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TEEX PARADEMIC CARDIO | HIGH SCORING EXAM QUESTIONS AND ANSWERS

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TEEX PARADEMIC CARDIO | HIGH SCORING EXAM QUESTIONS AND ANSWERS /. Supra ventricular Tachycardia (stable) - Answer-IV access,ECG,O2 Vagal maneuver Adenosine 6mg RIVP Adenosine 12mg RIVP Cardizem 20mg/2min Monitor patient /.Supraventricular Tachycardia (unstable) - Answer-IV access, ECG, O2 Sedate: 10mg Valium IVP Sync cadiovert @100J, 200J, 300J, 360J Monitor patient /.Ventricular Tachycardia/Pulsed (Stable) - Answer-IV access, ECG, O2 Adenosine 6mg RIVP Adenosine 12 mg RIVP Amiodarone 150mg/10min Monitor patient /.Ventricular Tachycardia/Pulsed (unstable) - Answer-IV access, ECG, O2 Sedate: 10mg valium IVP Sync Cardiovert @ 100J, 200J, 300J, 360J Monitor patient /.Atrial Fibrillation/ 48hrs (stable) - Answer-IV access, ECG, O2 If RVR, Cardizem 20mg/ 2 min Monitor Patient /.Atrial Fibrillation/ 48hrs (unstable) - Answer-IV access, ECG, O2 Sync: Cardiovert @ 200J, 300J, 360J Monitor patient /.Atrial Flutter (stable) - Answer-IV access, ECG, O2 If RVR, Cardizem 20mg/ 2 min monitor patient /.Atrial Flutter (unstable) - Answer-IV access, ECG, O2 Sync: Cardiovert @100J, 200J, 300J, 360J Monitor patient /.Sinus Tachycardia (Stable) - Answer-IV access, ECG, O2 Vagal maneuver Consider underlying causes for tachy Monitor Patient /.All Bradycardias (unstable) - Answer-IV access, ECG, O2 Atropine .5mg IVP, q 3-5 mins, MAX 3mg Transcutaneous Pacing (rate = 80) *If TCP unavailable: SBP 100 Epi 2-10 mcg/min SBP100 Dopamine 2-20mcg/kg/min /.Acute Coronary Syndrome - Answer-* ST segment elevation and/or chest pain IV access, 12-lead ECG SAMPLE history, vitals oxygen- based on SPO2 Aspirin- 162-324 mg PO Nitro- 0.4 spray/tablets SL Fentanyl- 50-100 mcg IV /.Malignant PVC's - Answer-IV access, EKG, O2 *oxygen typically supresses PVS's Lidocaine 1-1.5 mg/kg IVP (initial dose) Lidocaine 0.5-0.75 mg/kg IVP (subseq. doses) Lidocain 2-4 mg/min (maint. drip) *Donot give Lidocaine if bradycardic or hypotensive /.Ventricular Tachycardia (pulseless) - Answer-Check Pulse CPR 2min cycle IV/IO Access, Airway mgmt Check rhythm/ Pulse Defib 360J CPR 2 min cycle Drug admin: 1. Epi 1:10 1 mg IVP 2. Amiodarone 300mg IVP 3. Epi 1:10 1 mg IVP 4. Amiodarone 150mg IVP 5. Epi 1:10 1mg IVP *After each drug admin. start from Check Rhythm/Pulse

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TEEX PARADEMIC CARDIO | HIGH SCORING
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TEEX PARADEMIC CARDIO | HIGH SCORING

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TEEX PARADEMIC CARDIO | HIGH SCORING EXAM
QUESTIONS AND ANSWERS

/. Supra ventricular Tachycardia (stable) - Answer-IV access,ECG,O2
Vagal maneuver
Adenosine 6mg RIVP
Adenosine 12mg RIVP
Cardizem 20mg/2min
Monitor patient

/.Supraventricular Tachycardia (unstable) - Answer-IV access, ECG, O2
Sedate: 10mg Valium IVP
Sync cadiovert
@100J, 200J, 300J, 360J
Monitor patient

/.Ventricular Tachycardia/Pulsed (Stable) - Answer-IV access, ECG, O2
Adenosine 6mg RIVP
Adenosine 12 mg RIVP
Amiodarone 150mg/10min
Monitor patient

/.Ventricular Tachycardia/Pulsed (unstable) - Answer-IV access, ECG, O2
Sedate: 10mg valium IVP
Sync Cardiovert
@ 100J, 200J, 300J, 360J
Monitor patient

/.Atrial Fibrillation/ <48hrs (stable) - Answer-IV access, ECG, O2
If RVR, Cardizem 20mg/ 2 min
Monitor Patient

/.Atrial Fibrillation/ <48hrs (unstable) - Answer-IV access, ECG, O2
Sync: Cardiovert
@ 200J, 300J, 360J
Monitor patient

/.Atrial Flutter (stable) - Answer-IV access, ECG, O2
If RVR, Cardizem 20mg/ 2 min
monitor patient

/.Atrial Flutter (unstable) - Answer-IV access, ECG, O2
Sync: Cardiovert
@100J, 200J, 300J, 360J

, Monitor patient

/.Sinus Tachycardia (Stable) - Answer-IV access, ECG, O2
Vagal maneuver
Consider underlying causes for tachy
Monitor Patient

/.All Bradycardias (unstable) - Answer-IV access, ECG, O2
Atropine .5mg IVP, q 3-5 mins, MAX 3mg
Transcutaneous Pacing (rate = 80)
*If TCP unavailable:
SBP> 100 Epi 2-10 mcg/min
SBP<100 Dopamine 2-20mcg/kg/min

/.Acute Coronary Syndrome - Answer-* ST segment elevation and/or chest pain

IV access, 12-lead ECG
SAMPLE history, vitals
oxygen- based on SPO2
Aspirin- 162-324 mg PO
Nitro- 0.4 spray/tablets SL
Fentanyl- 50-100 mcg IV

/.Malignant PVC's - Answer-IV access, EKG, O2
*oxygen typically supresses PVS's
Lidocaine 1-1.5 mg/kg IVP (initial dose)
Lidocaine 0.5-0.75 mg/kg IVP (subseq. doses)
Lidocain 2-4 mg/min (maint. drip)

*Donot give Lidocaine if bradycardic or hypotensive

/.Ventricular Tachycardia (pulseless) - Answer-Check Pulse
CPR 2min cycle
IV/IO Access, Airway mgmt
Check rhythm/ Pulse
Defib 360J
CPR 2 min cycle
Drug admin:
1. Epi 1:10 1 mg IVP
2. Amiodarone 300mg IVP
3. Epi 1:10 1 mg IVP
4. Amiodarone 150mg IVP
5. Epi 1:10 1mg IVP

*After each drug admin. start from Check Rhythm/Pulse

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TEEX PARADEMIC CARDIO | HIGH SCORING
Course
TEEX PARADEMIC CARDIO | HIGH SCORING

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