Gs Medic SOP Exam Practice
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Questions and Answers
- 1.
BP goal for Dopamine drip tx?
- A.
90mmHg or greater
- B.
80mmHg or greater
- C.
100mmHg or greater
- D.
110mmHg or greater
Correct Answer
A. 90mmHg or greaterExplanation
The goal for Dopamine drip treatment is to maintain a blood pressure of 90mmHg or greater. Dopamine is a medication used to increase blood pressure and cardiac output. By setting a goal of 90mmHg or greater, healthcare providers aim to ensure adequate perfusion to vital organs and prevent complications associated with low blood pressure.Rate this question:
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- 2.
When administering Versed IN prior to pacing or cardioversion, what is the dose?
- A.
6mg
- B.
2mg
- C.
4mg
- D.
10mg
Correct Answer
C. 4mgExplanation
The correct dose of Versed IN prior to pacing or cardioversion is 4mg.Rate this question:
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- 3.
Flush all meds in an adult arrest with ________ mL of saline.
Correct Answer
20Explanation
In an adult arrest, it is recommended to flush all medications with 20 mL of saline. This is done to ensure that the medications are completely delivered into the bloodstream and to prevent any potential blockages or obstructions in the IV line. Flushing with saline helps to clear the IV line and ensure that the medications are effectively administered to the patient.Rate this question:
- 4.
Maximum PEEP for CPAP?
- A.
20cmH20
- B.
15cmH20
- C.
10cmH20
- D.
25cmH20
Correct Answer
C. 10cmH20Explanation
The maximum PEEP (Positive End-Expiratory Pressure) for CPAP (Continuous Positive Airway Pressure) is 10cmH20. PEEP is the pressure applied during the expiratory phase of the breathing cycle to help keep the airways open and improve oxygenation. It is commonly used in patients with respiratory distress or those receiving mechanical ventilation. A higher PEEP can cause complications such as barotrauma or decreased cardiac output, so it is important to stay within safe limits. In this case, 10cmH20 is the maximum PEEP recommended for CPAP therapy.Rate this question:
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- 5.
Don't restart an LVAD if its been off for over how much time?
- A.
5 minutes
- B.
1 minutes
- C.
10 minutes
- D.
30 seconds
Correct Answer
A. 5 minutesExplanation
Restarting a Left Ventricular Assist Device (LVAD) after it has been off for more than 5 minutes can be potentially dangerous for the patient. The LVAD is a mechanical device that helps the heart pump blood, and if it remains off for an extended period, the patient's heart may not be able to function properly once it is restarted. Therefore, it is crucial to adhere to the 5-minute limit to avoid complications and ensure the patient's safety.Rate this question:
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- 6.
What drug is indicated for a cyclic antidepressant OD with hypoperfusion and wide QRS complex?
- A.
Glucagon 1mg
- B.
Narcan 2mg
- C.
Sodium Bicarb 1mEq/kg
- D.
Sodium Bicarb 50mEq
Correct Answer
C. Sodium Bicarb 1mEq/kgExplanation
In cases of cyclic antidepressant overdose with hypoperfusion and wide QRS complex, sodium bicarbonate is indicated. Sodium bicarbonate helps to correct the acidosis caused by the overdose and also improves cardiac conduction by increasing the extracellular pH. It is administered at a dose of 1mEq/kg. Glucagon is not indicated in this scenario as it is used for beta-blocker overdose. Narcan is used for opioid overdose. Sodium bicarbonate 50mEq is not the recommended dose and may lead to excessive sodium and fluid load.Rate this question:
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- 7.
Peds fluid bolus dose? (Aside from thermal/inhalation burns)
- A.
30mL/kg
- B.
20mL/kg
- C.
60mL/kg
- D.
