ACLS

Question 1

Target Et Co2 after resucitation

Answer 1

at least 10 mmHg

but normal is 35-45 mmHg

Question 2

Depth of adult CPR

Answer 2

2 inches or 5 cm

Question 3

After how many shocks do you administer antiarrhythmic in px with pulseless VT/ VF

Answer 3

3rd

Question 4

Dose of Amiodarone for pulseless VT/VF

Answer 4

Bolus 300 mg IV then 150

Question 5

Dose of Lidocaine for pulseless VT/VF

Answer 5

1-1.5 mg/kg then 0.5- 0.75 mg/kg

Question 6

After how many shocks do you administer epinephrine in px with pulseless VT/ VF

Answer 6

2nd

Question 7

Dose of Magnesium sulfate for VT

Answer 7

1-2 g in 10 mL PNSS/D5W over 5-20 mins

Question 8

max dose of atropine for bradyarrhythmia

Answer 8

3mg

Question 9

If atropine is ineffective for bradyarrhythmia, what can you give next?

Answer 9

Dopamine and Epinephrine

Question 10

Dose of dopamine infusion in bradyarrhythmia

Answer 10

5-20 mcg/kg/min

Question 11

Dose of epinephrine infusion in bradyarrhythmia

Answer 11

2-10 mcg/kg/min

Question 12

Dose of adenosine for tachycardia

Answer 12

Initial 6 mg

then 12 mg

Question 13

What other antiarrhythmics can you give for stable wide complex tachycardia?

Answer 13

Procainamide, Amiodarone, Sotalol

Question 14

Dose of procainamide infusion for stable wide complex tachycardia

Answer 14

20-50 mg/min until arrhythmia is supressed or hypotension ensues or QRS increases by > 50%

Maintenance dose 1-4 mg/min

Question 15

Dose of amiodarone infusion for stable wide complex tachycardia

Answer 15

150 mg IV bolus then maintenance 1mg/min for the first 6 hours

Question 16

Dose of sotalol infusion for stable wide complex tachycardia

Answer 16

100 mg (1.5mg/kg) over 10mins

Avoid if with prolonged QTc

Question 17

Dose of synchronized cardioversion for unstable SVT/Atrial flutter

Answer 17

50-100J

Question 18

Dose of synchronized cardioversion for polymorphic VT

Answer 18

treat as VF, defib instead

Question 19

Dose of synchronized cardioversion for unstable AF

Answer 19

120-200J

Question 20

Dose of synchronized cardioversion for unstable monomorphic VT

Answer 20

100 J

Question 21

Initial dose of atropine for bradyarrhythmia

Answer 21

1mg