Heart Code 2025 ACLS Complete Legacy Test Questions (29 Terms) with Correct Solutions Upda, Exams of Nursing

Download Heart Code 2025 ACLS Complete Legacy Test Questions (29 Terms) with Correct Solutions Upda and more Exams Nursing in PDF only on Docsity! Heart Code 2025 ACLS Complete Legacy Heart Code 2025 ACLS Complete Legacy Test Questions (29 Terms) with Correct Solutions Updated 2023-2024. the HR is 92/min RR is 14/min, BP is 130/86 mmhg, spo2 is 97% and atrial fibrillation is on the monitor what additional assessment and stabilization activities should be completed? - Answer: check glucose, perform validated prehospital stroke screen and stroke severity tool, provide prehospital notification to the receiving hospital, initiate stroke protocol, establish time of symptom onset (last known normal) what needs to be completed for this patient within 20 minutes after hospital arrival? - Answer: neurological assessment Heart Code 2025 ACLS Complete Legacy what are some of the general questions you need to ask? - Answer: do you take any medications? when did the symptoms start? do you have allergies? what other symptoms do you have? within 45 minutes the neuroimaging interpretation of the CT scan of the brain suggests an acute ischemic infarction. There are no signs of hemorrhage or mass lesions. is this patient a potential candidate for fibrinolytic therapy? - Answer: Yes NOT Not enough information what actions should the hospital staff take to determine whether the pt is a candidate for fibrinolytic therapy? - Answer: repeat the neurological exam NOT obtain an MRI of the brain for confirmation of hemorrhage you find that the patient's neurological function is rapidly improving. Is this patient still a candidate for fibrinolytic therapy? - Answer: no because this patient is no longer a candidate for fibrinolytic therapy, what are the next steps? - Answer: support airway,breathing, and circulation (ABCs), begin stroke pathway, admit the patient to an intensive care unit Heart Code 2025 ACLS Complete Legacy The patient is showing persistent pulselessness. Ventricular .Tachycardia What actions need to be completed next by the team placed in the correct order - Answer: 1. Shock immediately. 2. Resume CPR. 3.administer at the epinephrine 1 milligram IV. 4. Considered Advanced Airway last At the next post, check compressors or switch. And Rhythm continues to be refractory ventricular fibrillation, ventricular tachycardia. A shock is delivered and CPR is resumed. What is your next intervention? - Answer: Amiodarone. 300 milligram iv After two more minutes of CPR here you conduct a rhythm check in pulse check, confirming absence of a pulse based on the organized rhythm below. Describe the patient's condition. - Answer: Pulseless electrical activity Once PA identified and there are no signs of ROSC, You continue CPR, What is your next step for appropriate care for this patient - Answer: · Epi 1 mg iv three to 5 minutes. · After two minutes of CPR, you conduct another rhythm check and determine the following rhythm and. showing signs of rosc. How do you continue treating this patient? - Answer: Move to post cardiac arrest o You're attempting to resuscitate a 70 year old woman who suffered a. suddne cardiac arrest. She is showing signs of return of spontaneous circulation. She is Heart Code 2025 ACLS Complete Legacy intubated and has an ID established. She has a palpable pulse HR of 65 per minute spoke to of 94% ET CO2 of 38 millimeters of mercury and BP 82 / 55 millimeters of mercury. What are your highest priorities? Select all that applies - Answer: Maintaining spO2 92% to 98%. Maintaining target PA CO2 between 35 and 45 millimeters per mercury. And been playing the patient with 10 breaths per minute. In addition to Managing the airway and respiratory parameters, which step is also prioritized during the initial stabilization phase - Answer: § Treating hypotension The patient's ventilation and blood .Pressure have responded to treatment. What other lab or diagnostic tests would be appropriate to consider at this time for reversible causes - Answer: Temperature 12 lead ECG and troponin test. medical treatment for hypertension to be the proper initial dosage for an adult based on HOA guidelines - Answer: Norepinephrine IV 0.1 to 0.5 mcg/kg per minute , Dopamine Iv 5- 20 MCG per kilogram per minute. But no, from 2 to 10 MCG per minute and normal saline or lactated ringer one to two liters. - During transport You obtain the following 12 lead ECG. You transmit the 12 lead ECG to the hospital. What will the emergency department physician most likely do when you arrive? - Answer: Transfer pt to a cardiac cath lab for percutaneous coronary intervention, Heart Code 2025 ACLS Complete Legacy While you are giving a report to the hospital the physician ask if the pt Is able to follow verbal. What intervention might be considered if the patient does not follow commands? - Answer: Targeted temperature management