5mL/kg
Correct Answer
B. 20mL/kgExplanation
The correct answer is 20mL/kg. This is the recommended fluid bolus dose for pediatric patients, excluding those with thermal or inhalation burns. Fluid boluses are used to rapidly restore circulating volume in cases of hypovolemia or shock, and the standard dose for pediatric patients is 20mL/kg. This helps to improve perfusion and prevent further deterioration.Rate this question:
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- 8.
A rate > ________ bpm is considered SVT in a pt less than 1 year old.
Correct Answer
220Explanation
A rate of 220 beats per minute is considered supraventricular tachycardia (SVT) in a patient less than 1 year old. SVT is a condition characterized by a rapid heart rate originating from the upper chambers of the heart. In infants, a heart rate above 220 bpm is abnormal and indicates SVT. This can cause symptoms such as rapid breathing, poor feeding, and irritability. Prompt medical attention is necessary to diagnose and treat SVT in infants to prevent complications.Rate this question:
- 9.
The SVT rate for a pt 1-15yo is > ________ bpm
Correct Answer
180Explanation
The given correct answer states that the SVT (Supraventricular Tachycardia) rate for a patient aged 1-15 years old is greater than 180 beats per minute. This means that if a patient within this age range has a heart rate exceeding 180 bpm, it could be indicative of SVT.Rate this question:
- 10.
Peds SVT synchronized cardioversion initial shock?
- A.
3 j/kg
- B.
1 j/kg
- C.
2 j/kg
- D.
4 j/kg
Correct Answer
B. 1 j/kgExplanation
The correct answer is 1 j/kg. Synchronized cardioversion is a procedure used to convert a rapid heart rhythm back to a normal rhythm. In pediatric patients with supraventricular tachycardia (SVT), the initial shock dose for synchronized cardioversion is typically 1 j/kg. This means that for every kilogram of the child's weight, a dose of 1 joule of energy is delivered during the shock. This dose is considered safe and effective for converting SVT in pediatric patients.Rate this question:
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- 11.
Who shouldn't get epi 1:1000 IM during an asthma attack?
- A.
>50yo and/or cardiac hx
- B.
Peds
- C.
HR >100
- D.
Pts with renal failure
Correct Answer
A. >50yo and/or cardiac hxExplanation
People who are over 50 years old and/or have a history of cardiac problems should not receive epi 1:1000 IM during an asthma attack. This is because epinephrine can increase heart rate and blood pressure, which may be dangerous for individuals in this age group or with a history of cardiac issues. It is important to consider the potential risks and benefits of administering medication in these cases.Rate this question:
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- 12.
What two (2) adult pts should not receive Etomidate for DAI?
- A.
Head trauma and >65yo
- B.
Septic and >65yo
- C.
Known/suspected STEMI and bi-polar
- D.
Septic and renal failure
Correct Answer
D. Septic and renal failureExplanation
Etomidate is a medication used for induction of anesthesia. It is known to cause adrenal suppression, which can be harmful in certain patient populations. Septic patients with renal failure are at a higher risk of adrenal insufficiency, and therefore, should not receive Etomidate. This is because their adrenal glands are already compromised due to sepsis and renal failure, and administering Etomidate can further suppress adrenal function, leading to complications. Therefore, it is contraindicated in this specific patient population.Rate this question:
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- 13.
All ped SOPs that require fluid resuscitation (except thermal/inhalation burns) are the same dose - ________ mL/kg, can repeat ________ times to a total max of ________ mL/kg. *Answer all blanks at once with numbers only and a comma between each "69, 69, 69"
Correct Answer
20, 2, 60Explanation
The correct answer is 20, 2, 60. This means that for all pediatric Standard Operating Procedures (SOPs) that require fluid resuscitation (except for thermal/inhalation burns), the dose is 20 mL/kg. This dose can be repeated 2 times, for a total maximum of 60 mL/kg.Rate this question:
- 14.
If you successfully intubate a pt with a FBAO but cannot achieve chest rise, what should you do next?
- A.
