Shock
ACLS Dysrhythmias
Zoll R-Series Defibrillator
ACLS Medications
Triage ESI
100
An untreated infection may lead to this condition.
What is septic shock?
100
As you check on a patient being treated for ACS you notice the rhythm below on the monitor. The patient does not respond when shake his shoulder as you call his name. Following the ACLS algorithm you immediately do this.
What is check for a pulse?
100
True or False: The green check below indicates automatic check confirms ECG, defibrillation, and pacing circuitry functional, battery life good for 1-hour monitoring, and cables & printer is functional.
What is true?
100
First line medication and dose given for all patients in cardiopulmonary arrest.
What is Epinephrine 1mg.
100
The ED RN recognizes these conditions require this ESI level at triage:
65yo with sudden loss of vision
69yo dialysis patient - weak and dizzy
45yo vomiting blood - tachycardic
What is ESI 2 - high risk?
(All sudden vision loss; a dialysis pt may have hyperkalemia/electrolyte imbalance; symptomatic hematemesis suggest risk of rapid deterioration)
200
This is first-line treatment for a patient in shock.
What is volume resuscitation/replacement?
200
High quality CPR is in progress, you attach the Zoll and see this rhythm. You immediately prepare to do this.
What is defibrillate?
200
As you are about to use the Zoll defibrilator you notice a red X in the front window. Understanding the functioning of the Zoll R-series defibrillator you do this.
What is find another defibrillator as this did not pass the automatic check?
(Attempting to check the defibrillator at this time may cause a delay in care)
200
After an initial dose of Epinephrine, one of these two medications may be used to treat v-fib and pulseless v-tach.
What are Amiodarone and Lidocaine?
200
True or False: It is acceptable to consider the experienced triage nurse's sixth sense in addition to patient interview and gross observations when determining a high-risk patient.
True - at times there is not an obvious assessment finding that would place the patient in a high-risk category. The experienced nurse may use their intuition, which is based on experience to categorize the patient.
300
During this type of shock the body attempts to maintain blood pressure and cardiac output by initiating vasoconstriction and increasing heartrate.
What is compensated shock?
300
Your patient is relatively stable in the below rhythm. Vagal maneuvers failed. You administer this medication/dose rapid push followed by 20cc NS rapid flush, with the provider present.
What is Adenosine 6mg?
300
True or false: The Zoll R-series Defibrillator is capable of being functionally converted to an AED.
What is true - Pressing the Analyze button functionally converts the defibrillator into an AED, allowing it to analyze, select the joules and charge, then advise the user to deliver the shock.
300
After 2 unsuccessful attempts at obtaining peripheral IV access during CPR, following ACLS guidelines the nurse proceeds to performing this procedure.
Obtain Intraosseous (IO) access.
300
The triage nurse understands that a 24-day old with a temp of 100.6 should be assigned this ESI level.
What is ESI 2?
(An infant less than 28days old with a temperature greater than 100.4 is considered high-risk regardless of how good they look)
400
What is the fluid bolus dose for a patient in septic shock?
What is 30 mL/kg?
400
During CPR, you do a rhythm check at the 2-minute mark and see the rhythm below. According to the ACLS algorithm you do this next.
What is continue chest compressions.
400
The nurse understands that pressing and holding this button on the Zoll Defibrillator during pacing, allows the care team to observe this.
What is the patient's underlying cardiac rhythm?
400
This medication is used during ACLS when treating a patient with the below rhythm.
What is Magnesium Sulfate?
400
True or False - A patient initially thought to be a level 3 after patient interview and gross observations may be upgraded to a level 2 based on the following V/S:
BP 90/50, P 124, R24, T101.4°F & Sat 94%
What is true?
The abnormal vital signs suggest that the patient may be sicker than initially thought, indicating patient is high-risk.
500
This type of shock manifests with hypotension, bradycardia, and temperature dysregulation.
What is neurogenic shock (spinal cord injury)
500
A patient with the below rhythm is pale, diaphoretic, and confused with HR 190 and BP 68/34. The nurse anticipates orders for this treatment.
What is synchronized cardioversion?
500
The nurse understands that this must be attached to successfully complete transcutaneous pacing using the Zoll defibrillator without a one-touch pad.
What is a 3-lead EKG/ECG cable?
500
Care team has been resuscitating a DKA patient in v-fib cardiac arrest for 10 minutes. Anticipating the provider order the nurse prepares this medication for administration.
What is Sodium Bicarbonate?
500
The ED RN recognizes these conditions require this ESI level at triage:
Overdose with a respiratory rate of 6b/min
Weak and dizzy with HR = 30b/min
Anaphylactic Shock
What is ESI Level 1 - requires immediate lifesaving intervention?