MS II Lab-Cardiovascular Management
Name:
A 49-year old male is transported to your Emergency Department complaining of “Cghtness” in his
chest. He is slightly pale. His skin is warm and dry. He is alert and responsive. His blood pressure is
130/88, and his pulse is 46, strong and regular. He has IV access and is aRached to the ECG monitor
which shows sinus rhythm with ST segment elevaCon in lead II. A stat 12-lead ECG shows 4-6mm ST
segmental elevaCon in leads II, III and aVF.
1. What is your diagnosis?
2. What interven5ons should be implemented for this pa5ent?
3. What medica5ons can be administered to increase his heart rate?
4. What procedure do you an5cipate will be performed ASAP?
A 34 year male presents to ED complaining of palpitaCons, his HR was 220, and paCent was becoming
hypotensive 80/50
1. What is this heart rhythm called?
2. What vital sign is most important to check in this pa5ent and must be done manually?
3. How is this heart rhythm typically treated? Provide a stepwise approach
4. How would you treat this unstable symptoma5c pa5ent?
The nurse enters her paCent’s room to find him unresponsive. She begins CPR according to protocol.
1. What drugs should she an5cipates will be administered and what sequence?
2. How many breaths per minute will be delivered?
3. What is PEA and give some causes of PEA
4. What are the differences between biphasic and monophasic defibrillators?
5. What rhythms are considered shockable?
6. What are the characteris5cs of ROSC?