Re-check placement. Prepare to extubate and intubate again with smaller ET tube
- B.
Leave tube secured in place and perform cricothyroidotomy with high FiO2 ventilation
- C.
Advance tube to push object into right main stem, then pull back and attempt to ventilate
- D.
Re-check placement. Prepare to extubate and perform cricothyroidotomy with high FiO2 ventilation
Correct Answer
C. Advance tube to push object into right main stem, then pull back and attempt to ventilateExplanation
If you successfully intubate a patient with a foreign body airway obstruction (FBAO) but cannot achieve chest rise, the next step would be to advance the tube to push the object into the right main stem and then pull back to attempt ventilation. This technique aims to dislodge the obstruction and create an open airway for effective ventilation. Re-checking the tube placement is also important to ensure that it is correctly positioned. Performing a cricothyroidotomy with high FiO2 ventilation or preparing to extubate and intubate again with a smaller ET tube are not the recommended actions in this scenario.Rate this question:
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- 15.
For adult anaphylaxis tx, what is the order of drug administration? What is it for peds?
- A.
Epi then Benadryl; Benadryl then Epi
- B.
Benadryl then Epi; Benadryl then Epi
- C.
Benadryl then Epi; Epi then Benadryl
- D.
Epi then Benadryl; Epi then Benadryl
Correct Answer
D. Epi then Benadryl; Epi then BenadrylExplanation
The correct order of drug administration for adult anaphylaxis treatment is Epi (epinephrine) followed by Benadryl (diphenhydramine). This is also the correct order for pediatric patients. Epinephrine is the first-line treatment for anaphylaxis as it helps to reverse the severe allergic reaction by constricting blood vessels and opening up airways. Benadryl is typically given after epinephrine to provide additional relief from symptoms such as itching and hives.Rate this question:
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- 16.
What additional SOP do peds have for allergic reaction/anaphylaxis?
- A.
Systemic allergic reaction without airway compromise - tx is Benadryl and Atropine
- B.
Localized allergic reaction w/o systemic symptoms - tx is Benadryl
- C.
Localized allergic reaction w/o systemic symptoms - tx is nebulized Epi
- D.
Anaphylaxis with systemic bradycardia - tx is Epi and Atropine
Correct Answer
B. Localized allergic reaction w/o systemic symptoms - tx is BenadrylExplanation
The additional SOP that peds have for a localized allergic reaction without systemic symptoms is the administration of Benadryl. This means that if a pediatric patient presents with a localized allergic reaction, such as hives or itching, without any other systemic symptoms like difficulty breathing or low blood pressure, the recommended treatment is to give them Benadryl. Benadryl is an antihistamine that helps to relieve allergic symptoms and is commonly used in the treatment of allergic reactions.Rate this question:
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- 17.
How do you find shock index?
- A.
HR/SBP
- B.
SBP-DBP
- C.
SBP/HR
- D.
(SBP-DBP) x 1/3
Correct Answer
A. HR/SBPExplanation
SEPSIS SHOCK INDEX = >1
ex. 90/70 and 120bpm = 1.33 shock indexRate this question:
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- 18.
Peds BP formula?
- A.
80 + (Kg x 2)
- B.
70 + (Kg x 2)
- C.
60 + (age x 3)
- D.
70 + (age x 2)
Correct Answer
D. 70 + (age x 2)Explanation
The given formula for calculating pediatric blood pressure is 70 + (age x 2). This formula suggests that the normal blood pressure for children increases with age. The addition of 70 to the product of age and 2 indicates that blood pressure tends to rise as children grow older. This formula is commonly used in pediatric medicine to estimate blood pressure levels in children based on their age.Rate this question:
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- 19.
Tx for a pt with an altered mental status and BGL of 36. What medication and dose?
- A.
Glucagon - 1mg IM
- B.
Dextrose 10% - 12g (120mL) IV
- C.
