Shifts 28, 29, 30 Quizzes

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1 Shifts 28, 29, 30 Quizzes Name: Score: Date: 1. You are on the scene of a 4 year old in cardiac arrest. CPR is initiated and an E.T. tube has been placed, an I.V. has been established. What is the correct dose of Epinephrine? A mg/kg (1:1000) B. 0.1 mg/kg (1:1000) C mg/kg (1:10000) D cc/kg (1:1000) 2. The endotracheal intubation directive specifies the dose of Versed in pediatric patients. What is the dose? A mg/kg slow I.V.P (titrate to effect) not to exceed 2.5 mg B. 2.5 mg slow I.V.P. (titrate to effect) C. 0.5 mg/kg slow I.V.P. (titrate to effect) not to exceed 2.5 mg D. 0.1 mg/kg slow I.V.P. (titrate to effect) not to exceed 2.5 mg 3. How many leads should the ALS provider confirm Asystolic rhythms in? A. 1 B. 2 C. 3 D. Asystole should be confirmed by performing a 12 lead. 4. What is the pediatric IV dosage for Epinephrine in patients in asystole. A. 1 mg B..1 mg/kg C..01 mg/kg D. Medical control must be contacted first

2 5. The standard dose for Atropine (per the protocols) for the pediatric patient in Asystole is. A. 1 mg B..2 mg/kg C..02 mg/kg D. Not indicated for pediatric patients 6. You are treating a pediatric patient in cardiac arrest. Your patient weighs 34 Ibs How much Epi 1:10,000 do you give and in how many cc s do you give it? 7. You are doing CPR on a 67 y/o male. The patient is in Asystole and intubated. Your partner is having difficulty establishing an I.V. A total of 4 mg of Atropine has been administered via E.T. Your partner tells you he finally has established an I.V. It is now time for a dose of Atropine. How would you deliver your next dose? A. 2 mg E.T. B. 2 mg I.V.P. C. 1 mg I.V.P. D. Give nothing, max. dose already given 8. If CPR is initiated by a family member prior to EMS arriving, the ALS provider can deliver an unsynchronized shock immediately if the monitor displays V-FIB. 9. In the following cases defibrillation should be limited to three (3) by the ALS provider; A. Hypothermic cardiac arrest B. Traumatic cardiac arrest C. Pediatric cardiac arrest D. None of the Above E. All of the above

3 10. Total attempts to place an endotracheal tube (actually attempting to pass the tube) is limited to attempt/attempts. 11. Which of the following is true regarding Atropine for the patient in PEA. A. 1 mg should be administered to all adult patients in PEA up to maximum of 3 mg B. Atropine is not recommended for any patient in PEA C. Atropine should be administered to PEA patients with a ventricular rate of <80 D. Atropine should be administered to PEA patients with a ventricular rate of < Sodium Bicarbonate is considered a standing order for patients that are in PEA. 13. When dealing with potential crime scene of a DOA, your documentation in your PPCR should include all of the following except. A. A cause of death B. A list of all personnel who entered the scene C. Identify of the lead EMS provider D. Identify of who determined the patient nonviable, if that is the case E. All of the above must be included 14. Routine transport of dead human bodies will be made by local funeral homes. However, if transport must be made by the fire department, the transport will be to. A. The location determined by the police B. The funeral home C. Closest local hospital D. The fire department will not transport dead human bodies 15. Med control orders you to start a Dopamine drip on your patient. The doctor advises you to The drip at 5mics/kg/min and your patient weighs 190 Ibs. How many drops per minute will need to be ran.

4 16. The correct defibrillation setting for a pediatric patient in V-Fib/Pulseless V-Tach is. A. 200j, 300j, 360j B. 50j, 100j, 200j, C. 2j/kg, 4j/kg, 4j/kg D. 2j, 4j, 4j 17. What is the compression to ventilation ratio for two person CPR in the Pediatric patient? 18. An Amiodarone drip should be administered at a rate of for patients that were converted from V-Fib/Pulseless V-Tach that have already received an Amiodarone bolus. A. 1 mg/min B. 2 mg/min C. 3 mg/min D. 4 mg/min 19. Per the Scene Safety policy, while operating on the interstate, the engine operator should place the furthest cone how far away from the scene. A. 50 Feet B. 100 Feet C. 200 Feet D. 250 Feet 20. List three possible contributing factors of VF/Pulseless V-Tach. A. B. C. 21. Per the VF/ Pulseless V-Tach protocol, you can give Amiodarone to the pediatric patient without medical control.

5 22. You are treat a 4 year old that is in V-Fib, the patient weighs 38 Ibs. How much Amiodarone are you going give. A. 70mg B. 80mg C. 85mg D. 75mg 23. Per question number 7. Your Amiodarone is supplied 150mg in 3cc. how many cc of the Amiodarone do you want to draw up and how much saline do you draw up with it. 24. If you successfully defibrillate a patient in V-Fib and you have already giving Amiodarone, you should begin a Amiodarone drip and do not need medical control. 25. Over how many minutes do you need to properly administer Amiodarone?

