ACLS questions Flashcards
What combination of three drugs can be given by ET tube if IV/IO is not available?
Epinephrine, lidocaine, vasopressin
What drug is used if your patient is in VF/pulseless VT associated with torsades de pointes?
Magnesium sulfate
Your patient receives tPA for an acute ischemic stroke. What are the guidelines for aspirin use?
No anticoagulants or antiplatelet treatment for 24 hours
Your patient was just shocked for the 3rd time. What antiarrhythmic drug do you give right after the third shock?
Amiodarone
first dose: 300 mg bolus
2nd dose: 150 mg
What is the timing and dose for epinephrine?
Epinephrine 1mg every 3-5 minutes by IV/IO
What is the timing and dose for epinephrine?
Epinephrine 1 mg every 3-5 minutes by IV/IO
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?
Give aspirin 160 to 325 mg to be chewed immediately
The AED said, “No shock indicated” and the rhythm check shows asystole. After restarting CPR, what is your next step?
Gain IV or IO access
Your patient’s rhythm is rapid, irregular wide-complex tachycardia. He is asymptomatic and BP is 110/70. What do you do next?
Seek expert consultation
Your patient’s rhythm is rapid, irregular wide-complex tachycardia. He is asymptomatic and BP is 110/70. What do you do next?
Seek expert consultation
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?
Epinephrine 1 mg
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?
Synchronized electrical cardioversion
When does bradycardia require treatment?
If chest pain or shortness of breath are present
Name two phosphodiesterase inhibitors
Sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra)
Name two phosphodiesterase inhibitors
Sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra)
Name one drug used to treat bradycardia
Atropine, dopamine (infusion), and epinephrine (infusion)
What is the first choice drug to treat bradycardia?
Atropine
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?
Epinephrine 1mg every 3-5 minutes or vasopressin 40 units. Vasopressin can replace the 1st or 2nd dose of epinephrine
Recommended second dose of amiodarone is how much?
Amiodarone 150mg IV push
Recommended second dose of amiodarone is how much?
Amiodarone 150mg IV push
What is the starting dose of atropine for bradycardia? What is the maximum amount that you can give?
First dose: 0.5mg bolus. Repeat every 3-5 minutes for a maximum amount of 3mg
What is the rate of epinephrine infusion by IV for bradycardia?
Epinephrine 2-10 mcg per minute
What is the rate of dopamine infusion by IV for bradycardia?
Dopamine 2-10 mcg per kg per minute
What is the rate of dopamine infusion by IV for bradycardia?
Dopamine 2-10 mcg per kg per minute
Can you use nitroglycerin, vasodilators like morphine, and diuretics with a left-ventricular infarction or a right ventricular infarction or for both?
Left-ventricular infarction only
