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Your 3-year-old male patient was found unresponsive, pulsele…

Your 3-year-old male patient was found unresponsive, pulseless, and apneic by his parents. His ECG is shown below. After the third defibrillation, you should administer  

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Contraindications to dopamine administration include

Contraindications to dopamine administration include

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DOPE is a mnemonic that is useful in determining the cause o…

DOPE is a mnemonic that is useful in determining the cause of acute deterioration in an intubated patient. What does the ‘D’ in DOPE stand for?

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Your 52-year-old diabetic patient complains of weakness, nau…

Your 52-year-old diabetic patient complains of weakness, nausea, and shortness of breath that began about 10 minutes ago. He is awake and alert and has pale, cool, and moist skin. Breath sounds are present and equal bilaterally without adventitious sounds. He has taken his insulin today and has eaten his normal diet. He has not experienced any abnormal levels of stress or activity. Vital signs are BP 162/98, P 78 and weak, and R 22. The ECG is shown below. You suspect    

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CPR has been started on your pulseless and apneic patient wh…

CPR has been started on your pulseless and apneic patient who the wife says has an AICD implanted a year ago. His ECG is shown below. You should    

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Your 4-month-old patient has severe bronchiolitis with copio…

Your 4-month-old patient has severe bronchiolitis with copious secretions that require frequent suctioning. Lung fields have diffuse crackles bilaterally. The patient’s ECG is shown below. You should

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A 56-year-old patient is complaining that his “heart is raci…

A 56-year-old patient is complaining that his “heart is racing”. He is disoriented and having difficulty breathing. Examination reveals a BP of 64 by palpation, a weak and rapid carotid pulse, and pale cool skin. The ECG is shown below. Your partner is in the process of administering oxygen. You should    

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You are transporting a 23-year-old trauma patient from a com…

You are transporting a 23-year-old trauma patient from a community hospital to a Level I trauma center. She is receiving a unit of packed RBCs and IV fluids. Vital signs are BP 94/50, P 110, R 26, and SpO2 97% on 4 lpm NC O2. During transport she complains of chills, back pain, and she vomits. Vital signs are now BP 80/42, P 128, and R 30. You suspect

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For the patient to be viable, which heart defect must accomp…

For the patient to be viable, which heart defect must accompany transposition of the great vessels?

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A 56-year-old patient is complaining that his “heart is raci…

A 56-year-old patient is complaining that his “heart is racing”. He is disoriented and having difficulty breathing. Examination reveals a BP of 64 by palpation, a weak and rapid carotid pulse, and pale cool skin. The ECG is shown below. Your partner is in the process of administering oxygen. You should    

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