Dextrose 10% - 10g (100mL) IV
- D.
Oral Glucose - 1 tube (15 grams)
Correct Answer
C. Dextrose 10% - 10g (100mL) IVExplanation
The correct answer is Dextrose 10% - 10g (100mL) IV. This is the appropriate medication and dose for a patient with an altered mental status and a blood glucose level of 36. Administering Dextrose 10% intravenously will rapidly increase the patient's blood sugar levels and help improve their mental status. The dose of 10g (100mL) is appropriate for this situation. Glucagon is not the best choice in this scenario as it is typically used for severe hypoglycemia when intravenous access is not available. Oral glucose may not be effective enough to quickly raise the blood sugar levels in a patient with altered mental status.Rate this question:
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- 20.
Which pain meds are contraindicated in a STEMI?
- A.
Versed & Morphine
- B.
Fentanyl & Toradol
- C.
Ketamine & Toradol
- D.
Morphine & Ketamine
Correct Answer
C. Ketamine & ToradolExplanation
Ketamine and Toradol are contraindicated in a STEMI (ST-elevation myocardial infarction) because they can increase blood pressure and heart rate, which can worsen the condition. Ketamine is a dissociative anesthetic that can cause sympathetic stimulation, leading to increased cardiovascular stress. Toradol is a nonsteroidal anti-inflammatory drug (NSAID) that can also raise blood pressure and potentially increase the risk of cardiovascular events. Therefore, using these medications in a STEMI patient can be harmful and should be avoided.Rate this question:
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- 21.
If using Lidocaine in an arrest and your pt experiences ROSC, what should you administer?
- A.
Bolus Lidocaine 1mg/kg - max 100mg
- B.
Bolus Amiodarone 150mg over 10min
- C.
Lidocaine drip 0.5mg/kg - max 50mg
- D.
Sodium bicarbonate 50mEq
Correct Answer
A. Bolus Lidocaine 1mg/kg - max 100mgExplanation
After the patient experiences ROSC (Return of Spontaneous Circulation) following the administration of Lidocaine during an arrest, the appropriate action would be to continue with the same treatment. Therefore, the correct answer is to administer another bolus of Lidocaine at a dose of 1mg/kg, with a maximum limit of 100mg. This is because Lidocaine is an antiarrhythmic medication commonly used in cardiac arrest cases to stabilize and maintain the heart rhythm.Rate this question:
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- 22.
You first setting when cardioverting is ________ j.
Correct Answer
100Explanation
The initial setting when cardioverting is typically 100 joules.Rate this question:
- 23.
Adenocard can be repeated after ________ minutes
Correct Answer
2Explanation
Adenocard can be repeated after 2 minutes. This means that after administering Adenocard, a medication used to treat certain heart rhythm problems, a healthcare provider can administer another dose after a 2-minute interval. This suggests that the medication's effects are short-lived or that the dosage may need to be adjusted based on the patient's response. It is important to follow the recommended dosing guidelines and consult with a healthcare professional for proper administration.Rate this question:
- 24.
NTG is contraindicated if ED meds taken in the last ________ hours.
Correct Answer
48Explanation
NTG (nitroglycerin) is a medication used to treat angina (chest pain) by relaxing and widening blood vessels. It works by increasing blood flow and oxygen supply to the heart. However, taking NTG within 48 hours of using erectile dysfunction (ED) medications such as Viagra, Cialis, or Levitra can cause a dangerous drop in blood pressure. Both NTG and ED medications work to relax blood vessels, and combining them can lead to a severe decrease in blood pressure, potentially causing dizziness, fainting, or even a heart attack. Therefore, it is contraindicated to take NTG if ED medications have been used within the last 48 hours.Rate this question:
- 25.
What should you do after administering Adenocard?
- A.
Flush with pressure bag and elevate extremity
- B.
Flush with 20mL and elevate extremity
- C.
Flush with bag wide open and elevate extremity
- D.
