ACLS

Question 1

Treatment for refractory VF or VT?

Answer 1

Amiodarone

Question 2

Drug for regular wide complex tachycardia? Why not give if irregular wide complex tachycardia?

Answer 2

Adenosine; may cause VF

Question 3

First line treatment for symptomatic bradycardia?

If fails?

Answer 3

Atropine

Epinephrine OR dopamine OR transcutaneous pacing

Question 4

Joules for synchronized cardioversion for

1. atrial fibrillation?
2. Unstable SVT
3. unstable atrial flutter
4. Monophonic waveform?
5. Unstable monomorphic VT

Answer 4

1. 120-200
2. 50-100
3. 50-100
4. Begin at 200, increasing in stepwise fashion
5. 100

Question 5

Only Immediate post-cardiac care option to improve neurologic recovery?

Answer 5

hypothermia to 32-34 for 12-24 hrs

Question 6

Patient with ACS is given morphing and BP drops. Treatment?

Answer 6

Saline

Question 7

Bradycardic patient given 3 mg atropine without response. Next step?

Answer 7

Epinephrine

Question 8

Patient in cardiac arrest with ventricular fibrillation. 2 shocks without response. Next drug?

Answer 8

Epinephrine

Question 9

Contraindications for nitroglycerin?

Answer 9

#bradycardia
#tachycardia
#hypotension
#PDE inhibitors

Question 10

Give vasopressin how often? Which ones?

Answer 10

3-5 minutes

Epinephrine or vasopressin