Exam (elaborations)
Final Exam ACLS questions with verified answers
- Course
- Institution
Final Exam ACLS questions with verified answers
[Show more]
Content preview
Final Exam ACLS questions with verified answersAccording to the AHA, studies show that ED evaluations are responsible for up to
_____% of the delay of time-to-treatment of ACS patients. Ans✓✓✓ Up to 33%
of ACS patients are delayed in treatment (PCI) with ED evaluations.
Source: AHA 2010 Guidelines
According to the AHA, what percentage of acute coronary syndrome patients die
before ever reaching the hospital? Ans✓✓✓ 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
Adjunctive therapy for ACS patients include these five treatments. Ans✓✓✓ Five
treatments considered essential adjunctive therapies for confirmed ACS patients
are:
- Continuous NTG infusion
- Unfractionated or LMWH
- Beta-blockers
- Clopidogrel (Plavix)
- Glycoprotein inhibitors
Source: AHA 2010 Guidelines
,AHA recommends that, during resuscitation, the tidal volumes for adults be
between ______ and ______ mmHg. Ans✓✓✓ Adult Vt's should be between 500
- 600 mmHg which correlates to about 1/2 the squeeze of an adult ambu-bag.
Reference: 2010 AHA Guidelines
An end-tidal CO2 reading of ____ will not achieve ROSC according to the AHA.
Ans✓✓✓ A PETCO2 reading of 10mm Hg or less indicates poor or inadequate CPP
(coronary perfusion pressure) because chest compressions are not providing
adequate circulation to the lungs to eliminate CO2.
Reference: 2010 AHA Guidelines
An exception to the recommendation of therapeutic hypothermia post
resuscitation (ROSC) is in the setting of STEMI.
In these patients, this treatment is the priority and should precede therapeutic
hypothermia. Ans✓✓✓ STEMI patients should be transported to the cath lab as
quickly as possible regardless of their post-arrest status.
Reference: AHA 2010 Guideline
An intra-arterial relaxation pressure of < ____ indicates ineffective compressions.
Ans✓✓✓ Intra-arterial relaxation pressures of < 20mmHg correlate with poor
CPP (coronary perfusion pressure) and ineffective compressions.
Reference: 2010 AHA Guidelines
, Cardioversion with monophasic waveforms should begin at ______ J and increase
in step-wise fashion Ans✓✓✓ Synchronized cardioversion of monophasic
waveforms with biphasic defibrillators should begin at 200 J and increase in step-
wise fashion if unsuccessful.
Reference: 2010 AHA Guidelines
For all symptomatic bradycardias, regardless of type, this is now considered the
"first-line" treatment. Ans✓✓✓ Atropine is now considered the first-line
treatment for all symptomatic bradycardia regardless of type.
Reference: 2010 AHA Guidelines
For hypertensive patients with acute ischemic stroke who are NOT candidates for
thrombolytic therapy, the clinician should consider treating blood pressure at
these systolic/diastolic limits. Ans✓✓✓ The recommended guideline in treating
hypertension in this population is >220 / >120.
The recommended target reduction in blood pressure is roughly 15% to 25% over
admission day one.
Reference: AHA 2010 Guidelines
How is Labetalol administered in the management of hypertension (>185/>110) in
the setting of suspected CVA? Ans✓✓✓ Labetalol is given at doses of 10 - 20 mg
IVP over 1 - 2 minutes PIV.
May repeat X 1.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller cracker. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
70073 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 15 years now
