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A patient is in refractory ventricular fibrillation. High-quality
CPR is in progress. One dose of epinephrine was given
after the second shock. An antiarrhythmic drug was given
immediately after the third shock. You are the team leader.
Which medication do you order next?
Epinephrine 1 mg
Epinephrine 3 mg
Sodium bicarbonate 50 mEq
A second dose of the antiarrhythmic drug - Answer-
Epinephrine 1 mg
A patient with sinus bradycardia and a heart rate of 42/min
has diaphoresis and a blood pressure of 80/60 mm Hg.
What is the initial dose of atropine?
0.1 mg
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0.5 mg
1 mg
3 mg - Answer-0.5 mg
A monitored patient in the ICU developed a sudden onset
of narrow-complex tachycardia at a rate of 220/min. The
patient's blood pressure is 128/58 mm Hg, the PETCO2 is
38 mm Hg, and the pulse oximetry reading is 98%. There
is vascular access in the left arm, and the patient has not
been given any vasoactive drugs. A 12-lead ECG confirms
a supraventricular tachycardia with no evidence of
ischemia or infarction. The heart rate has not responded to
vagal maneuvers. What is your next action?
Administer adenosine 6 mg IV push
Administer amiodarone 300 mg IV push
Perform synchronized cardioversion at 50 J
Perform synchronized cardioversion at 200 J - Answer-
Administer adenosine 6 mg IV push
You arrive on the scene with the code team. High-quality
CPR is in progress. An AED has previously advised "no
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shock indicated." A rhythm check now finds asystole. After
resuming high-quality compressions, which action do you
take next?
Call for a pulse check
Establish IV or IO access
Insert a laryngeal airway
Perform endotracheal intubation - Answer-Establish IV or
IO access
You are caring for a 66-year-old man with a history of a
large intracerebral hemorrhage 2 months ago. He is being
evaluated for another acute stroke. The CT scan is
negative for hemorrhage. The patient is receiving oxygen
via nasal cannula at 2 L/min, and an IV has been
established. His blood pressure is 180/100 mm Hg. Which
drug do you anticipate giving to this patient?
Aspirin
Glucose (D50)
Nicardipiner
tPA - Answer-Aspirin