ACLS

Question 1

What rhythms are shockable

Answer 1

V fib and Pulseless V tach

Question 2

How often and how much epinephrine should you give if someone doesn’t have a pulse

Answer 2

1 mg IV or IO every 4 minutes

Question 3

When do you give amiodarone and how much do you give

Answer 3

Give after the third shock if VF or pVT

Give 300 mg bolus and then 150 mg as second dose

Question 4

List the reversible causes of cardiac arrest

Answer 4

Hypovolemia
Hypoxia
Hydrogen idons (acidosis) 
Hypokalemia
Hypothermia
Tension pneumo
Tamponade
Toxins
Throbosis (pulmonary or coronary)

Question 5

What is quality CPR

Answer 5

2 inchest at 100 beats per minute with complete recoil
30-2 if no advanced airway
Continuous if advanced airway

Question 6

What to do in a peds crash

Answer 6

Ask for broselow tape
Think respiratory
Focus on Airway and providing O2
Blow by or Positive pressure ventilation depending

Question 7

When is someone deemed unstable with tachycardia and what do you do

Answer 7

Hypotension
Confusion
Signs of shock
Ischemic chest pain 
Hear failure

Synchronized cardioversion

Question 8

If someone is stable and has a wide qrs tachycardia what do you do

Answer 8

Consider adenosine if regular (6 mg IV push with NS flush. Can give 12 mg if required
Mix it with the flush for better results

Question 9

What antiarrhythmic infusions can you consider for stable tachycardia

Answer 9

Amiodarone (150 mg over 10 minutes and repeat as needed)

Procinamide (30 mg/minute)

Question 10

What to do if someone is unstable and bradycardic

Answer 10

Atropine (0.5 mg every 3-5 minutes up to 3 mg

If this is ineffective consider transcutaneous pacing, dopamine or epi infusion

Question 11

What are you targeting after getting ROSC

Answer 11

Continue to assess ABCs
SpO2 92-98%
10 breaths per minute
PaCO2 35-45 mmHg

BP 90/65 or highter

Get ECG