ACLS

Question 1

Atropine dosing

Answer 1

1 mg up to 3 mg total

Question 2

Dopamine dosing for bradycardia

Answer 2

5-20 mcg/kg/min

Question 3

Epinephrine drip dosing

Answer 3

2-10 mcg/min

Question 4

Target SpO2 post cardiac arrest

Answer 4

92-98%

Question 5

Post cardiac arrest goal SBP

Answer 5

> 90

Question 6

TTM temperature

Answer 6

32-36 C for 24 hours

Question 7

5 Hs

Answer 7

Hyper/hypothermia, hyper/hypokalemia, hypoxia, hypovolemia, hydrogen ions (acidosis)

Question 8

5 Ts

Answer 8

Tension pneumo, tamponade, toxins, thrombosis (coronary), thrombosis (pulmonary)

Question 9

Unstable tachycardia first intervention

Answer 9

Electricity

Question 10

Stable tachycardia first interventions

Answer 10

Vagals, adenosine, BBs

Question 11

Stable tachycardia with wide QRS

Answer 11

Adenosine, antiarrhythmic infusion

Question 12

Amiodarone dosing for stable wide QRS tachycardia

Answer 12

150 mg over 10 minutes. Maintenance dose of 1 mg for first 6 hours

Question 13

Procainamide IV dosing for stable wide QRS tachycardia

Answer 13

20-50 mg/min. Maintenance of 1-4 mg/min

Question 14

Max dose of procainamide

Answer 14

17 mg/kg

Question 15

Avoid procainamide in which patients

Answer 15

CHF and long QT

Question 16

Sotalol dose

Answer 16

100 mg over 5 minutes

Question 17

What considerations must you have for IV placement during a maternal arrest

Answer 17

Place iV above diaphragm

Question 18

If no ROSC after __ minutes consider immediate perimortem c-section

Answer 18

5

Question 19

Potential etiology of maternal cardiac arrest

Answer 19

Anesthetic complications, bleeding, cardiovascular, drugs, embolic, fever, general nonobstetric causes (Hs and Ts), HTN

Question 20

Highest APGAR score

Answer 20

10

Question 21

What IV access should we get on a newborn?

Answer 21

UVC or umbilical

Question 22

Epi dose in a newborn

Answer 22

0.01 mg/kg

Question 23

PEA and asystole are most commonly associated with

Answer 23

Hypoxia

Question 24

Top 2 causes of pediatric cardiac arrest

Answer 24

Hypoxia and hypovolemia

Question 25

Epi in pedi codes

Answer 25

0.01 mg/kg

Question 26

Amiodarone in pedi codes

Answer 26

5 mg/kg bolus. May repeat up to 3 total doses

Question 27

Lidocaine in pedi codes

Answer 27

1 mg/kg loading dose

Question 28

If a pedi patient’s HR is less than ___ start CPR

Answer 28

60

Question 29

Pedi atropine dose

Answer 29

0.02 mg/kg. Max single dose 0.5 mg, minimum dose 0.1 mg

Question 30

What is considered tachy in pedi patietns

Answer 30

180

Question 31

What is considered tachy in infants

Answer 31

220

Question 32

Adenosine dose in pedi tachy

Answer 32

First dose 0.1 mg/kg; Second dose 0.2 mg/kg same max dose as adults

Question 33

Synchronized cardioversion in pedi

Answer 33

0.5-2 J/kg; if ineffective, go to 2 J/kg

Question 34

Don’t give adenosine if

Answer 34

The patient is unstable

Question 35

For a biphasic defibrillator use what energy

Answer 35

120-200 J

Question 36

For a monophasic defibrillator use what energy

Answer 36

360 J

Question 37

Lidocaine IV dose in adult cardiac arrest

Answer 37

First dose 1-1.5 mg/kg; Second dose 0.5-0.75 mg/kg

Question 38

If a generally healthy patient arrests intraoperatively, it is most likely due to

Answer 38

Hyperkalemia

Question 39

A cold heart is an _____ heart

Answer 39

Irritable