6 Shift 31 Quiz Name: Score: Date: 1. A 46y/o man is complaining of a fluttering in his chest. Upon your patient assessment you determine that the patient is stable and you have SVT on the monitor. Your next course of action after establishing an I.V. is to. A. Administer Amiodarone 150 mg I.V. over 10 min B. Administer Adenosine 6 mg rapid I.V.P. followed by a 20 cc flush C. Cardiovert at 50 J D. Have the patient attempt a Valsalva Maneuver (may be repeated 2 times) 2. A right sided infarct should be suspected and a right sided ECG should be obtained if. A. There is ST elevation in any two contiguous leads B. There is S-T elevation in leads I, II or III C. There is S-T elevation in leads II, III or AVF D. There is S-T elevation in leads V3 & V4 3. The adult dose of Amiodarone for patients in Wide Tachycardia (stable) is. A. 150 mg diluted in 20cc given over 10 min B. 300 mg diluted in 20cc given over 10 min C. 100 mg diluted in 100 cc given over 10 min D. 150 mg diluted in 100 cc I.V.P.

7 4. According to standing orders, a 12 lead ECG should be obtained on. 1. All chest pain or suspected cardiac emergencies patients 2. All cardiac arrest patients 3. Only patients with S-T elevation in the monitor leads 4. Post cardiac arrest patients A. 1 B. 1 & 3 C. 3 D. 1 & 4 5. Thrombolytic eligibility forms should be completed in all suspected MI patients. 6. The adult standing order dosage for Adenosine in Narrow Complex Tachycardia is. A. 6 mg, after 1-2 min 12 mg B. 6 mg, after 1-2 min12 mg, after 1-2 min12 mg C. 6 mg, after 1-2 min 6 mg, after 1-2 min12 mg D. 6 mg with no repeat doses 7. If the patient s QRS complex is greater than or equal to the patient should be treated under the Wide Complex Tachycardia Protocol. A..04 sec. B..08 sec. C..10 sec. D..12 sec. 8. If the patient s LOC is severely depressed and the patient is in V-TACH, the patient should be cardioverted at joules respectively. A. 100, 200, 200 continue at 200 B. 100, 200, 300, 360 C. 200, 200, 360 D. Cardioversion is only allowed at the direction of Medical Control

8 9. The adult standing order dosage for Amiodarone in a patient who is experiencing Ventricular Tachycardia and are considered to be stable is. A. 150 mg diluted in 10cc B. 150 mg diluted in 20 cc C. 200 mg diluted in 20 cc D. 200 mg diluted in 10 cc 10. Patient s that are converted from Ventricular Tachycardia with Amiodarone should be administered a Amiodarone drip. A. 100 mg/kg B. 50 mg diluted in 50 ml C. 100 mg diluted in 100 ml D. med control must be contacted prior to administration 11. mg of Versed can be administered to sedate a patient in unstable V-TACH prior to cardioversion. A. up to 5 mg slow IVP. May repeat once. B. med control must be contacted prior to administration C. 2.5 mg/kg D. up to 2.5 mg slow IVP 12. You arrive on scene to find a 50 year old male laying supine in the front yard. Pt. had been shoveling snow. Pt. is pale, diaphoretic, and is very confused. He is also complaining of chest pain. Pt. has a rapid and weak radial pulse. The LP-15 reveals a wide complex tachycardia. Blood sugar is 106. After establishing an IV, your next treatment would be to. A. Give adenosine 6 mg I.V.P. B. Cardiovert 100, 200, 300, 360 (repeat as necessary) w/ 5 mg Versed if needed C. Give Amiodarone 150 mg in 20cc over 10 min D. Precardial thump 13. If the treatment listed above did not terminate the wide complex tachycardia, your next treatment would be to.

9 14. When a right-sided myocardial infarction is suspected, the ALS provider should place leads on the right side of the chest and label accordingly. 15. V-Tach is defined as:.

10 Phase 4 Final Quiz Name: Score: Date: 1. You are on the scene of a 4 year old in cardiac arrest. CPR is initiated and an E.T. tube has been placed, an I.V. has been established. What is the correct dose of Epinephrine? A mg/kg (1:1000) B. 0.1 mg/kg (1:1000) C mg/kg (1:10000) D cc/kg (1:1000) 2. The endotracheal intubation directive specifies the dose of Versed in pediatric patients. What is the dose? A mg/kg slow I.V.P (titrate to effect) not to exceed 2.5 mg B. 2.5 mg slow I.V.P. (titrate to effect) C. 0.5 mg/kg slow I.V.P. (titrate to effect) not to exceed 2.5 mg D. 0.1 mg/kg slow I.V.P. (titrate to effect) not to exceed 2.5 mg 3. How many leads should the ALS provider confirm Asystolic rhythms in? A. 1 B. 2 C. 3 D. Asystole should be confirmed by performing a 12 lead. 4. What is the pediatric IV dosage for Epinephrine in patients in asystole. A. 1 mg B..1 mg/kg C..01 mg/kg D. Medical control must be contacted first

