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Exam (elaborations)

ACLS 2021 100% verified

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ACLS 2021 100% verified

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  • November 16, 2023
  • 15
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • acls acls
  • ACLS
  • ACLS
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Ashley96
ACLS 2021

Which class of medications commonly given to patients with acute coronary syndromes may be
adversely affected by morphine administration
A. Phosphodiesterase inhibitors
B. Oral antiplatelet medications
C. Beta blockers
D. Calcium channel blockers - ANSOral antiplatelet medications

What is a benefit of morphine when given for the management of acute coronary syndromes?
A. Central nervous system analgesia
B. Increases systemic vascular resistance
C. Increases left ventricular preload
D. Vasoconstriction - ANSA. Central nervous system analgesia

You obtain a 12-lead ECG in a patient with restrosternal chest pain.

Which ECG finding is suggestive of high risk non ST segment elevation acute coronary
syndromes
A. ST depressions less than 0.5mm
B. Dynamic T-wave inversion
C. ST-segment elevation
D. New bundle branch block - ANSB. Dynamic T-wave inversion

Upon reviewing a patient's 12 lead ECG, you note ST-segment elevation of 2mm in leads II,III,
and aVF

How would you classify the electrocardiographic findings

A. Normal
B. STEMI
C. Non-STEMI
D. Non-diagnostic - ANSb. STEMI

What happens when teams rapidly assess and intervene when patients have abnormal vital
signs - ANSThe number of in hospital cardiac arrests decreases

What is the goal for first medical contact-to-ballon inflation time for a patient receiving PCI -
ANS90 minutes

What is the longest acceptable emergency department door-to-needle time when fibrinolysis is
the intended reperfusion strategy - ANS30 minutes

, What is the time goal for how quickly you should complete a fibronolytic checklist once the
patient arrives in the emergency department - ANS10 minutes

What is the recommended time window after symptom onset for early fibronolytic therapy or
direct catheter-based reperfusion for patients with STEMI and no contraindication - ANSWithin
12 hours

a 49 yo says that he has had chest discomfort and excessive sweating for the past 25 minutes.
Within the first 10 minutes, on the basis of the patient showing symptoms suggestive of MI, what
will your first actions include? - ANSProvide prehospital notification to the receiving hospital

Administer aspirin

if considering prehospital fibrinolysis, use the fibrinolytic checklist

assess ABC

Obtain EKG

consider oxygen, nitroglycerin, and morphine if needed

His initial vital signs are HR 120/min BP 135/88 RR 23 O2 87%

When considering oxygen saturation, what is your course of actions? - ANSStart oxygen at 4L

What additional questions help you determine next steps - ANSWhen did the symptoms start

Do you take any medication

Do you have any allergies

Your patient continues to say that he has chest discomfort

What treatment can you repeat as long as it is not contraindicated by vital signs -
ANSNitroglycerin sublingual every 3-5min

What is your interpretation of the patient's EKG tracing

STEMI in V2-6 - ANSAnterior STEMI

With the possible diagnosis of STEMI, what is the most probable treatment - ANSAdmission for
PCI/fibrinolysis

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