RSII/Mod Sedation
STEMI
Critical drips
Emergency Situations
Hemodynamics
100
pre- medication, sedative, then paralytic
What is the order of medications given during RSII?
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
Signs and symptoms of tension pneumothorax
SOB, chest pain, hypoxia, tachycardia, tachypnea, absent lung sounds, trach 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
Occurs at the same time as the first dose of sedation
What is the time out?
300
Leads V1, V2, V3
What are reciprocal changes?
300
Medication used for hypotension caused by low SVR
What is levophed?
300
ACLS algorithm for the below rhythm
Check patient, call Code Blue, begin CPR, defibrillate asap, give epinephrine, continue CPR, give amiodarone.
300
Indication for therapeutic hypothermia
What is ROSC after 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....