ACLS Questions and Answers Rated A

ACLS Questions and Answers Rated A Recommended time window after symptom onset for early fibrinolytic therapy or PCI with STEMI ✔✔12 HOURS Goal for PCI with symptomatic ischemia in STEMI ✔✔ When to administer first d ...

ACLS Questions and Answers Rated A Recommended time window after symptom onset for early fibrinolytic therapy or PCI with STEMI ✔✔12 HOURS Goal for PCI with symptomatic ischemia in STEMI ✔✔ When to administer first dose of epi with shockable rhythm ✔✔between second and third shock How much and how often epi ✔✔1 mg q 3-5 minutes Amiodarone first and second dose amounts ✔✔300/150 Lidocaine first and second dose amounts ✔✔1-1.5 mg/kg then 0.5-0.75 mg/kg H's and T's ✔✔5 H's H ypoxia H ypovolemia H ydrogen ion (acidosis) H ypo / H yper kalemia H ypothermia 5 T's T ension pneumothorax T amponade T oxins T hrombosis (pulmonary) T hrombosis (coronary) Two most common underlying causes of PEA ✔✔hypovolemia and hypoxia When is the recommended point to administer epinephrine to a pt with asystole? ✔✔As soon as IV/IO access is available Which alteration to standard ACLS algorithm is appropriate for patient's whose cardiac arrest is secondary to hypothermia? ✔✔Spacing medications further apart Which arrhythmia is caused by methadone and propoxyphene? ✔✔Torsades de Pontes List all possible ways to administer Narcan ✔✔IV IM Nasal Sub Q Nebulize for inhalation ET Tube 2 Most common causes of LVAD RVAD or BVAD devices ✔✔1. Disconnection of Power 2. Disconnection of Driveline How will the current generation of continuous-flow VADs complicate BLS assessment ✔✔The devices will not produce a pulse What is the recommended position for a third trimester gravid pt? ✔✔Supine with left lateral displacement Whens should resuscitation team leaders activate the protocol for perimortem c section? ✔✔As soon as cardiac arrest is detected in a gravid pt ETCO2 ✔✔Concentration of CO2 in exhaled air at end of expiration What is the recommended fluid bolus dose for patients who are hypotensive during the post cardiac arrest phase ✔✔1-2L Recommended dose of Norepi for hypotensive pts in post cardiac arrest phase? ✔✔0.1-0.5 mcg/kg/min Recommended starting dose of IV drip epi for post cardiac arrest patients and need pressor support? ✔✔2-10 mcg/min MAP goals of pts where ROSC is achieved when administering epi ✔✔>65 mm Hg What is the purpose of obtaining 12-lead EKG during post cardiac arrest phase? ✔✔To detect ST elevation or LBBB During post cardiac arrest phase the 12-lead EKG reveals a STEMI. Which step has the highest priority? ✔✔Coronary angiography Optimal duration of total temp mgt (TTM) to improve neuro recovery after cardiac arrest ✔✔24 hours How to monitor core temp in TTM patients ✔✔1. Foley in non anuric patients 2. esophogeal thermometer 3. Pulm artery catheter if one is already in place for other indications Temp range goal for TTM patients ✔✔32-36C Which factor can confound neuroprognostication during the post-cardiac arrest phase? ✔✔Targeted temperature management How long should you wait to determine the neurologic prognosis of a patient treated with TTM after the pt returns to normothermia? ✔✔72 hours Which EKG finding is indicative of high risk non st elev'n ACS? ✔✔Dynamic T wave inversion STEMI is characterized by: ✔✔1. ST elevation in two or more contiguous leads and 2. New LBBB Oxygen should be delivered to a HF patient if O2 sats are __________ or below or unknown ✔✔90% What invasive CPR measure reflects changes in CO due to chest compressions if O2 consumption, arterial O2 sats, and hgb remain constant? ✔✔Central Venous Oxygen Saturation What is an example of knowledge sharing by a team leader? ✔✔Asking for suggestions about interventions Which is an example of summarizing and reeavluating? ✔✔Increasing monitoring if the patient's situation deteriorates What is an example of knowledge sharing by a team leader ✔✔Asking for suggestions about interventions What is the recommended depth of chest compressions? ✔✔at least 2 inches What is an effect of excessive ventilation? ✔✔Decreased Cardiac Output Five steps of Primary Assessment - ABCDE ✔✔A Airway B Breathing C Circulation D Disability E Exposure AVPU - Part of "Disability" during primary assessment ✔✔Alert, Verbal, Pain, Unresponsive Secondary Assessment - SAMPLE ✔✔- Signs and Symptoms (history of present issues); - Allergies; - Medications; - Past Medical History, Pertinent Negatives; - Last Oral Intake; - Events (leading to present: trauma or medical) Body temps that qualify as hypothermia ✔✔< 95 F or < 35 C What is the first step in the systematic approach to patient assessment? ✔✔Initial Impressioon Negative outcomes of excessive ventilation ✔✔1. Causes gastric insufflation 2. Increases intrathoracic pressure 3. Decreases venous return and Cardiac Output 4. Lowers Survival Which airway adjunct for: -unconscious -no gag reflux ✔✔Oropharyngeal airway (OPA) Which airway adjunct for: -Conscious or semi-conscious or unconscious -With or without gag reflex ✔✔Nasopharyngeal airway (NPA) How to measure proper OPA size? ✔✔Opening at corner of mouth and end at angle of mandible How to measure proper NPA size? ✔✔Opening at nostril and other end at ear lobe How to monitor bag-mask ventilation and CPR quality/effectiveness ✔✔Waveform capnography Hypo and Hyperventilation as measured by End Tital CO2 ✔✔Hypoventilation > 45 mm Hg Hyperventilation < 35 mm Hg angina that occurs at rest ✔✔unstable angina Angina that occurs with exertion ✔✔stable angina PCI within first ____ minutes of first medical contact or fibrinolytics within ____ minutes of arrival to ED ✔✔90, 30 Immediate assessment by medical staff within first _____ minutes of arrival of ACS pt to ED ✔✔10 ED assessment checklist after arrival of Cardiac Alert patient ✔✔1. Check vital signs 2. Obtain medical hx 3. Review fibrinolytic checklist 4. Obtain blood studies 5. Obtain CXR 6. Draw a STEMI panel 8 D's of Stroke Care ✔✔1. Detection 2. Dispatch 3. Delivery 4. Door 5. Data 6. Decision 7. Drug 8. Disposition