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acls questions Flashcards

1
Q

PT in refractory Vfib received appropriate defibrillation shocks, epi 1mg IV twice, initial dose amiodarine 300mg IV. What is second dose amiodarine?

A

150mg IV push

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2
Q

PT has rapid irregular wide-complex tachycardia. Ventricular rate 138/min. ASx with BP 110/70. Hx of angina. What next?

A

Seek expert consultation

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3
Q

Monitored PT in ICU develops sudden onset of narrow-complex tchycardia at 220/min. BP 128/58, PETCO2 38, Pulse Ox 98%. IV in left arm, no vasoactive drugs given. 12 lead ECG confirms SVT but no ischemia or infarction. Doesn’t respond to vagal maneuvers. What next?

A

Adenosine 6mg IV push

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4
Q

PT has STEMI with ongoing chest discomfort. Heparin 4000 U IV bolus and 1000 U/hr being adminstered. ASA not taken due to hx of gastritis treated 5 years ago. What next?

A

Give 160 to 325 ASA to chew

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5
Q

PT has possible STEMI and ongoing chest discomfort. What is CI to nitrate administration?

A

Use of phosphodiesterase inhibitor within previous 24h

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6
Q

PT has sinus bradycardia 36/min. 3mg Atropine given. Transcutaneous pacemaker capture failed. PT confused, BP 88/56. What next?

A

Epi 2 to 10 mcg/min

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7
Q

PT in refractory vfib. CPR in progress. One dose epi given after second shock. Antiarruthmic drug given immediately after third shock. What next?

A

Epi 1mg

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8
Q

PT in pulseless vtach. Two shocks and 1 dose of epi given. What next?

A

Amiodarone 300mg

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9
Q

PT in cardiac arrest. CPR and intubated with IV. Rhythm is asystole. What is first drug and dose to administer?

A

Epi 1mg IV/IO

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10
Q

62 y/o male sudden difficult speaking and left sided weaknes.s Meeds fibrinolytic therapy criteria and CT brain ordered. Which best described guidelines for antiplatelet and fibrinolytic therapy?
A. ASA 160 to 325 chewed immediately
B. ASA 160 and Clipidogrel 75mg PO
C. Heparin if CT scan negative for hemorrhage
D. Hold ASA for at least 24h if rtPA administered

A

D. Hold ASA for at least 24h if rtPA administered

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11
Q

What is indication for magnesium in cardiac arrest?

A

Pulseless ventricular tachycardia-associated torsades de pointes

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12
Q 
57 y/o F has palpitations, chest discomfort, and tachycardia. Monitor shows regular wide-complex QRS at 180/min. She becomes diaphoretic and BP 80/60. What next?
A. IV access
B. Obtain 12-lead ECT
C. Electrical cardioversion
d. Seek expert consultation
A

C. Electrical cardioversion

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13
Q 
66 M with hz of large intracerebral hemorrhage 2 months ago. Being evaluated for acute stroke. CT scan negative for hemorrhage. PT receiving oxygen via NC 2LPM and has IV. BP is 180/100. What drug to give?
A. ASA
B. Glucose D50
C. Nicardipine
3. rtPA
A

A. ASA

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14
Q 
35 y/o W has paliptations, light eaded, and stable tachycardia. Monitor shows regular narrow complex QRS at 180/min. Vagal maneuvers not working. IV established. What drug?
A. Adenosine 6mg
B. Atropine 0.5mg
C. Epi 2 to 10 mcg/kg/minute
d. Lidocaine 1mg/kb
A

A. Adenosine 6mg

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15
Q 
PT in cardiac arrest. VFib refractory to initial shock. If no pathway for medication in place what is the preferred method?
A. Central line
B. ETT
C. External jugular vein
D. IV or IO
A

D. IV or IO

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16
Q

PT in cardiac arrest. VFib refractory to second shock. What drug administered first?

A

Epi 1mg IV/IO

17
Q

PT with sinus bradycardia and HR of 42/min has diaphoresis and BP 80/60. What initial dose of Atropine?

A

0.5mg

18
Q 
Arrive on scene with code team. High quality CPR in progress. AED previously advised "no shock indicated". Rhythm finds asystole. After resuming high-quality compressions what next?
A. Puse check
B. Establish IV or IO access
C. INsert laryngeal airway
D. Perform endotracheal intubation
A

B. Establish IV or IO access

19
Q 
Which intervention most appropriate for PT in asystole?
A. Atropine
B. Defibrillation
C. Epinepherine
D. Transcutaneous pacing
A

C. Epinepherine

20
Q 
Which situation does bradycardia require treatment?
A. 12-lead EKG showing NSR
B. Hypotention
C. Diastolic BP greater than 90
D. Systolic BP greater than 100
A

B. Hypotention

acls (2 decks)

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