ECC Post-Resuscitation Care & Recovery 3

Question 1

A post-cardiac arrest patient on mechanical ventilation develops PaO2 of 250 mmHg on FiO2 1.0. What adjustment should be made?

Accepted Answer

Titrate FiO2 down to target SpO2 94–98%

Answer

Hyperoxia (PaO2 >300 mmHg) is associated with worse outcomes; FiO2 should be titrated to maintain SpO2 between 94–98%.

Question 2

Which vasopressor is the first-line agent for post-resuscitation shock unresponsive to fluid resuscitation?

Accepted Answer

Norepinephrine

Answer

Norepinephrine is the preferred first-line vasopressor for post-resuscitation hemodynamic support due to its combined alpha and beta adrenergic effects.

Question 3

A post-cardiac arrest patient has persistent coma at 72 hours. What is the MOST appropriate immediate action?

Accepted Answer

Perform a standardized multimodal neuroprognostication assessment

Answer

Persistent coma at 72 hours warrants a structured multimodal assessment combining clinical exam, EEG, SSEPs, and neuroimaging before any prognostic conclusions.

Question 4

Which metabolic derangement is MOST commonly associated with post-resuscitation myocardial dysfunction?

Accepted Answer

Lactic acidosis from low cardiac output

Answer

Post-resuscitation myocardial dysfunction reduces cardiac output, leading to inadequate tissue perfusion and lactic acidosis.

Question 5

What glucose target is recommended during post-resuscitation care to balance hypoglycemia risk and hyperglycemia harm?

Accepted Answer

140–180 mg/dL

Answer

Current AHA guidelines recommend targeting blood glucose of 140–180 mg/dL, avoiding both hypoglycemia and extreme hyperglycemia.

(ECC) Emergency Cardiovascular Care Certification Practice Test

(ECC) Emergency Cardiovascular Care Certification Practice Test

ECC Post-Resuscitation Care & Recovery 3