11 5. The standard dose for Atropine (per the protocols) for the pediatric patient in Asystole is. A. 1 mg B..2 mg/kg C..02 mg/kg D. Not indicated for pediatric patients 6. You are treating a pediatric patient in cardiac arrest. Your patient weighs 34 Ibs How much Epi 1:10,000 do you give and in how many cc s do you give it? 7. You are doing CPR on a 67 y/o male. The patient is in Asystole and intubated. Your partner is having difficulty establishing an I.V. A total of 4 mg of Atropine has been administered via E.T. Your partner tells you he finally has established an I.V. It is now time for a dose of Atropine. How would you deliver your next dose? A. 2 mg E.T. B. 2 mg I.V.P. C. 1 mg I.V.P. D. Give nothing, max. dose already given 8. If CPR is initiated by a family member prior to EMS arriving, the ALS provider can deliver an unsynchronized shock immediately if the monitor displays V-FIB. 9. In the following cases defibrillation should be limited to three (3) by the ALS provider; A. Hypothermic cardiac arrest B. Traumatic cardiac arrest C. Pediatric cardiac arrest D. None of the Above E. All of the above

12 10. Total attempts to place an endotracheal tube (actually attempting to pass the tube) is limited to attempt/attempts. 11. Which of the following is true regarding Atropine for the patient in PEA. A. 1 mg should be administered to all adult patients in PEA up to maximum of 3 mg B. Atropine is not recommended for any patient in PEA C. Atropine should be administered to PEA patients with a ventricular rate of <80 D. Atropine should be administered to PEA patients with a ventricular rate of < Sodium Bicarbonate is considered a standing order for patients that are in PEA. 13. The adult dose of Amiodarone for patients in Wide Tachycardia (stable) is. A. 150 mg diluted in 20cc given over 10 min B. 300 mg diluted in 20cc given over 10 min C. 100 mg diluted in 100 cc given over 10 min D. 150 mg diluted in 100 cc I.V.P. 14. According to standing orders, a 12 lead ECG should be obtained on. 1. All chest pain or suspected cardiac emergencies patients 2. All cardiac arrest patients 3. Only patients with S-T elevation in the monitor leads 4. Post cardiac arrest patients A. 1 B. 1 & 3 C. 3 D. 1 & Thrombolytic eligibility forms should be completed in all suspected MI patients.

13 16. The adult standing order dosage for Adenosine in Narrow Complex Tachycardia is. A. 6 mg, after 1-2 min 12 mg B. 6 mg, after 1-2 min12 mg, after 1-2 min12 mg C. 6 mg, after 1-2 min 6 mg, after 1-2 min12 mg D. 6 mg with no repeat doses 17. If the patient s QRS complex is greater than or equal to the patient should be treated under the Wide Complex Tachycardia Protocol. A..04 sec. B..08 sec. C..10 sec. D..12 sec. 18. If the patient s LOC is severely depressed and the patient is in V-TACH, the patient should be cardioverted at joules respectively. A. 100, 200, 200 continue at 200 B. 100, 200, 300, 360 C. 200, 200, 360 D. Cardioversion is only allowed at the direction of Medical Control 19. The adult standing order dosage for Amiodarone in a patient who is experiencing Ventricular Tachycardia and are considered to be stable is. A. 150 mg diluted in 10cc B. 150 mg diluted in 20 cc C. 200 mg diluted in 20 cc D. 200 mg diluted in 10 cc 20. Patient s that are converted from Ventricular Tachycardia with Amiodarone should be administered a Amiodarone drip. A. 100 mg/kg B. 50 mg diluted in 50 ml C. 100 mg diluted in 100 ml D. med control must be contacted prior to administration

14 21. mg of Versed can be administered to sedate a patient in unstable V-TACH prior to cardioversion. A. up to 5 mg slow IVP. May repeat once. B. med control must be contacted prior to administration C. 2.5 mg/kg D. up to 2.5 mg slow IVP 22. You arrive on scene to find a 50 year old male laying supine in the front yard. Pt. had been shoveling snow. Pt. is pale, diaphoretic, and is very confused. He is also complaining of chest pain. Pt. has a rapid and weak radial pulse. The LP-15 reveals a wide complex tachycardia. Blood sugar is 106. After establishing an IV, your next treatment would be to. A. Give adenosine 6 mg I.V.P. B. Cardiovert 100, 200, 300, 360 (repeat as necessary) w/ 5 mg Versed if needed C. Give Amiodarone 150 mg in 20cc over 10 min D. Precardial thump 23. If the treatment listed above did not terminate the wide complex tachycardia, your next treatment would be to. 24. When a right-sided myocardial infarction is suspected, the ALS provider should place leads on the right side of the chest and label accordingly. 25. V-Tach is defined as:.