QUESTIONS WITH SOLUTIONS
GRADED A+
◍ change in mental status.
Answer: while receiving tpa, what would warrant for you to stop the
medication
◍ aortic stenosis.
Answer: systolic murmur that is ausculatated at the 2nd intercostal space,
right sternal border is ?
◍ 8-10 minutes.
Answer: removing a line hold pressure for?
◍ right atrium.
Answer: CVP reading directly reflects presue in the
◍ Nitroprusside purpose.
Answer: decreases preload and afterload by vasodilation (mainly afterload)
◍ Dobutamine mechanism of action.
Answer: contractility
◍ Dopamine at a low-end dose "renal dose".
Answer: 0.5-4mcg/kg/min increases renal and mesentric perfusion
◍ right heart failure.
Answer: elevated CVP may indicate?
◍ left ventricle.
Answer: pulmonary artery occlusive wedge pressure reflects pressure
where?
,◍ 10-20/0-4 mean 5-10.
Answer: normal pulmonary artery pressure is
◍ 6-12.
Answer: mmhg normal PAOP
◍ Left ventricle failure.
Answer: elevated PAOP indicates
◍ Dopamine at a mid-range dose.
Answer: 4-10mcg/kg/min increases contractility and heart rate
◍ Dopamine at a high-range dose.
Answer: greater than 10mcg/kg/minvasoconstriction and increases BP
◍ diltizepam.
Answer: 68 year old complains of feeling a little funny in his chest and ecg
shows afib/flutter. what medication should be used to treat?
◍ Dopamine and Levophed infiltration.
Answer: leads to tissue necrosis
◍ Dopamine antidote.
Answer: regitine (phentolamine)
◍ TpA monitor for.
Answer: bleeding-hemorrhagic CVA
◍ diltiazem (cardizem) works by?.
Answer: (calcium channel blocker) slows ventricular rate by slowing
conduction through the SA and AV node
◍ bundle branch block.
Answer: qrs complex longer that .12 indicates
◍ Diltazem (cardizem) biggest effect on which hemodynamic.
Answer: hypotension
◍ diltazem is used for patients with.
Answer: a-fib or a-flutter
, ◍ infiltration leads to tissue necrosis.
Answer: care should be excercised when administering IV dopamine
becuase?
◍ amiodarone (Cordarone) is a.
Answer: antiarrythmicprolongs the cardiac duration
◍ t wave.
Answer: strong ventricular stimulus is potentially dangerous when it lands
where
◍ symptomatic complete heart block.
Answer: indication for use of external cardiac pacemaker includes
◍ amiodarone 150mgIV bolus over 10 minutes.
Answer: initial durg treatment for sustained ventricular tachycardia when a
pulse is present
◍ You MUST use a __________ when using amiodarone infusion.
Answer: 0.22 micron filter
◍ epineprhine.
Answer: patient become apneic and pulseless . the monitor shows asytole.
the drug used initially?
◍ Watch out for ____________ in patients on a amiodarone infusion.
Answer: hypotension, prolongation of QT interval and bradycardia
◍ protamine sulfate.
Answer: antidote for heparin
◍ thorough handwashing.
Answer: most improatnt step in preventing central venous related sepsis is
◍ amiodarone is used for patients with.
Answer: a-fib, a-flutter and VT
◍ 150.
Answer: excessive amount of chest tube drainage during the first few hours