Flush with 10mL and elevate extremity
Correct Answer
D. Flush with 10mL and elevate extremityExplanation
After administering Adenocard, it is recommended to flush with 10mL and elevate the extremity. This is done to ensure that the medication is fully delivered and to prevent any adverse effects or complications. Flushing with a smaller volume of fluid helps to ensure that the medication reaches the intended site and is not diluted or dispersed too quickly. Elevating the extremity helps to promote venous return and prevent pooling of the medication at the site of administration.Rate this question:
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- 26.
What competes with ACh at muscarinic receptors?
- A.
Adenosine
- B.
Amiodarone
- C.
Atropine
- D.
Succs
Correct Answer
C. AtropineExplanation
Atropine competes with ACh at muscarinic receptors. Atropine is an anticholinergic drug that blocks the action of ACh at muscarinic receptors, effectively inhibiting the parasympathetic nervous system. This leads to the dilation of pupils, increased heart rate, and decreased secretions. Atropine is commonly used in medical settings to treat bradycardia, reduce secretions during surgery, and counteract the effects of certain toxins.Rate this question:
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- 27.
Dopamine packaging in Region VIII should be a ________ mcg/mL bag.
Correct Answer
1600Explanation
The given statement suggests that the dopamine packaging in Region VIII should be a bag with a concentration of 1600 mcg/mL. This means that for every milliliter of the solution in the bag, it should contain 1600 micrograms of dopamine. This concentration is determined based on the specific requirements and standards in Region VIII.Rate this question:
- 28.
How often do you give Epi during a cardiac arrest?
- A.
2 - 5 min
- B.
2 - 3 min
- C.
2 min
- D.
3 - 5 min
Correct Answer
D. 3 - 5 minExplanation
During a cardiac arrest, it is recommended to administer epinephrine (Epi) every 3-5 minutes. Epinephrine is a medication that helps to stimulate the heart and increase blood flow. Giving it at regular intervals ensures that the effects of the medication are maintained and helps to improve the chances of restoring a normal heart rhythm. Administering Epi too frequently or too infrequently may not provide the desired therapeutic effect.Rate this question:
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- 29.
What is the initial dose of Morphine given for cardiac chest pain?
- A.
0.5mg/kg IV/IO max 100mg
- B.
2mg IV/IO up to 10mg
- C.
4mg IV/IO
- D.
1mg/kg IV/IO max of 100mg
Correct Answer
B. 2mg IV/IO up to 10mgExplanation
The initial dose of Morphine given for cardiac chest pain is 2mg IV/IO up to 10mg. This dosage is commonly administered to relieve pain and reduce anxiety in patients experiencing cardiac chest pain. It is important to note that the dosage may vary depending on the individual's weight and specific medical condition.Rate this question:
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- 30.
Prior to cardioverting you can administer ________ mg IN of Versed.
Correct Answer
4 - 31.
If you have a line prior to pacing your pt, you can administer ________ mg of Versed IV.
Correct Answer
2 - 32.
Your 70kg pt is in v-fib and you're administering your first dose of Lidocaine. What's your dose?
- A.
70mg
- B.
100mg
- C.
140mg
- D.
35mg
Correct Answer
A. 70mgExplanation
The correct answer is 70mg because the usual initial dose of Lidocaine for treating ventricular fibrillation (v-fib) is 1 to 1.5 mg/kg. Since the patient weighs 70kg, the appropriate dose would be 70mg. This initial dose can be repeated if necessary, but it is important to follow the recommended guidelines for administration.Rate this question:
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- 33.
Never give Lidocaine to any of the following:
- A.
AV block
- B.
Sepsis
- C.
IVR
- D.
Inferior wall MI
- E.
Hyperkalemia
- F.
