You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The
CT scan is negative for hemorrhage. The patient is receiving o
...
You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The
CT scan is negative for hemorrhage. The patient is receiving oxygen via nasal
cannula at 2 L/min, and an IV has been established. His blood pressure is
180/100 mm Hg. Which drug do you anticipate giving to this patient?
Aspirin
Glucose (D50)
Nicardipiner
tPA
In which situation does bradycardia require treatment?
12-lead ECG showing a normal sinus rhythm
Hypotension
Diastolic blood pressure greater than 90 mm Hg
Systolic blood pressure greater than 100 mm Hg
Which intervention is most appropriate for the treatment of a patient in
asystole?
Atropine
Defibrillation
Epinephrine
Transcutaneous pacing
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV
bolus and a heparin infusion of 1000 units per hour are being administered.
The patient did not take aspirin because he has a history of gastritis, which
was treated 5 years ago. What is your next action?
Give aspirin 160 to 325 mg to chew
Give clopidogrel 300 mg orally
Give enteric-coated aspirin 75 mg orally
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https://www.coursehero.com/file/146833998/ACLS-Pretest-Pharmacology-and-Practical-Application-2022pdf/
Give enteric-coated aspirin 325 mg rectally
Answers at: https://www.stuvia.com/doc/1717513/acls-pretestpharmacology-and-practical-application-2022-all-answered-correctly.
A patient is in refractory ventricular fibrillation. High-quality CPR is in
progress. One dose of epinephrine was given after the second shock. An
antiarrhythmic drug was given immediately after the third shock. You are the
team leader. Which medication do you order next?
Epinephrine 1 mg
Epinephrine 3 mg
Sodium bicarbonate 50 mEq
A second dose of the antiarrhythmic drug
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis
and a blood pressure of 80/60 mm Hg. What is the initial dose of atropine?
0.1 mg
0.5 mg
1 mg
3 mg
A monitored patient in the ICU developed a sudden onset of narrow-complex
tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm
Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is
vascular access in the left arm, and the patient has not been given any
vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with
no evidence of ischemia or infarction. The heart rate has not responded to
vagal maneuvers. What is your next action?
Administer adenosine 6 mg IV push
Administer amiodarone 300 mg IV push
Perform synchronized cardioversion at 50 J
Perform synchronized cardioversion at 200 J
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