12) ACLS

Question 1

Extreme right axis deviation

Answer 1

Caused by: VT} ventricular rhythms/PVCs,

Question 2

2 things to do while obtain history:

Answer 2

12/15 leads w/ history

Question 3

EMD

Answer 3

Electrical Mechanical disassociation (same as PEA)

Question 4

Stable & symptomatic doesnt always mean

Answer 4

medicate; ex vagal is all that is needed

Question 5

Verapamil) dose, for, vs diltiazem

Answer 5

= 2.5-5mg for AFIB RVR alt, drops BP more than diltizem

Question 6

Cardioversion intial J range
if cant sync on T wave

Answer 6

50-100J
change lead views

Question 7

Atropine doesnt correclty under 2 conditions

Answer 7

Denervated/transplanted heart & dose < 0.5mg

Question 8

TCP pad placement

Answer 8

anterior posterior “Sandwich”

Question 9

before giving fluids

Answer 9

listen Lung sounds

Question 10

L side heart pump failure effects

Answer 10

lung back up “L L Left Lungs”

Question 11

3rd degree can have QRS b/c
narrow QRS bc

Answer 11

Left picking up impulse gives wide QRS &
bundle his picks up first

Question 12

Glucagon Ca OD:

Answer 12

heart has Glucagon receptors on SA & AV, opens up Ca cells to allow Ca inflex,

Question 13

If pacing doesnt work

Answer 13

go other intervention medicating

Question 14

Pacer spikes definers

Answer 14

no more than/ at least 1 SB,
Printed filled is our pacer spikes hallowed is PT’s

Question 15

If Tachy from redbulls

Answer 15

= use benzo

Question 16

Supratach, AVNRT AVRT least common (WPW)

Question 17

AF w/ RVR with chem cardioversion

Answer 17

can convert 1st try

Question 18

if re-cardioverting

Answer 18

Resync (with Jules move or turn of oxy)

Question 19

L sided heart thrombus goes to:
R-sided heart thrombus goes to:

ischemic stroke types:

Answer 19

= brain
= lungs
= Thromibic & embolic ischemic stroke

Question 20

if having trouble defining VT for some reason

Answer 20

VT V1+ V6- (Most VT pts symptomatic )

Question 21

Stable amiodarone admin BP effect so
If PT decomposing from amino

Answer 21

TANKS B/P so give slow
shut off & vert

Question 22

Most common cause of VT

Answer 22

MI / STEMI

Question 23

for 1mg/ml drip W/ Amino

Answer 23

2Gs in 500mL bag

Question 24

VF/pVT drug flow/order

Answer 24

Shock, EPI, shock, anti,

Question 25

Mag BP effect

Answer 25

smooth M. relaxor so vaso-dialates

Question 26

WITNESSED Ventricular arrest

Answer 26

defib 1st, decrease perishock interval (>10sec dead)

Question 27

PEA:

Answer 27

any pulseless rhythm but VT

Question 28

AFib & Flutter w/ RVR clinical notes:

Answer 28

Diltiazem give slow,

Question 29

SVT clinical notes:

Answer 29

IV can vagal someone, Diltizem tanks BP

Question 30

a1)

Answer 30

Question 31

a1)

Answer 31

Question 32

a1)

Answer 32

Question 33

a1)

Answer 33

Question 34

a1)

Answer 34

Question 35

a1)

Answer 35

Question 36

a1)

Answer 36

Question 37

a1)

Answer 37

Question 38

a1)

Answer 38

Question 39

Answer 39