V-tach with a pulse
Correct Answer(s)
A. AV block
C. IVR
D. Inferior wall MIExplanation
Lidocaine should not be administered to patients with AV block, IVR (Idiopathic Ventricular Tachycardia), or Inferior wall MI (Myocardial Infarction). AV block refers to a condition where the electrical signals between the atria and ventricles of the heart are impaired. Lidocaine can further disrupt the electrical conduction in these patients. IVR and Inferior wall MI are specific cardiac conditions where Lidocaine may not be appropriate due to potential adverse effects or lack of efficacy.Rate this question:
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- 34.
Where does Lidocaine suppress automaticity?
- A.
AV node
- B.
His-Purkinje system
- C.
Bachman bundle
- D.
SA node
Correct Answer
B. His-Purkinje systemExplanation
Lidocaine suppresses automaticity in the His-Purkinje system. The His-Purkinje system is responsible for conducting electrical impulses through the ventricles of the heart, allowing for coordinated and efficient contraction. By suppressing automaticity in this system, lidocaine helps to regulate and stabilize the electrical activity in the ventricles, preventing abnormal heart rhythms such as ventricular tachycardia or fibrillation.Rate this question:
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- 35.
During an adult arrest you should administer ________ mg of Epi 1:10,000 IV/IO
Correct Answer
1 - 36.
Your first dose of Amiodarone during an adult arrest is ________ mg IV
Correct Answer
300Explanation
The correct answer is 300 mg. This is the recommended dose of Amiodarone to be administered intravenously during an adult arrest. Amiodarone is an antiarrhythmic medication used to treat life-threatening ventricular arrhythmias. It is typically given as a loading dose followed by a maintenance dose. The loading dose helps to quickly reach therapeutic levels in the body and is usually higher than the maintenance dose. In this case, the loading dose of Amiodarone during an adult arrest is 300 mg intravenously.Rate this question:
- 37.
Possible causes for asystole/PEA?
- A.
Hypothermia
- B.
Anaphylaxis
- C.
Cardiogenic Shock
- D.
Hypoglycemia
- E.
Hypercapnia
- F.
Hypoxemia
- G.
Hypocalcemia
- H.
Tension pneumothorax
- I.
Hyperkalemia
- J.
Heart Failure
- K.
Hypoventilation
- L.
Hyperglycemia
- M.
Hypovolemia
- N.
Cardiac tamponade
Correct Answer(s)
A. Hypothermia
C. Cardiogenic Shock
D. Hypoglycemia
F. Hypoxemia
H. Tension pneumothorax
I. Hyperkalemia
J. Heart Failure
M. Hypovolemia
N. Cardiac tamponadeExplanation
The possible causes for asystole/PEA include hypothermia, cardiogenic shock, hypoglycemia, hypoxemia, tension pneumothorax, hyperkalemia, heart failure, hypovolemia, and cardiac tamponade. These conditions can lead to a lack of electrical activity or ineffective pumping of the heart, resulting in asystole or pulseless electrical activity.Rate this question:
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- 38.
If ETCO2 has a sudden rise and is reading above ________ mmHg, it's likely ROSC may have occurred.
Correct Answer(s)
30Explanation
If the ETCO2 (end-tidal carbon dioxide) level suddenly increases and reads above 30 mmHg, it is likely that ROSC (return of spontaneous circulation) may have occurred. ETCO2 is a measurement of the amount of carbon dioxide exhaled at the end of each breath, and it is an indicator of the effectiveness of circulation. A sudden rise in ETCO2 above 30 mmHg suggests that there is an increase in blood flow and oxygen delivery, which is a positive sign indicating the return of spontaneous circulation.Rate this question:
- 39.
The initial defiib shock with a Zoll monitor is?
- A.
200j
- B.
150j
- C.
100j
- D.
120j
Correct Answer
D. 120jExplanation
The initial defibrillation shock with a Zoll monitor is typically set at 120j. This energy level is considered to be effective in restoring normal heart rhythm in cases of cardiac arrest. It is important to deliver the appropriate amount of energy to ensure the best chances of successful defibrillation. The Zoll monitor is a commonly used device in emergency medical settings for delivering defibrillation therapy.Rate this question:
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- 40.
