emergency procedures

Question 1

needle decompression

Answer 1

1.over the needle catheter (2inch, 14gauge)
2.second/third intercostal
90 degree insertion

Question 2

treatment drugs for tachycardia

Answer 2

1. adenosine (primary for SVT)
2. amiodarone
3. digoxin
4. verapamil

Question 3

treatment drugs for bradicardia

Answer 3

1. atropine
2. epinephrine
3. dopamine

Question 4

treatment drugs for asystole

Answer 4

vasopressin (after first or second dose of epi)

Question 5

treatment drugs for ventricular arrythmias

Answer 5

1. epinephrine
2. vasopressin
3. amiodarone

for short runs of venttricular tach

4. lidocaine
5. procainamide
6. bretylium

Question 6

defibrillation

Answer 6

1. synch OFF
2. usually start on 200J
   adult: 100-400J infant:2-4J/kg
3. instill epi to convert fine difibrillation

Question 7

cardioversion

Answer 7

1. synch ON
2. beginning with 50J
3. versed for short duration
4. valium & intubation for anesthesia

Question 8

VEAL

Answer 8

*during cardiopulmonary arrest
Vasopressin
Epinephrine
Atropine
Lidocaine

Question 9

bronchoscope complications

Answer 9

1. bleeding
2. bronchospasm
3. hypoxia
4. cardiac arrhythmia
5. pneumothorax
6. infection

Question 10

excessive bubbling in underwater seal

Answer 10

air leak in chest tube

Question 11

no fluctuation in underwater seal

Answer 11

tube obstruction/kinks

Question 12

no bubbling in suction control

Answer 12

inadequate suction or air leak