ACLS Written Exam Questions and Answers 100% Pass

ACLS Written Exam Questions and Answers 100% Pass Pulseless V tach or V Fib algorithm ✔✔CPR 2 min, Shock at 120 Jewels, CPR 2 min, Shock at 120 Jewels, give 40 units of vasopressin, CPR 2 min, 300 mg Amiodarone, CPR 2 ...

ACLS Written Exam Questions and Answers 100% Pass Pulseless V tach or V Fib algorithm ✔✔CPR 2 min, Shock at 120 Jewels, CPR 2 min, Shock at 120 Jewels, give 40 units of vasopressin, CPR 2 min, 300 mg Amiodarone, CPR 2 min, 1 mg epinephrine, CPR 2 min, 150 mg Amiodarone When you see a suspected asystole or PEA what are the first actions that you need to take in order to ensure that is the rthythm you see ✔✔increase gain on monitor, check leads to make sure none have fallen off Asystole/PEA ✔✔CPR 2 minutes, 1 mg every 3-5 minutes, CPR 2 minutes, treat possible causes What are the 5 H's and 5 T's ✔✔Hypovolemia, Hypoxia, Hydrogen ion, HYpo/Hyperkalemia, Hypothermia 5 T's: Toxins, Tamponade, Tension pneumothorax, thrombosis (coronary or pulmonary) What is the treatment if a patient is dead and in acidosis ✔✔1 meq/kg Bicarb What is the treatment for Hyperkalemia ✔✔amp of calcium, bicarb, insulin (10 units) and glucose What are some causes of a patient going in to Metabolic ACidosis ✔✔aspirin, antifreeze What is the treatment for Hypokalemia ✔✔give potassium What is the treatment for Hypothermia ✔✔warm saline rapid infuser, bear hugger, increase temp on vent What is the reversal drug for opiates and the dosage ✔✔Narcan 0.4-2 mg What is the reversal drug for benzodiazepiens ✔✔Romazincon 0.2 mg, 0.3, then 0.5 till a max dose of 3 mg What are signs of a patient being in cardiac tamponade ✔✔JVD< purple from nipple line up What is a good diagnostic tool to determine if a patient is in cardiac tamponade ✔✔Echo machine to see if there's fluid Wht is the treatment for Cardiac Tamponade ✔✔Pericardial centesis ( 5th intercostal space midclavicular line, needle in to drain line) What are the symptoms of your patient having a tension pneumothorax ✔✔tracheal deviation, JVD, difficulty bagging, Low 02 sat What is the treatment for a tension pneumothorax ✔✔needle in 2nd intercostal space midclavicular line What are some signs of a patient having a pulmonary embolus ✔✔low sats, JVD What is the treatment for Pulmonary embolus ✔✔thorombolytic and take to cath lab ( typically not a good prognosis) What is the most common cause of a PEA and what is the best treatment ✔✔hypovolemia, hang fluid Bradycardia with a pulse ✔✔Atropine 0.5 mg IV 1 3-5 minutes, reassess, atropine 0.5 mg, place pads on for pacing, GIve 1 mg versed to sedate once you start shocking, If atropine is not working, and you want to continue with drugs, Dopamine infusion 2-10 mcg/kg per minute or epinephrine 2-10mcg/minute Which drug should be used during Unstable Bradycardia with a pulse in the presence of MI ✔✔Dopamine, and transcutaneous pacing What is the treatment for Tachycardia with a pulse ✔✔Sedate and synchronized cardioversion. How much sedation is given before cardioversion ✔✔1-2 mg of versed, 25-50 mcg of Fentanyl for sedation if stable before cardioversion What is the treatment if patient is in V tach and has a pulse ✔✔Amiodarone: 150 mg over 10 minutes. Maintenance infusion 1 mg/min for 6 hours. Can give a total of 7 boluses. IF patient is in V tach with a pulse how long must you wait before giving the second dose of Amiodarone? WHat other drug could you use? ✔✔ten minutes after the first dose stops. Or Procaninamide: 20-50 mg/min for a max of 17 mg/kg maintenance 1-4 mg/min ( generally 2 mg per minute) When does procaninamide need to be stopped or reconsidered ✔✔If QRS widens by more than 50%, hypotension What is the recommended dose of cardioversion for Atrial fibrillation ✔✔120-200 j with monophasic; 100-120 j with bphasic What is the recommended dose of cardioversion of atrial flutter and other SVTs ✔✔50-100 j for monophasic or biphasic What is the recommended dose of cardivoersion for V Tach ✔✔100 j What is the reccommended dose of cardioversion for junctional tachycardia or MAT ✔✔not recommended, shock cannot stop these rhythm What is the treatment for Wolf Parkinson White, Stable ✔✔Procanimide, Amiodarone are only choise. NO BETA BLOCKERS OR CALCIUM CHANNEL BLOCKEr What is the treatment for unstable torsades ✔✔needs to be defibrillated at 120 Jewels because it is impossible to synchronize What is the treatment for Stable Torsades ✔✔If history of alcoholism: give magnesium sulfate start with 1 g over 30 minutes What is the treatment for Unstable Supraventricular Tachycardia ✔✔cardiovert start with 50 J What is the treatment for stable supraventricular Tachycardai ✔✔vagal response, have them bear down, cough, ice bag to the face then use adensosine 6 mg IV push, flush (wide oen fluid) wait 1-2 minutes, then give 12 mg of adenosine, repeat 12 mg of adensone, get urine tox screen for potential drug overdose or stimulat. What are the options for treatment for Supraventricular Tachycardia ✔✔amiodarone, procanimide, deltiazem, Metoprolol What is the treatment for Unstable Atrial Flutter ✔✔cardiovert start at 50 J What is the treatment for stable atrial flutter ✔✔if they have had symptoms for a while: do an echo to see if there are clots in the heart, then anticoagulate prior to slowing or cardivoert them. After 24-48 hours What are the common drugs used for Atrial FLutter ✔✔Amiodarone, Procanimide but most common is diltiazem What is the treatment for Multifocal Atrial Tachycardia ✔✔Choose from amiodarone, procanimide, diltiazem, NO CARDIOVERSION What are some of the exclusion criteria for RTPA ✔✔Head trauma or prior stroke within 3 months, Arterial puncture at noncompressible site within 7 days, Hx of previous intracranial hemorrhage, Elevated BP, evidence of active bleeding, Blood glucose less than 5 mg/dl What are some relative contraindications for TPA ✔✔only minor or rapidly improving stroke symptoms, seizure at onset with postictal residual neurologic impairments, major surgery or serious trauma within previous 14 days, recent GI or urinary tract hemorrhage within 21 days, recent acute MI within 3 months What should the PETCO2 be during continuous CPR? (Capnography tracing) ✔✔12.5-25 after second and third minutes, What is the treatment after conversion to a perfusing rhythm ✔✔Chest X-ray, Lab, 12 LEad ECG, ABGs and Antiarrhythmic, Take them next door, Neuro Assess What is the cooling procedure ✔✔Occurs when people are not neurologically in tact, begin instilling cool saline, peripheral cooling methods, drop temp to 93 degrees:( pt must be intubated, sedated, and sometimes paralyzed (to prevent shivering)) Keep temp low for 24 hours, slowly warm them up and check neuro status What is the time frame to declare someone brian dead after a hypothermia protocol has been followed ✔✔wait 72 hours, and must do a 24 hour ##G to make sure they are not seizing during the hypotermia What is the goal Blood Glucose following a resucitation ✔✔100-110 How is pulseless V tach different for a pregnant woman ✔✔at four minutes she needs to be prepped for emergent C section. At five minutes need to have the baby out