Your patient is experiencing heart failure and is in need of an inotropic agent. Which of the following would you recommend, barring any other cardiac issues? 1. Lidocaine 2. Digoxin 3. Milrinone 4. Dobutamine
a. 2, 3, and 4
b. 1, 2, and 3
c. 1 and 2
d. 2 and 4
Q. 2 Cardiac glycosides
a. reduce ventricular arrhythmias.
b. decrease blood pressure.
c. increase heart rate.
d. increase myocardial contractility.
Q. 3 You are treating a patient who has severe asthma. Which classification of drugs may pose some risk of bronchoconstriction and should be used carefully in patients with asthma and chronic obstructive pulmonary disease?
a. -adrenergic cardiac stimulants
b. Cardiac glycosides
c. blockers
d. Antiarrhythmics
Q. 4 Which of the following agents is a parasympatholytic used in cardiac resuscitation for asystole?
a. Epinephrine
b. Magnesium
c. Atropine
d. Vasopressin
Q. 5 Guidelines for conscious sedation suggest which of the following? 1. At least three qualified people must be continually present during the sedation period. 2. One person must have sole responsibility of monitoring of the patient and recording vital signs
3. Resuscitation equipment must be immediately available.
4. Assessment of oxygenation, ventilation, and temperature maintenance is necessary.
a. 2 and 3 only
b. 1, 2, and 3 only
c. 1, 2, and 4 only
d. 1, 2, 3, and 4
Q. 6 You are working in the ED when EMS brings an 83-year-old female who was found unresponsive by her husband. She recently broke her ankle and was prescribed Dilaudid.
Her husband states she also takes Vicodin for arthritis pain. What medication should you administer?
a. Ultram
b. Demerol
c. Epinephrine
d. Naloxone
Q. 7 Complications of pulmonary artery catheterization include which of the following? 1. Pneumothorax 2. Fluid overload 3. Dehydration 4. Infection 5. Thrombus formation
a. 3 only
b. 2, 3, and 5 only
c. 1, 4, and 5 only
d. 1, 2, and 4 only
Q. 8 Cardiac output depends on which of the following factors? 1. Venous return 2. Heart rate 3. Systemic vascular resistance 4. Pulmonary vascular resistance 5. Stroke volume
a. 2 and 5 only
b. 1 and 3 only
c. 2 and 4 only
d. 3 and 5 only
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