Tx for an adult pt with stable cardiac chest pain includes IMC and?
- A.
Aspirin 324mg, 12-lead, 0.4mg NTG, Fentanyl IVP
- B.
12-lead, Aspirin 324mg, 0.4mg NTG, Fentanyl IVP
- C.
0.4mg NTG, Aspirin 324mg, 12-lead, Fentayl IVP
- D.
12-lead, 0.4mg NTG, Aspirin 324mg, Fentanyl IVP
Correct Answer
A. Aspirin 324mg, 12-lead, 0.4mg NTG, Fentanyl IVPExplanation
The correct answer is Aspirin 324mg, 12-lead, 0.4mg NTG, Fentanyl IVP. This is the correct sequence of interventions for an adult patient with stable cardiac chest pain. Aspirin is given first to help prevent further clot formation. 12-lead ECG is performed to assess the patient's cardiac rhythm and detect any abnormalities. Nitroglycerin is then administered to relieve chest pain by dilating the coronary arteries. Finally, Fentanyl is given intravenously to manage any remaining pain. This sequence follows the standard protocol for managing stable cardiac chest pain.Rate this question:
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- 41.
If a pt is presenting with cardiogenic shock and you want to start Dopamine, dosing should begin at ________ mcg/kg/min
Correct Answer
5Explanation
In cardiogenic shock, the heart is unable to pump enough blood to meet the body's needs. Dopamine is a medication commonly used to increase the heart's pumping strength and improve blood flow. The dosing of dopamine in this case should begin at 5 mcg/kg/min. This means that for every kilogram of the patient's weight, 5 micrograms of dopamine should be administered per minute. This dosage helps to stimulate the heart and improve cardiac output, ultimately supporting the patient's blood pressure and organ perfusion.Rate this question:
- 42.
For a pt with a crush injury, what is the initial fluid dosing?
- A.
10mL/kg
- B.
200mL bolus increments up to 1L
- C.
20mL/kg
- D.
1L/hr bolus
Correct Answer
A. 10mL/kgExplanation
The initial fluid dosing for a patient with a crush injury is 10mL/kg. This means that for every kilogram of the patient's body weight, they should receive 10mL of fluid. This initial dosing helps to replace any fluid loss and maintain adequate hydration in the patient.Rate this question:
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- 43.
Tx for unstable ped pt with epiglottitis?
- A.
Albuterol 2.5mg/3mL via neb
- B.
Epi 1:10,000 3mg/3mL via neb
- C.
Benadryl 50mg IM
- D.
Epi 1:1,000 3mg/3mL via neb
Correct Answer
D. Epi 1:1,000 3mg/3mL via nebExplanation
The correct answer is Epi 1:1,000 3mg/3mL via neb. Epiglottitis is a potentially life-threatening condition characterized by inflammation and swelling of the epiglottis, which can cause airway obstruction. Epinephrine is a vasoconstrictor that helps reduce the swelling and improve the airway. The concentration of 1:1,000 is appropriate for nebulization in this situation. Albuterol is a bronchodilator that may be helpful in managing bronchospasm, but it does not directly address the airway obstruction caused by the epiglottitis. Benadryl is an antihistamine that can help with allergic reactions, but it is not the primary treatment for epiglottitis. Epi 1:10,000 is a more dilute concentration and is typically used for cardiac arrest, not for the treatment of epiglottitis.Rate this question:
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- 44.
When administering Aspirin for chest pain, dose is only affected if pt has taken any within the last __ hours.
- A.
6
- B.
8
- C.
12
- D.
