Static Cardiology – NREMT Exam Solved 100% Correct!!

Static Cardiology – NREMT Exam Solved 100% Correct!!
Sinus tach / Stable

Routine care
-Assess and manage ABCs
-O2 maintain SPO2 94%
-IV
-Monitor 4 & 12 lead
-Vitals / SAMPLE / OPQRST
- Reassess q 10 minutes

End
45y female with dyspnea for one hour. Alert; no JVD; heart regular without murmur;
lungs clear.
P 113
BP 143/91
RR 16
O2Sat 93%
Asystole / Unstable

Routine care
-Assess and manage ABCs
-O2 maintain SPO2 94%
-IV
-Monitor 4 & 12 lead
-Vitals / SAMPLE / OPQRST
- Reassess at the beginning of each 2 min cycle

Treatment
-High quality CPR 30:2 (100-120 BPM) rotating compressors q 2min and
-Epinephrine 1:10,000 1mg q 3 - 5 minutes
-Consider advanced airway without interrupting CPR

Continue this cycle until ROSC

Treat underlying causes H's & T's (COLD PATCH)

END
Middle-aged male found down, no family or bystanders around. Appears to be
unresponsive with no obvious signs of trauma.
P none
RR none
SVT / stable

Routine care

, -Maintain and manage ABCs
-O2 to maintain SPO2 94%
-IV
-Monitor 4 & 12 lead
-Vitals / SAMPLE / OPQRST
- Reasess 5

Treatment
-vagal maneuvers
-adenosine 6mg rapid IV push followed by 10ml flush
-if needed q in 1-2min @ 12mg

Treat underlying causes H's & T's (COLD PATCH)

END
36 yo female complains of a thumping in her chest and is feeling anxious, alert, no JVD,
lungs clear
P 180
BP 147/89
RR 18
SpO2 97%
SVT / unstable

Routine care
-Maintain and manage ABCs
-O2 to maintain SPO2 94%
-IV
-Monitor 4 & 12 lead
-Vitals / SAMPLE / OPQRST
- Reassess 5 min

Treatment
-Ketamine 1mg/kg
-Ativan 1mg
-Synchronized cardiovert @ 100 J
-Expert consultation

Treat underlying causes H's & T's (COLD PATCH)

End
71 yo female complains of a thumping in her chest and is feeling anxious, ALOC, no
JVD, lungs clear
P 180
BP 147/89
RR 27
SpO2 89%