ACLS

Question 1

Bradycardia with Pulse-

First (5)

Answer 1

Maintain airway
Assist breathing
Give O2 if appropriate/BP/Vitals
IV access
12 Lead EKG

Question 2

Bradycardia with Pulse-

Signs of unstable bradyarrhythmia (5)

Answer 2

Hypotension
ALOC
Signs of shock
Ischemic Chest discomfort
Acute heart failure

Question 3

Bradycardia with Pulse-

If unstable –>

Answer 3

Atropine at 1mg q 3-5 mins

TCP start at around 50J and increase to capture

Question 4

Bradycardia with Pulse-

what infusions to consider? (2)

Answer 4

Dopamine at 2-20mcg/kg/min titrate to pt

Epi at 2-10mcg/min titrate to pt

Question 5

Tachycardia with Pulse-

First (5)

Answer 5

Maintain airway
Assist breathing
Give O2 if appropriate/BP/Vitals
12 Lead EKG

Question 6

Tachycardia with Pulse-

Signs of Unstable tachyarrhythmia (5)

Answer 6

Hypotension
ALOC
Signs of shock
Ischemic Chest discomfort
Acute heart failure

Question 7

Tachycardia with Pulse-

if unstable–>

Answer 7

Synchronized cardioversion

Question 8

Tachycardia with Pulse-

If not unstable AND no wide QRS (4)

Answer 8

IV access
12 lead EKG
Vagal maneuvers
Beta blocker or Ca Channel Blocker

Question 9

Tachycardia with Pulse-

If not unstable AND wide QRS

Answer 9

IV access
12 Lead EKG
Consider antiarrhythmic infusion
-Procainamide and Amiodarone

Question 10

Synchronized Cardioversion- Narrow/Regular

Answer 10

50-100J

Question 11

Synchronized Cardioversion- Narrow/Irregular

Answer 11

120-200J biphasic

200 J monophasic

Question 12

Synchronized Cardioversion- Wide/Regular

Answer 12

100J

Question 13

Synchronized Cardioversion- Wide/Irregular

Answer 13

defibrillation

Question 14

5 H’s

Answer 14

Hypovolemia
Hydrogen Ions (acidosis)
Hypoxia
Hypo/Hyperkalemia
Hypothermia

Question 15

6 T’s

Answer 15

Tension pneumothorax
Tamponade
Toxins
Thrombosis, pulmonary
Tablets
Thrombosis, coronary