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Which is the primary purpose of a medical emergency team or rapid response team? -
ANSWERS-Improving patient outcomes by identifying and treating early clinical
deterioration
A patient is being resuscitated in a very noisy environment. A team member thinks he
heard an order for 500 mg of amiodarone IV. Which is the best response from the team
member? - ANSWERS-"I have an order to give 500 mg of amiodarone IV. Is this
correct?"
Which is the recommended oral dose of aspirin for a patient with a suspected acute
coronary syndrome? - ANSWERS-162 to 325 mg
You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm
shown here, (3rd degree rythym (PEA)) and the patient has no pulse. Another member
of your team resumes chest compressions, and an IV is in place. Which do you do
next? - ANSWERS-Give epinephrine 1 mg IV
What is the minimum systolic blood pressure one should attempt to achieve with fluid
administration or vasoactive agents in a hypotensive post-cardiac arrest patient who
achieves return of spontaneous circulation? - ANSWERS-90mmHg
What should be the primary focus of the CPR Coach on a resuscitation team? -
ANSWERS-To ensure high-quality CPR
, Use this scenario to answer the next 4 questions: - ANSWERS-A 68-year-old woman
presents with light-headedness, nausea, and chest discomfort. Your assessment finds
her awake and responsive but appearing ill, pale, and grossly diaphoretic. Her radial
pulse is weak, thready, and fast. You are unable to obtain a blood pressure. She has no
obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with
moderate rales present bilaterally. The cardiac monitor shows the rhythm seen here. (V-
tach with a pulse)
On the basis of this patient's initial assessment, which ACLS algorithm should you
follow? - ANSWERS-Adult Tachycardia With a Pulse
The patient's pulse oximeter shows a reading of 84% on room air. Which initial action do
you take? - ANSWERS-Give oxygen
After your initial assessment of this patient, which intervention should be performed
next? - ANSWERS-Synchronized cardioversion
If the patient became apneic and pulseless but the rhythm remained the same, which
would take the highest priority? - ANSWERS-Perform defibrillation
You instruct a team member to give 1 mg atropine IV. Which response is an example of
closed-loop communication? - ANSWERS-"I'll draw up 1 mg of atropine."
Which best describes an action taken by the Team Leader to avoid inefficiencies during
a resuscitation attempt? - ANSWERS-Clearly delegate tasks
What is an effect of excessive ventilation? - ANSWERS-Decreased cardiac output
Which best describes the length of time it should take to perform a pulse check during
the BLS Assessment? - ANSWERS-5 to 10 seconds
Which is the recommended first intravenous dose of amiodarone for a patient with
refractory ventricular fibrillation? - ANSWERS-300 mg