ACLS QUESTIONS AND VERIFIED
ANSWERS|100% CORRECT|GRADE A+
2024
in cardiac arrest when do you first introduce medical intervention? which drug? - ANSWER after 2 rounds
of CPR/shock
after 2nd shock give 1 mg epinephrine every 3-5 minutes
when do you introduce amiodarone during cardiac arrest? - ANSWER after the 3rd shock give 300 mg
bolus of amiodarone
if second dose is needed give 150mg as second dose
what rhythms are shockable in cardiac arrest - ANSWER VF
VT
what rhythms are not shockable in cardiac arrest - ANSWER asystole
PEA
if you are in an unshockable rhythm arrest when do you give epi - ANSWER 1mg epi every 3-5 minutes
after 1st round of CPR
what do you do after return of spontaneous circulation - ANSWER maintain O2 sat at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
what are the 5 h's and 5 t's - ANSWER hypovolemia
hypoxia
hydrogen ion (acidosis)
, hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic bradycardia - ANSWER monitor and observe
what constitutes symptomatic bradycardia - ANSWER hypotension
altered mental status
signs of shock
chest pain
acute heart failure
how do you treat symptomatic bradycardia - ANSWER 1. give 0.5mg atropine every 3-5 mins to max of
3mg
if that doesn't work try one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
what is considered a tachycardia requiring treatment - ANSWER over 150 per minute
when do you consider cardioversion - ANSWER if persistent tachycardia is causing:
hypotension
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