Describe the location and function of capillaries.

A. Capillaries are tiny blood vessels that connect arterioles to venules. They are found in all parts of the body. Their function is to allow the exchange of nutrients and waste at the cellular level.

SIMULATION Define negligence.

A. Negligence is the deviation from the accepted standard of care resulting in further injury to the patient.