Rhythms
This rhythm does not have any P waves, QRS complexes, or T waves. This rhythm cannot be cardioverted or defibrillated.
Asystole
This medication is given during cardiac arrest every 3-5 minutes and can also be used to bridge the gap between getting vasopressors initiated. (Please give the dose and concentration of cardiac arrest medication usage.)
What is 1 mg of Epinephrine 1:10,000?
You find a patient unresponsive, pulseless, and apneic. What is your first step?
Call for help unless you can do CPR forever.
This type of reversible cause is fixed by multiple methods that include hyperoxygenation and administration of NaHCO3.
What is Hydrogen Ions (Acidosis)?
What is a SAMPLE history?
S- Signs/Symptoms
A- Allergies
M- Medications
P- Past Medical History
L- Last oral intake
E- Events leading up to
This rhythm is regular, slow and has a P wave for every QRS complex. Treatment depends on if the patient is symptomatic.
Sinus Bradycardia
This medication is not recommended for routine use in cardiac arrest but can be used in special circumstances such as Hyperkalemia.
Sodium Bicarbonate
What is the range of targeted temperature management?
32-36 degrees Celsius
Name the antidote/reversal agent for the following situations.
1. Opioid Overdose
2. Benzodiazepine Overdose
3. Tricyclic Antidepressant Overdose
1. Narcan
2. Romazicon/Flumazenil
3. Sodium Bicarbonate
What is the first step in using an AED?
Turn it on.
Name the 4 heart blocks.
First Degree, 2nd Degree Type 1, 2nd Degree Type 2, and 3rd Degree Heart Block
This medication is the only medication that HAS to be given rapid IV push. It is the first line treatment of stable narrow complex tachycardias.
Adenosine
Please differentiate a stable vs. unstable patient in regards to ACLS management.
Stable: Patient does not have or has not developed signs and symptoms related to rate.
Unstable: Patient has developed signs and symptoms related to rate. (AMS, CHP, Decreased BP, Shock, DB)
Identify two ways to treat the reversible causes of Hypovolemia.
Fluid bolus of LR/NS and Administration of blood products
You and another nurse respond to a code blue. On arrival, the patient is being ventilated with a bag valve mask device but the patient's oxygen saturation is not rising. You notice that the bag is not inflated at the end of the device. How much oxygen is being delivered at this moment? (Answer in percentage)
21 percent
I am irregular, have no discernible P waves and tend to be managed with blood thinners.
Atrial Fibrillation
This medication is specifically used in the ACLS setting for the treatment of Torsades de Pointes.
Magnesium Sulfate
Give me 4 unstable tachycardias that can be cardioverted.
Atrial Flutter, Atrial Fibrillation, SVT, Ventricular Tachycardia with a pulse
You are a nurse in the ER. EMS has brought you a patient who was shot multiple times and you notice an orange catheter sticking out of the patient's anterior chest. What did EMS perform and what reversible cause did they treat?
Needle Chest Decompression and Tension Pneumothorax.
During cardiac arrest management, your patient has a sudden spike in End-Tidal CO2 readings. Why has this occurred?
Reliable indicator that ROSC has been achieved.
I originate from different locations in the heart each time I beat and can be a bit "early"
Multi-focal PVCs
Procainamide, Amiodarone, and Lidocaine are all in this drug class
Anti-Arrhythmic
Your patient is in SVT and another nurse is preparing to synchronize cardiovert the patient. The nurse cardioverts the patient and they go into cardiac arrest. What happened?
The nurse did not press the sync button on the cardiac monitor and defibrillated the patient causing an R-on-T phenomenon.
You are an ICU nurse who is caring for a patient involved in a MVC. Your patient just got finished receiving a pericardiocentesis. What reversible cause was treated?
Pericardial Tamponade
Give me the blood flow of the heart from beginning to end
Inferior/Superior Vena Cavae, Right Atrium, Tricuspid Valve, Right Ventricle, Pulmonic Valve, Pulmonary Artery, Lungs, Pulmonary Vein, Left Atrium, Mitral Valve, Left Ventricle, Aortic Valve, Aorta