ALS – Chest pain

You are the clerking nurse in the Emergency Department when a 52 year old gentleman presents with crushing chest pain. He states that is the worse pain in his life. Blood pressure is 110/58 mmHg and O2 Sat 93%. You gain IV access and connect to the monitor. Which of the following statements are correct?:

ALS – Respiratory Arrest

You are nursing a recent admission of a 70 year old patient with severe COPD in the intensive care unit. She presented to the emergency department with shortness of breath. The decision was made to intubate her and the doctor was paged. She suddenly gasps a few times and stops breathing. You observe that she remains in sinus tachycardia in the monitor and you could feel a reasonable strong radial pulse. She is unresponsive. Which of the following steps are correct?:

A.- Call of assistance, place the patient supine, open airway and begin ventilation: TRU/FALSE.

B.- This patient is in respiratory arest, but with palpable pulse, hence she should be ventilated at 14 times per minute: TRU/FALSE.

C.- Although you are managing to ventilate the patient, it is recommended to ventilate her by 2 people: TRU/FALSE.

D.- Her airway should be maintained using the jaw thrust manoeuvre: TRU/FALSE.

ALS – Faint pulse

An emergency call – 112 is attended by ambulance finding an unconcious patient on the sidewalk. It is uncertain if a faint pulse is present and, when a member of your crew attaches the cardiac monitor, the following rhythm is seen. Another member places a peripheral IV cannula. You are leading your team; which of the following actions will you take?:

ALS Airway Management

Regarding ventilation in advanced life support:

A. The single rescuer may have difficulty maintaining an airtight seal: TRUE/FALSE.

B. Bag – valve – mask device provides more volume than mouth – to – mask: TRUE/FALSE.

C. Person – to – person ventilation should be avoided because there have been reported several cases of HIV cross infection between patient – rescuer: TRUE/FALSE.

D. Bag – mask ventilations to a patient in respiratory arrest should be provided about every 5 – 6 seconds: TRUE/FALSE.

ALS Ventilation

Regarding ventilation in advanced life support:

A. Two rescuers using the bag – valve – mask device will be more effective than one:

B. Mouth – to – mask ventilation usually provides lower tidal volume than bag – valve – mask devices:

C. Ordinary dentures should always be removed before ventilating a patient:

D. You should position yourself at the side of the patient´s head for optimal performance: