After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on
the next rhythm check. A second shock is given, and chest compressions are resumed
immediately. An IV is in place, and no drugs have been given. Bag-mask ventilations
are producing visible chest rise. What is your next intervention?
Give epinephrine 1 mg IV/IO
Administer 3 sequential (stacked) shocks at 320 J (monophasic defibrillator)
Intubate and administer 100% oxygen
Give amiodarone 300 mg IV/IO
Give this one a try later!
Give epinephrine 1 mg IV/IO
,A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to
capture. The patient is confused, and her blood pressure is 88/56 mm Hg. Which
therapy is now indicated?
Adenosine 6 mg
Epinephrine 2 to 10 mcg/min
Normal saline 250 mL to 500 mL bolus
Atropine 1 mg
Give this one a try later!
Epinephrine 2 to 10 mcg/min
A 35-year-old woman presents with a chief complaint of palpitations. She has no
chest discomfort, shortness of breath, or light-headedness. Her blood pressure is
120/78 mm Hg. Which intervention is indicated first?
Adenosine 3 mg IV bolus
Metoprolol 5 mg IV and repeat if necessary
Vagal maneuvers
Adenosine 12 mg IV slow push (over 1 to 2 minutes)
Give this one a try later!
Vagal maneuvers
, A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One
dose of epinephrine was given after the second shock. An antiarrhythmic drug was
given immediately after the third shock. You are the team leader. Which medication do
you order next?
Epinephrine 1 mg
A second dose of the antiarrhythmic drug
Epinephrine 3 mg
Sodium bicarbonate 50 mEq
Give this one a try later!
Epinephrine 1 mg
You are the code team leader and arrive to find a patient with CPR in progress. On
the next rhythm check, you see the rhythm shown here. Team members tell you that
the patient was well but reported chest discomfort and then collapsed. She has no
pulse or respirations. Bag-mask ventilations are producing visible chest rise, and IO
access has been established. Which intervention would be your next action?
Intubation and administration of 100% oxygen
Epinephrine 1 mg
Dopamine at 10 to 20 mcg/kg per minute
Atropine 1 mg
Give this one a try later!
Epinephrine 1 mg
the next rhythm check. A second shock is given, and chest compressions are resumed
immediately. An IV is in place, and no drugs have been given. Bag-mask ventilations
are producing visible chest rise. What is your next intervention?
Give epinephrine 1 mg IV/IO
Administer 3 sequential (stacked) shocks at 320 J (monophasic defibrillator)
Intubate and administer 100% oxygen
Give amiodarone 300 mg IV/IO
Give this one a try later!
Give epinephrine 1 mg IV/IO
,A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to
capture. The patient is confused, and her blood pressure is 88/56 mm Hg. Which
therapy is now indicated?
Adenosine 6 mg
Epinephrine 2 to 10 mcg/min
Normal saline 250 mL to 500 mL bolus
Atropine 1 mg
Give this one a try later!
Epinephrine 2 to 10 mcg/min
A 35-year-old woman presents with a chief complaint of palpitations. She has no
chest discomfort, shortness of breath, or light-headedness. Her blood pressure is
120/78 mm Hg. Which intervention is indicated first?
Adenosine 3 mg IV bolus
Metoprolol 5 mg IV and repeat if necessary
Vagal maneuvers
Adenosine 12 mg IV slow push (over 1 to 2 minutes)
Give this one a try later!
Vagal maneuvers
, A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One
dose of epinephrine was given after the second shock. An antiarrhythmic drug was
given immediately after the third shock. You are the team leader. Which medication do
you order next?
Epinephrine 1 mg
A second dose of the antiarrhythmic drug
Epinephrine 3 mg
Sodium bicarbonate 50 mEq
Give this one a try later!
Epinephrine 1 mg
You are the code team leader and arrive to find a patient with CPR in progress. On
the next rhythm check, you see the rhythm shown here. Team members tell you that
the patient was well but reported chest discomfort and then collapsed. She has no
pulse or respirations. Bag-mask ventilations are producing visible chest rise, and IO
access has been established. Which intervention would be your next action?
Intubation and administration of 100% oxygen
Epinephrine 1 mg
Dopamine at 10 to 20 mcg/kg per minute
Atropine 1 mg
Give this one a try later!
Epinephrine 1 mg
