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American Red Cross - Advanced Life Support Final Exam| Compile Q&A| A level

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American Red Cross - Advanced Life
Support Final Exam| Compile Q&A| A
level

A patient is found unresponsive with a pulse. The cardiac monitor shows a wide complex

tachycardia. What is the first step in the management of this patient?

Synchronized cardioversion.

A patient presents with ventricular tachycardia and has stable vital signs. What is the preferred

initial treatment?

Administer antiarrhythmic medication, such as amiodarone.

What is the most critical indicator that a patient with ventricular tachycardia requires immediate

intervention?

The presence of symptoms such as chest pain, hypotension, or altered mental status.

In a patient with sustained ventricular tachycardia and a pulse, what is the appropriate action if

the patient becomes unstable?

Perform synchronized cardioversion.

What is a common cause of ventricular tachycardia in patients with structural heart disease?

Myocardial ischemia or previous myocardial infarction.

1

, A patient with a history of atrial fibrillation presents with a rapid heart rate and palpitations.

What is the initial treatment option for rate control?

Administer beta-blockers or calcium channel blockers.

What is the primary concern when treating a patient with atrial fibrillation?

The risk of thromboembolic events, particularly stroke.

What is the recommended duration of anticoagulation therapy for a patient with new-onset atrial

fibrillation and no history of stroke?

At least 3-4 weeks prior to any elective cardioversion.

What is a potential complication of atrial fibrillation that healthcare providers must monitor for?

The development of atrial thrombus leading to stroke.

In a patient in cardiac arrest, what does the presence of PEA indicate about the heart's electrical

activity?

The heart has organized electrical activity but is not effectively pumping blood.

What is the most important first step in managing a patient with PEA?

Initiate high-quality CPR immediately.

During PEA, which of the following is a reversible cause that should be addressed?
2

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