ACLS questions

Question 1

What combination of three drugs can be given by ET tube if IV/IO is not available?

Answer 1

Epinephrine, lidocaine, vasopressin

Question 2

What drug is used if your patient is in VF/pulseless VT associated with torsades de pointes?

Answer 2

Magnesium sulfate

Question 3

Your patient receives tPA for an acute ischemic stroke. What are the guidelines for aspirin use?

Answer 3

No anticoagulants or antiplatelet treatment for 24 hours

Question 4

Your patient was just shocked for the 3rd time. What antiarrhythmic drug do you give right after the third shock?

Answer 4

Amiodarone
first dose: 300 mg bolus
2nd dose: 150 mg

Question 5

What is the timing and dose for epinephrine?

Answer 5

Epinephrine 1mg every 3-5 minutes by IV/IO

Question 6

What is the timing and dose for epinephrine?

Answer 6

Epinephrine 1 mg every 3-5 minutes by IV/IO

Question 7

Your patient with an ST elevation MI has ongoing chest discomfort. tPA has been ordered and he’s on heparin IV. He didn’t take aspirin because he had gastritis 5 years ago. What do you do?

Answer 7

Give aspirin 160 to 325 mg to be chewed immediately

Question 8

The AED said, “No shock indicated” and the rhythm check shows asystole. After restarting CPR, what is your next step?

Answer 8

Gain IV or IO access

Question 9

Your patient’s rhythm is rapid, irregular wide-complex tachycardia. He is asymptomatic and BP is 110/70. What do you do next?

Answer 9

Seek expert consultation

Question 10

Your patient’s rhythm is rapid, irregular wide-complex tachycardia. He is asymptomatic and BP is 110/70. What do you do next?

Answer 10

Seek expert consultation

Question 11

Your MI patient is in cardiac arrest. The v-fib has been refractory to the 2nd shock. What drug and dose should be given first by either IV/IO?

Answer 11

Epinephrine 1 mg

Question 12

Your 57 year old female patient becomes diaphoretic and her BP drops to 80/60. The monitor had initially showed a regular wide-complex QRS at a rate of 180 bpm. What do you do?

Answer 12

Synchronized electrical cardioversion

Question 13

When does bradycardia require treatment?

Answer 13

If chest pain or shortness of breath are present

Question 14

Name two phosphodiesterase inhibitors

Answer 14

Sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra)

Question 15

Name two phosphodiesterase inhibitors

Answer 15

Sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra)

Question 16

Name one drug used to treat bradycardia

Answer 16

Atropine, dopamine (infusion), and epinephrine (infusion)

Question 17

What is the first choice drug to treat bradycardia?

Answer 17

Atropine

Question 18

Your patient is in cardiac arrest with CPR in progress. He is intubated and the IV is started. The monitor shows asystole. What is the first drug/dose to give?

Answer 18

Epinephrine 1mg every 3-5 minutes or vasopressin 40 units. Vasopressin can replace the 1st or 2nd dose of epinephrine

Question 19

Recommended second dose of amiodarone is how much?

Answer 19

Amiodarone 150mg IV push

Question 20

Recommended second dose of amiodarone is how much?

Answer 20

Amiodarone 150mg IV push

Question 21

What is the starting dose of atropine for bradycardia? What is the maximum amount that you can give?

Answer 21

First dose: 0.5mg bolus. Repeat every 3-5 minutes for a maximum amount of 3mg

Question 22

What is the rate of epinephrine infusion by IV for bradycardia?

Answer 22

Epinephrine 2-10 mcg per minute

Question 23

What is the rate of dopamine infusion by IV for bradycardia?

Answer 23

Dopamine 2-10 mcg per kg per minute

Question 24

What is the rate of dopamine infusion by IV for bradycardia?

Answer 24

Dopamine 2-10 mcg per kg per minute

Question 25

Can you use nitroglycerin, vasodilators like morphine, and diuretics with a left-ventricular infarction or a right ventricular infarction or for both?

Answer 25

Left-ventricular infarction only