RSI/Mod Sedation
STEMI
Critical drips
Emergency Situations
Hemodynamics
100

Order of medications given during RSI

What is pre- med, sedation, paralytic?

First, any pre-medications (Lidocaine, Atropine) 

Second, induction agent (Versed, Etomidate, Propofol, Ketamine) for sedation.

Last, paralytic (Succinylcholine, Rocuronium, Vecuronium, Pancuronium) for jaw relaxation.

100

Location/Type of MI?


What is an Anterior STEMI?


100

Antiarrhythmic used for both atrial and ventricular arrhythmias

What is amiodarone?

100

Name 2 Signs and symptoms of tension pneumothorax

What are: SOB, chest pain, hypoxia, tachycardia, tachypnea, absent lung sounds, tracheal deviation

100

These 3 things make up stroke volume

What is preload, afterload and contractility?

200

List types of sedation on the sedation continuum

What is anxiolysis,  moderate sedation, deep sedation, and general anesthesia?

200

Documentation to use in EPIC if giving One-Step Meds to Code STEMI

What is the STEMI Narrator

200

Positive inotrope used to lower both preload and afterload causing increased cardiac output

What is dobutamine?

200

The below patient has a transvenous pacer.  How should you adjust it based on the below strip?

What is increase the energy or output?

200

The anatomical location where the arterial line transducer should be positioned.

What is the phlebostatic axis or right atrium?

300

This event occurs at the same time as the first dose of sedation 

What is the time out?

300

Changes seen in Leads V1, V2, V3

What are reciprocal changes? 

300

Medication used for hypotension caused by low SVR 

What is levophed?

300

The steps in the ACLS algorithm for the below rhythm

1. Check patient, call Code Blue, begin CPR

2. defibrillate ASAP 

3. give 1 mg epinephrine IVP, continue CPR

 4. give 300 mg amiodarone IVP. 

300

One possible Indication for therapeutic hypothermia

What is ROSC after witnessed cardiac arrest?

400

Type of sedation where patient is no longer following directions and airway is compromised

What is deep sedation or general anesthesia?

400

Type of MI where hypotension and heart blocks can occur (NTG may be contraindicated)

What is an Inferior MI? 

400

Medication used to increase cardiac output by increasing heart rate and diminishing parasympathetic tone

What is epinephrine?

400

Type of shock suspected in STEMI patient brought into the ED with the following symptoms.

  • Rapid breathing
  • Severe shortness of breath
  • Sudden, rapid heartbeat (tachycardia)
  • Loss of consciousness
  • Weak pulse
  • Low blood pressure (hypotension)
  • Sweating
  • Pale skin
  • Cold hands or feet
  • No urine output

What is cardiogenic shock?

400
Reason for levophed in a septic patient

What is increase BP by increasing SVR?

500

Capnography Phase DE below 

What is inspiration? 

500

Leads V7, V8, V9

What is a posterior ECG or additional leads that confirm diagnosis of a posterior MI?

500

Relaxes smooth muscle thereby decreases PVR and SVR, also causes venous dilation and decreases preload

What is Nipride or Nitroglycerin?

500

Transvenous Pacer setting changes needed in the below patient

What is increase the sensitivity?

500

Signs and symptoms if patient has low cardiac output

What is pale, cool, faint pulses, low BP, tachycardia....
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