Ambulance

BCEMS Web

The Employee Website

Ventricular Tachycardia
With a Pulse

Test for Credit

1. For a patient to qualify for this protocol, they must be in Ventricular Tachycardia and

a. sign a refusal
b. be alert and oriented
c. have a pulse
d. know Terry Pace
e. not have a pulse

2. The typical rate for V-Tach is generally ________ beats per minute. Slower than this is considered accelerated idioventricular.

a. faster than you can count
b. 150-200
c. 60-80
d. 100-120
e. less than 50

Question 3

3.Identify this strip:

It's another distinctive variant of V-Tach, it's:

a. unreadable!
b. torsades de pointes
c. v-tach
d. asystole
e. loose leads

4. Which of the following symptoms indicates a need for immediate cardioversion with a patient in V-Tach?

a. will not sign refusal
b. back pain
c. hypertension
d. fluttering in chest
e. unresponsive

5. Prior to cardioversion, it is humane to __________ the patient.

a. strike
b. palpate
c. shave
d. sedate
e. transport

6. The choice medication and adult dose for question 5 is:

a. 1 – 2 mg Valium
b. 1-2 mg Versed
c. 5 grams Ativan
d. 1 – 2 mg Morphine
e. 1 mg/ kg Versed

7. The initial setting for adult cardioversion is:

a. 120 volts
b. 50 joles
c. 100 joles
d. 360 joles
e. 12 volts

8. A stable V-Tach patient receives Lidocaine to treat their rhythm. 1.5 mg/kg IV is the initial dose, then 0.75 mg/kg IV doses are given 5 minutes apart until a maximum of __________ has been given.

a. enough
b. 3 mg/kg
c. 2 grams
d. 100 mg
e. 1.5 mg/kg

9. Lidocaine has been given to a stable V-Tach patient without conversion, the next drug you would give is:

a. charcoal
b. narcan
c. morphine
d. nitroglycerine
e. amiodarone

10. To give Amiodarone, you would give ________ IVP, if no change you would then give ________ IVP and the infusion to follow would be ________.

a. 150mg, 300mg, 150mg in 50cc saline at 1mg / minute or 20 drops/minute
b. 300mg, 300mg, 150mg in 50cc saline at 3mg / minute or 60 drops/minute
c. 150mg, 300mg, 150mg in 50cc saline at 6mg / minute or 90 drops/minute
d. 300mg, 150mg, 150mg in 50cc saline at 1mg / minute or 20 drops/minute