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% 2nd type 2 / unstable Routine care -Maintain and manage ABCs -O2 to maintain SPO2 94% -IV -Monitor 4 & 12 lead -Vitals / SAMPLE / OPQRST - Reassess 5 Treatment -Atropine 1mg IVP -If Atropine is ineffective consider Pacing *set rate at 70 *set mA until both electrical and mechanical capture *Increase 5mA or 10% (manufactures recommendation) -Patient hemodynamic unstable no sedation or pain meds OR Dopamine infusion - 2 - 20mcg/kg/min and titrate to effect OR Epinephrine - 2 - 10mcg/min titrate to effect -consider expert consultation Treat underlying causes H's & T's (COLD PATCH) END Pt complained of lightheadedness earlier today, but is currently sitting up and talking with you in mumbles. ALOC; no JVD, lungs few scattered crackles P 59 BP 81/54 RR 12 SpO2 86% 3rd block / unstable Routine care -Maintain and manage ABCs -O2 to maintain SPO2 94% -IV -Monitor 4 & 12 lead -Vitals / SAMPLE / OPQRST - Reassess 5 Treatment -Atropine 1mg IVP -If Atropine is ineffective consider