UPDATED SHARP ESO EX AM

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UPDATED SHARP ESO EX AM

QUESTIONS AND ANSWER S

ALREADY PASSED A+ VE RIFIED

Question 1: Asystole

CORRECT ANSWER: 1. CPR (2 mins)

• O2 at 15 L/min ambu bag
• Epinephrine 1 mg IVP/IO (Use Epinephrine 0.1

mg/1ml) Repeat 3-5 mins

Question 2: Bradycardia - Unstable

CORRECT ANSWER: 1. O2 at minimum 10 L/min

NRBM

• If transvenous leads or epicardial pacing wires present,

connect to a pulse generator and initiate pacing per protocol.

• Atropine 0.5 mg IVP/IO, repeat q3-5 minutes (max

3mg)

• Transcutaneous pacing as soon as available.

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• If above algorithm is ineffective, start Dopamine 400

mg/250ml D5W infusion at 5 mcg/kg/min. Titrate to patient response up to 20 mcg/kg/min.

• If above algorithm is ineffective, start epinephrine 2

mg/250mL NS at 2 mcg/min, titrate to patient response up to 10 mcg/min.

(Note: Assess patient for adequate intravascular volume

and volume status when using vasoconstrictors)

Question 3: Pulseless Electrical Activities (PEA)

CORRECT ANSWER: 1. CPR (2 min) and assess for

possible causes*.

• O2 at 15 L/min ambu bag
• Epinephrine 1 mg IVP/IO (use 0.1mg/ml), repeat q 3-5

minutes.

• If hypovolemia known or suspected, infuse 250 mL NS

(may be substitute with LR if currently infusing). Repeat in 5 minutes if no clinical improvement.

• Stat CXR.

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Question 4: Possible Cause of PEA

CORRECT ANSWER: 1. Hypovolemia

• Hypoxia
• Hydrogen ion (Acid)
• Hypo/Hyperkalemia
• Hypoglycemia
• Hypothermia
• Tamponade
• Toxins
• Thrombosis
• Trauma
• Tension Pneumothorax

Question 5: Ventricular Tachycardia: Stable

CORRECT ANSWER: 1. Call the physician for orders

• O2 at minimum 4L/min NC and adjust per patient

status

• Obtain 12 lead EKG
• Draw serum K and Mag

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** Administer Amio 150mg SLOW PIV over 10 mins.**Consider Adenosine (only if regular and monomorphic)

Question 6: Ventricular Tachycardia: Unstable

CORRECT ANSWER: 1. O2 at minimum 10 L/min

NRBM

• If ventricular rate greater than 150, Biphasic,

synchronized cardioversion per approved energy dose listed on defibrillator.

• If patient is awake and responsive, give midazolam

(Versed) 0.5 mg IVP/IO prior to cardioversion. May repeat to a total of 1mg to achieve sedation.

• Draw serum K and Mag

Question 7: Reverse agent for Midazolam

CORRECT ANSWER: Romazicon. If patient has signs

and symptoms of oversedation (e.g. decreased level of consciousness, respiratory rate less than 10 breaths/ min), Romazicon 0.2 mg IVP/IO, over 15 second. May repeat in 45 seconds based on patient's response, not to exceed 0.6 mg