ACLS

Question 1

Characteristics of good CPR

Answer 1

Chest compressions:
100-120 per min
Depth 2 inch
Allow for chest recoil
Minimize interruptions

Question 2

Frequency of breath when with advanced airway and without airway

Answer 2

With airway: No interruption, 1 breath every 6 seconds
Without airway: 30:2 compression ventilation ratio

Question 3

ROSC

Answer 3

Return of spontaneous circulation

Question 4

Meds for VF or Pulseless VTach

Answer 4

Epinephrine 1 mg q3-5 minutes (increase myocardial and cerebral flow)
Amiodarone 300 mg x1 then 150 mg x1
OR
Lidocaine 1-1.5 mg/kg x 1 then 0.5-0.75 mg/kg afterwards

Question 5

To consider when torsade de pointe

Answer 5

Magnesium
Polymorphic VT associated with long QT interval

Question 6

What are Asystole/PEA Meds

Answer 6

Epinephrine 1 mg q3-5 minutes

Question 7

What are bradycardia Meds

Answer 7

Atropine 0.5 mg IV q3-5 minutes (max 3 mg)
Should NOT delay external pacing

Question 8

What are the signs of instability?

Answer 8

1- Chest pain
2- Dyspnea
3- Hypotension
4- Altered mental status

Question 9

Meds for Narrow Complex Tachycardia

Answer 9

If PSVT does NOT respond to vagal maneuvers
Adenosine 6 mg IV push, wait 2 minutes then repeat 12 mg IV

Question 10

How much time should be given at maximum for checking a pulse?

Answer 10

10 seconds

Question 11

Compression-ventilation for adults versus children

Answer 11

Adults: 30:2
Children: 15:2

Question 12

Depth of compression for children

Answer 12

At least one third AP diameter of the chest