CPR - Certified Paramedic Response Post-Cardiac Arrest Care Questions and Answers

Question 1

A 65-year-old male has achieved ROSC after a VF arrest.
His initial blood pressure is 78/40 mmHg and he has an advanced airway in place.
What is the most appropriate initial intervention to manage his hypotension?

Accepted Answer

Administer a 1-2 liter bolus of isotonic crystalloid.

Answer

Immediately initiate a norepinephrine infusion.

Answer

Perform synchronized cardioversion at 100J.

Answer

Administer 1 mg of epinephrine IV push.

Question 2

During the post-cardiac arrest care of a patient with ROSC, which of the following represents the primary goal for oxygenation and ventilation management to prevent secondary brain injury?

Accepted Answer

Titrate oxygen to maintain SpO2 of 92-98% and adjust ventilations to achieve an ETCO2 of 35-45 mmHg.

Answer

Maximize oxygen delivery by maintaining an SpO2 of 100% with high-flow oxygen.

Answer

Hyperventilate the patient at a rate of 20-24 breaths/min to lower intracranial pressure.

Answer

Maintain an ETCO2 between 50-60 mmHg to promote cerebral vasodilation.

Question 3

You have successfully resuscitated a 50-year-old female from a witnessed pulseless VT arrest. She has ROSC but remains comatose. According to current guidelines, what intervention should be initiated as soon as feasible to improve neurological outcomes?

Accepted Answer

Targeted Temperature Management (TTM) with a target of 32-36°C.

Answer

Administration of high-dose corticosteroids.

Answer

Rapid infusion of warmed IV fluids to prevent shivering.

Answer

Placing the patient in a Trendelenburg position.

Question 4

Which of the following is the most critical diagnostic procedure to perform as soon as feasible after a patient achieves ROSC to guide transport decisions and potential immediate interventions?

Accepted Answer

A 12-lead ECG.

Answer

A field glucose check.

Answer

A detailed neurological exam.

Answer

Arterial blood gas analysis.

Question 5

A patient with ROSC is being transported. Initially stable, their BP drops to 60/palp, they become cyanotic, and you note absent lung sounds on the left side with tracheal deviation to the right. What is the most likely reversible cause of this acute deterioration?

Accepted Answer

Tension pneumothorax.

Answer

Acute myocardial re-infarction.

Answer

Massive pulmonary embolism.

Answer

Cardiac tamponade.

Question 6

The comprehensive post-cardiac arrest care plan for an adult patient who has achieved ROSC primarily focuses on which set of goals?

Accepted Answer

Optimizing hemodynamics and ventilation, considering Targeted Temperature Management, and identifying/treating the precipitating cause.

Answer

Administering prophylactic antiarrhythmics, obtaining a chest x-ray, and restricting all fluid intake.

Answer

Rapidly rewarming the patient, administering sodium bicarbonate, and inducing a medical coma.

Answer

Focusing solely on airway protection and waiting for hospital-based interventions.

A 65-year-old male has achieved ROSC after a VF arrest.His initial blood pressure is 78/40 mmHg and he has an advanced airway in place.What is the most appropriate initial intervention to manage his hypotension?

A 65-year-old male has achieved ROSC after a VF arrest.
His initial blood pressure is 78/40 mmHg and he has an advanced airway in place.
What is the most appropriate initial intervention to manage his hypotension?