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ACLS 2022 Exam Questions and answers, 100% Accurate, rated A+
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ACLS 2022 Exam Questions and answers, 100% Accurate, rated A+ Targeted temperature management - adults. - 32 - 36 C (89.6 - 95.2F). Titrate inspired O2 to... - the lowest level required to achieve arterial O2 sat 94% + to avoid complications associated with O2 toxicity. Mean arterial pre...

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  • February 16, 2023
  • 36
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

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  • acls 2022 exam questions and answers
  • 100 accurate
  • rated a targeted temperature management adults 32 36 c 896 952f titrate inspired o2 to the lowest level required to achieve

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ACLS 2022 Exam Questions and
answers, 100% Accurate, rated A+

Targeted temperature management - adults. - ✔✔32 - 36 C (89.6 - 95.2F).



Titrate inspired O2 to... - ✔✔the lowest level required to achieve arterial O2 sat 94% + to avoid
complications associated with O2 toxicity.



Mean arterial pressure goal - ✔✔65 mm Hg or greater



A team leader should be able to explain why it is essential to... - ✔✔push hard and fast in center of
chest.

ensure complete chest recoil.

minimize interruptions in compressions.

avoid excessive ventilation.



A team member should be... - ✔✔clear about role assignments.

prepared to fill their responsibilities.

well practiced in resuscitation.

knowledgeable about algorithms.

committed to success.



Resuscitation triangle (3) - ✔✔Compressor: assessed pt, 5 cycles chest compressions, alternates with
AED person every 5 cycles or 2 min.



AED/Defibrillator Monitor: brings and operates AED, places monitor where it can be seen by team
leader, alternates with compressor every 5 cycles or 2 min.

,Airway: Opens airway, provides bag-mask ventilation, inserts airway adjuncts as appropriate.



Leadership roles (3) - ✔✔Team leader: every team needs one. assigns roles to team members, makes
treatment decisions, provides feedback, assumes responsibility for roles not assigned.



Meds: Initiates IV/IO access, administers meds.



Time recorder: records time of interventions & medications and announces when next are due, records
frequency and duration of interruptions in compressions, communicates to the team leader.



Should you start CPR when you are unsure about a pulse? - ✔✔Yes, unnecessary compressions are less
harmful than failing to provide compressions when needed.



Agonal gasps - ✔✔A sign of cardiac arrest!

May be present in first minutes.

Looks like pt is drawing in air quickly.

Occur at a slow rate.

May be forceful or weak.

Time passes between gasps.

Snort, snore, groan.



BLS assessment - ✔✔Check responsiveness.

Shout for help.

Get AED/send someone.

Look for breathing - chest 5-10 sec.

Check pulse at same time. 5-10 sec.

No pulse in 10 sec, start chest compressions.

If pulse, rescue breathing 1 breath q 5-6 sec. Check pulse q 2 minutes.

Defibrillation: check for shockable rhythm, shock, follow with compressions.

,Minimize interruptions - ✔✔No longer than 10 sec!

Avoid...

prolonged rhythm analysis.

frequent/inappropriate pulse checks.

taking too long to give breaths.

unnecessary moving the pt.



Coronary Perfusion Pressure (CPP) - ✔✔Aortic relaxation (diastolic) - right atrial relaxation (diastolic)
pressure.



Correlates with both myocardial blood flow and return of spontaneous circulation.



ROSC does not occur unless it is 15 mm Hg or +

If < 20 improve chest compressions and vasopressor therapy.



Quality compressions - ✔✔compress 2 in (5 cm).

Rate 100-120 BPM.

Allow complete recoil.



single rescuer CPR - ✔✔Cardiac arrest: Call for help, get AED, return to pt, start CPR.



Hypoxia (drowning): give 2 mins CPR before activating emergency response system.



Primary Assessment - ✔✔Assess before action!!!

Airway, Breathing, Circulation, Disability (Alert, Voice, Painful, Unresponsive), Exposure (remove clothing
to examine).



Secondary Assessment - ✔✔Focused medical history and physical exam.

SAMPLE

, Signs and sx.

Allergies.

Medications (including last dose taken).

Past medical hx.

Last meal consumed.

Events.



H&Ts - ✔✔Common reversible causes of cardiac arrest.

Hypovolemia, hypoxia, hydrogen ion (acidosis), Hypo/hyperkalemia, hypothermia.



Tension pneumo, tamponade (cardiac), toxins, thrombosis (coronary or pulmonary).



2 most common causes of PEA - ✔✔Hypoxia and hypovolemia.



PEA hypovolemia - ✔✔rapid, narrow-complex tachycardia (sinus tachy).

Increased diastolic, decreased systolic pressure.

BP drops.

Narrow QRS.



Common causes: occult internal hemorrhage, severe dehydration.



Consider volume infusion.



acute coronary syndrome - ✔✔sudden symptoms of insufficient blood supply to the heart indicating
unstable angina or acute myocardial infarction



Tx for PE - ✔✔Fibrinolytics.



Tx for cardiac tamponade - ✔✔pericardiocentesis.

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