Performance Evaluation Checklist - NCM 118
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Questions and Answers

What is the first step in managing symptomatic bradycardia according to the criteria?

  • Start oxygen if needed, place monitor, start IV (correct)
  • Recognize symptomatic bradycardia
  • Administer correct dose of atropine
  • Place monitor in proper position

Which of the following actions should be taken immediately after delivering a shock in VF/Pulseless V-tach management?

  • Clear the area before analyzing the heart rhythm
  • Immediately resume CPR after shocks (correct)
  • Administer appropriate drugs and doses
  • Place an advanced airway

In managing asystole, what is crucial to do immediately following rhythm checks?

  • Immediately resume CPR after rhythm checks (correct)
  • Administer defibrillation
  • Administer a fluid bolus
  • Retrieve the patient's history

How can the return of spontaneous circulation (ROSC) be identified post cardiac arrest?

<p>Blood pressure returns to normal levels (D)</p> Signup and view all the answers

What role does verbalizing potential reversible causes play in asystole management?

<p>Allows for quicker identification of treatment options (A)</p> Signup and view all the answers

Which of the following best describes an effective team leader in a cardiac emergency?

<p>Ensures high quality CPR and assigns team member roles. (D)</p> Signup and view all the answers

In the management of bradycardia, recognizing symptomatic bradycardia is essential for what reason?

<p>It dictates the immediate administration of atropine. (A)</p> Signup and view all the answers

What is a critical step in the management of VF/Pulseless V-tach after delivering a shock?

<p>Resume CPR immediately after the shock is delivered. (B)</p> Signup and view all the answers

Which action is vital to recognize as part of asystole management?

<p>Verbalizing potential reversible causes of asystole. (B)</p> Signup and view all the answers

Post-cardiac arrest care should focus on identifying which of the following?

<p>Return of spontaneous circulation (ROSC). (D)</p> Signup and view all the answers

Flashcards

CPR Quality

Maintain high-quality Cardiopulmonary Resuscitation (CPR) during all procedures.

Bradycardia Management

Management steps for low heart rate, including oxygen, monitor placement, IV start, and atropine administration.

VF/Pulseless V-tach Recognition

Identifying ventricular fibrillation (VF) and pulseless ventricular tachycardia (V-tach).

Asystole Management

Treating asystole, a flat heart rhythm; involve drug administration, CPR, and looking for reversible causes.

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Post-Cardiac Arrest Care

Care after a cardiac arrest, including monitoring BP, ECG, oxygen saturation and airway, lab tests after ROSC.

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Team Leader Roles

The team leader ensures high-quality CPR at all times, assigns roles to team members, and monitors their performance. The team leader is responsible for coordinating the team's efforts during a medical emergency.

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Symptomatic Bradycardia

Symptomatic bradycardia is a slow heart rate (bradycardia) that causes symptoms such as dizziness, fatigue, chest pain, or shortness of breath. It requires immediate attention.

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Atropine Dosage

Atropine is a medication used to treat bradycardia. The correct dosage needs to be administered to increase the heart rate. The dosage depends on the patient's weight and specific condition.

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H's & T's for Asystole

When faced with asystole (flat heart rhythm), identifying potential reversible causes is crucial. These causes are categorized as 'H's' and 'T's', which include hypovolemia, hypoxia, hyperkalemia, hydrogen ion (acidosis), hypoglycemia, hypothermia, tension pneumothorax, tamponade (cardiac), toxins, thrombosis (pulmonary embolus), and trauma.

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Study Notes

Performance Evaluation Checklist - NCM 118

  • Team Leader: Ensure high-quality CPR, assign roles, ensure effective team member performance.

  • Bradycardia Management: Start oxygen, place monitor (start IV), correct position, recognize symptomatic bradycardia, administer atropine, prepare for secondary treatment.

  • VF/Pulseless V-tach Management: Recognize VF, clear for analysis and shock, resume CPR after shocks, appropriate airway management, administer drugs, adjust cycle based on rhythm/shock-CPR.

  • Asystole Management: Recognize asystole, verbalize potential causes (H's & T's), administer appropriate drugs, resume CPR after checks.

  • Post Cardiac Arrest Care: Identify ROSC, ensure BP, EKG, oxygenation monitoring, advanced airway and waveform capnography & lab tests, targeted temperature management.

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Related Documents

ACLS-Brady CHECKLIST (2) PDF Performance Evaluation Checklist

Description

This quiz focuses on the essential skills and knowledge necessary for performance evaluation in cardiac emergency situations outlined in NCM 118. Key topics include CPR quality, bradycardia management, VF/Pulseless V-tach management, asystole response, and post-cardiac arrest care. Test your understanding and readiness for critical interventions.

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