Question

In: Anatomy and Physiology

1- Which of the following would be appropriate actions following transcutaneous pacing? Consult a specialist. Follow...

1- Which of the following would be appropriate actions following transcutaneous pacing?

Consult a specialist.

Follow VT/VF algorithm

Administer amiodarone.

Confirm ET tube placement with quantitative waveform capnography.

2- What reason is NOT valid during the critical early defibrillation for individuals experiencing sudden cardiac arrest?

Individuals in asystole respond well to early defibrillation.

A common initial rhythm in out-of-hospital witnessed sudden cardiac arrest is ventricular fibrillation (VF).

The most effective treatment for ventricular fibrillation (VF) is electrical defibrillation.

The probability of successful defibrillation decreases quickly over time.

3-The best treatment for ST-elevation MI (STEMI) is:

Epinephrine and vasopressin

Early reperfusion therapy

Lidocaine and magnesium

Rapid transfusion

Expert Solution

1- Which of the following would be appropriate actions following transcutaneous pacing?

Answer-Consult a specialist.

Consult a specialist is ideal answer because a patient already on a transcutaneous pacing need a specialist evaluation for the need of transvenous or permenant pacemaker .Follow VT/VF algoritham is a wrong answer because the patient in AV block and on transcutaneous pacing.Administer amniodarone is not indicated as there is no arrythmia reported.ET tube placement is not indicated as there is no evidence of cardiac or respiratory arrest in the given question.

2- What reason is NOT valid during the critical early defibrillation for individuals experiencing sudden cardiac arrest?

Answer-Individuals in asystole respond well to early defibrillation.

It is not valid as the individuals in asystole doesnot respond to early defibrillation but they need effective CPR. Rest all other 3 answers is a valid statement for early defibrillation which includes early defebrillation is a key factor for treating VF and most of the out of witnessed hospital arest is VF and needs defibrilation.

3-The best treatment for ST-elevation MI (STEMI) is:

Answer-Early reperfusion therapy

Early reperfusion therapy is the best for STEMI management because it opens the culprit vessel and facilitate myocardial oxygen delivery.Epinephrine and vasopressin use is for the treatment of cardiac arrest by VT or VF.Lidocaine and magnesium are antiarrythmic drug used in arrythmias.Rapid transfusion is done in Hypovolemic shock due to bleeding.

Sydney Mullin answered 1 year ago

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