4
Correct Answer
B. 8Explanation
The correct answer is 8. When administering Aspirin for chest pain, the dose is only affected if the patient has taken any within the last 8 hours. This is because Aspirin has a short half-life of approximately 3-6 hours, meaning it is eliminated from the body relatively quickly. Therefore, if a patient has taken Aspirin within the last 8 hours, it may still be present in their system and could potentially interact with the new dose being administered.Rate this question:
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- 45.
After administering first dose of NTG for chest pain, what is required to administer the second?
- A.
EKG monitoring
- B.
SBP >100
- C.
Established IV
- D.
Contact med control
Correct Answer
C. Established IVExplanation
To administer the second dose of NTG for chest pain, it is necessary to have an established IV. This means that a intravenous line should already be in place and functioning properly. This is important because NTG is typically administered intravenously and having an established IV ensures that the medication can be delivered effectively and efficiently. EKG monitoring, SBP >100, and contacting medical control may also be important considerations in the overall management of the patient, but the primary requirement for administering the second dose of NTG is an established IV.Rate this question:
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- 46.
For cardiac chest pain, NTG can be repeated once after ________ minutes.
Correct Answer
5Explanation
For cardiac chest pain, NTG (nitroglycerin) can be repeated once after 5 minutes. This is because NTG is a vasodilator that helps to relax and widen the blood vessels, improving blood flow to the heart and reducing chest pain. However, it is important to note that NTG should only be repeated once after 5 minutes, as excessive use can lead to a drop in blood pressure and other adverse effects. It is always recommended to follow the instructions of a healthcare professional when using NTG for chest pain.Rate this question:
- 47.
Tx for stable adult bradydysrhythmias after IMC:
- A.
Begin pacing; consider Versed; transport
- B.
Anticipate need for pacing; administer Atropine 0.5mg rapid IV; transport
- C.
NTG 0.4mg, begin pacing if needed; transport
- D.
Anticipate need for pacing; transport
Correct Answer
D. Anticipate need for pacing; transportExplanation
Stable = alert, oriented, normotensiveRate this question:
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- 48.
What rhythm is this?
- A.
Sinus Tach
- B.
SVT
- C.
Atrial flutter
- D.
V-tach
Correct Answer
B. SVTExplanation
SVT stands for supraventricular tachycardia, which is a type of abnormal heart rhythm. It occurs when the electrical signals in the heart's upper chambers (atria) fire abnormally, causing a rapid heart rate. SVT is characterized by a regular and fast heartbeat, usually ranging from 150 to 250 beats per minute. Common symptoms include palpitations, shortness of breath, lightheadedness, and chest discomfort. SVT can be triggered by various factors, such as stress, caffeine, alcohol, or certain medications. Treatment options for SVT include medication, vagal maneuvers, or in some cases, procedures like catheter ablation.Rate this question:
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- 49.
Your pt is altered and is showing sinus brady on the monitor, what is your initial Atropine dose?
- A.
0.5 mg
- B.
2 mg
- C.
1 mg
- D.
3 mg
Correct Answer
A. 0.5 mgExplanation
Atropine is used to increase heart rate in cases of bradycardia. Sinus bradycardia is a condition where the heart rate is slower than normal but originates from the sinus node. In this scenario, the patient's heart rate is altered and showing sinus bradycardia on the monitor. The initial dose of Atropine to be administered is 0.5 mg.Rate this question:
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- 50.
When treating per bradydysrhythmia SOP, what is the max dose of Dopamine?
- A.
5 mcg/kg/min
- B.
20 mcg/kg/min
- C.
15 mcg/kg/min
- D.
10 mcg/kg/min
Correct Answer
D. 10 mcg/kg/minExplanation
The maximum dose of Dopamine when treating per bradydysrhythmia SOP is 10 mcg/kg/min. This means that the recommended maximum amount of Dopamine that can be administered per kilogram of body weight per minute is 10 micrograms. It is important to adhere to this dosage limit to ensure the safe and effective treatment of bradydysrhythmia.Rate this question:
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