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ACLS Review Questions & Answers Rated 100% Correct!!

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  • September 11, 2024
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51 Multiple choice questions

,Term 1 of 51
According to the AHA, what percentage of acute coronary syndrome patients die before ever
reaching the hospital?

Up to 33% of ACS patients are delayed in treatment (PCI) with ED evaluations.


Source: AHA 2010 Guidelines

In the Adult Post Cardiac Arrest algorhythm, the recommendations are:
- maint. SPO2 of >/=94%
- mon. PETCO2 (target 35-40)
- tx. SBP < 90 w/:


- 1-2 ltr. IVFB (NS or LR)
- Epi, Dop, or Levo infusion:

- Dop (5-10 mcg/kg/min) = 70 kg pt. = 350-700 mcg/min.


Reference: 2010 AHA Guidelines

It is estimated that up to 70% of acute coronary syndrome patients, meaning victims of both
unstable, non-STEMI, as well as STEMI, die before ever reaching a hospital for treatment of
the event.
This emphasizes the importance of "early" detection, intervention, and transport.


Source: 2010 AHA Guidelines

In the Adult Post Cardiac Arrest algorhythm, the recommendations are:
- maint. SPO2 of >/=94%
- mon. PETCO2 (target 35-40)
- tx. SBP < 90 w/:


- 1-2 ltr. IVFB (NS or LR)
- Epi, Dop, or Levo infusion:

- Epi (0.1-0.5 mcg/kg/min) = 70 kg pt. = 7-35 mcg/min.

Reference: 2010 AHA Guidelines

,Term 2 of 51
An intra-arterial relaxation pressure of < ____ indicates ineffective compressions.

Excessive ventilation can cause:

- gastric inflation

- increased intrathoracic pressures


- decreased venous return

- overall lower survival

Reference: 2010 AHA Guidelines


Therapeutic hypothermia is the only post-arrest intervention that has been clinically proven
to improve neurologic recovery according to the AHA.

Reference: AHA 2010 Guidelines

Intra-arterial relaxation pressures of < 20mmHg correlate with poor CPP (coronary
perfusion pressure) and ineffective compressions.


Reference: 2010 AHA Guidelines

The AHA recommends that all victims of acute stroke be transported to a "comprehensive"
stroke center.

Reference: 2010 AHA Guidelines

, Term 3 of 51
What are the 5 contraindications to giving Nitroglycerin in the setting of ACS according to the
AHA?

The 4 contraindications to Nitroglycerin are:

- Severe bradycardia
- Tachycardia
- Hypotension
- PDE-I's for erectile dysfunction w/in the last 24-48 hrs.
- Right ventricular infarction

Source: AHA 2010 Guidelines

The "5 H's and T's" are:


- Hypovolemia
- Hypoxia
- Acidosis (H+ acidosis)
- Hypo-/Hyper-kalemia
- Hypothermia

- Tension Pneumothorax
- Cardiac Tamponade
- Toxins (Drug OD, Exposure)
- Pulmonary Thrombosis
- Coronary Thrombosis

Reference: 2010 AHA Guidelines


During CPR, once an advanced airway has been placed, the ventilation rate changes to:

- 1 every 6-8 seconds (8-10/min.)

For rescue breathing,

- 1 every 5-6 seconds (10-12/min.)

Reference: 2010 AHA Guidelines

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