Cardiac Arrest Exam Questions with Complete Solutions

Cardiac Arrest Exam Questions with
Complete Solutions
require CPR - Answer-V-fib and pVT (pulseless Ventricular Tachycardia) both require
______________ until a defibrillator is available to deliver unsynchronized shocks

1. Asystole
2. PEA - Answer-What are 2 non-shockable rhythms?

1. V-fib
2. Pulseless Ventricular tachycardia (pVT) - Answer-what are two shockable rhythms?

monomorphic ventricular tachycardia - Answer-What is this Rhythm?

Polymorphic Ventricular Tachycardia - Answer-What is this Rhythm?

deliver 1 shock, and immediately resume Chest compression.

*do not do a pulse check at this point unless obvious signs of life are present

*Establish IV Access - Answer-As soon as you determine that the rhythm is V Fib or
pVT then _______________

only after 2 minutes of CPR (regardless of shock delivery) - Answer-When do you
perform a pulse/ rhythm check?

epinephrine 1mg IV - Answer-when IV access is available administer ___________
during CP after the *Second shock*

1. administer 1mg IV after second shock
2. may repeat every 3-5mins - Answer-what is the recommended administration
protocol for Epinephrine?

during CPR between the second and third shock - Answer-when is epinephrine
administered?

epinephrine improves aortic diastolic pressure, coronary artery perfusion pressure and
rate of ROSC - Answer-what is the administering epinephrine during CPR?

-Epinephrine
-Amiodarone
-Lidocaine - Answer-what are three anti-arrhythmic medications that can be
administered during a cardiac arrest?

, Amiodarone 300mg/ IV bolus

*may give one additional dose of 150mg - Answer-what is the recommended dosing for
Amiodarone for patients in cardiac arrest with VF/ pVT that is unresponsive to
defibrillation

Lidocaine 1 - 1.5mg/kg IV - Answer-what is the recommended first dose for Lidocaine
for patients in cardiac arrest with VF/pVT that is unresponsive to defibrillation

0.5mg - 0.75mg/kg IV at 5-10min intervals for a macimum of 3mg/kg - Answer-what is
the recommended second dose for lidocaine?

lidocaine max dose is 3mg/kg - Answer-what is the maximum dose of lidocaine that can
be administered?

Magnesium Sulfate - Answer-providers should consider ______________ for Torsades
de pointes associated with long QT intervals?

magnesium loading dose is 1-2g/ IV - Answer-what is the recommended loading dose
for magnesium?

check for a shockable rhythm at the 2 minute mark - Answer-what should be done after
administering amiodarone or lidocaine?

Ultrasound - Answer-_____________ may be applied to patients receiving CPR to help
assess myocardial contractility and identify treatable causes of cardiac arrest.

defibrillation - Answer-In addition to CPR with minimal interruptions in chest
compressions, what is the most critical intervention during the first few minutes of arrest
for a patient in vfib

between the second and third shock - Answer-what is the recommended point to
administer the first dose of epinephrine for a patient in a shockable rhythm?

PEA (pulseless electrical activity) - Answer-________________ is an organized rhythm
without a palpable pulse

-A fib
-Sinus rhythm
-Bundle branch blocks - Answer-PEA can present as which of the following organized
rhythms?

Asystole - Answer-_________________ is a cardiac arrest rhythm associated with no
discernible electrical activity on ECG