ACLS

Question 1

Check rhythm and pulse after ? Minutes

Answer 1

2 minutes

Question 2

3 min cpr pauses

Answer 2

Rhythm check, change compressor, placing advanced airway

Question 3

Initial defibrillator type/energy

Answer 3

Biphasic 200-360j

Question 4

Charge defib and rhythm check

Answer 4

Last round of cpr then check

Question 5

Witnessed vs unwitnessed arrest

Answer 5

Shock asap vs 2 min cpr first

Question 6

After defib

Answer 6

No pulse check and fresh compressor

Question 7

What is refract vfib and what are considerations

Answer 7

3 or more defibs and epis and double sequential / esmolol 0.5 ml loading dose

Question 8

Witnessed arrest and epi

Answer 8

Withhold 3 rounds

Question 9

Epi and unwitnessed arrest or Asystole/PEA

Answer 9

Epi asap

Question 10

H’s and T’s

Answer 10

Hypoxia - reassess oxygen delivery
Hypovolemia - shock protocol
Hyperkalemia - protocol
Hypoglycemia - blood sugar
Hydrogen Ion- consider bicarbonate
Toxins - protocol
Tamponade- Shock
Tension Pneumo - chest decompression
Thrombosis/ Embolis- 12 lead
Trauma - protocol

Question 11

Lidocaine dose and when

Answer 11

1-1.5mg/kg VF/pVT