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ACLS > ACLS Test > Flashcards

ACLS Test Flashcards

1
Q

once you start CPR, you are only allowed to stop compressions for _________

A

10 seconds

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2
Q

at what rate are compressions given?

A

30 compressions and then 2 breaths

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3
Q

what is the best device to use to continually measure CO2?

A

wave form capnography

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4
Q

What is a good pCO2 in a healthy patient?

A

35-40mmHg

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5
Q

What is the minimum acceptable pCO2 return in a cardiac arrest patient?

A

10mmHg

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6
Q

What can you do if the pCO2 is lower than 10mmHg?

A
  1. ) Give them more volume

2. ) Give them more CPR

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7
Q

Advanced airway patients should be given how many breaths per minute?

A

8-10 breaths per minute

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8
Q

Advanced airway patients are given one breath every how many seconds?

A

one breath every 6-8 seconds

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9
Q

Basic Airway Patients are given how many breaths per minute?

A

10-12 breaths per minute

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10
Q

Basic Airway Patients are given one breath every how many seconds?

A

one breath every 5-6 seconds

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11
Q

energy of a biphasic defibrillator

A

200 Joules

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12
Q

energy of a monophasic defibrillator

A

360 Joules

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13
Q

what energy setting on the defibrillator is selected when starting synchronized cardioversion?

A

50-100 Joules

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14
Q

what energy setting on the defibrillator is selected for synchronized cardioversion during Afib?

A

120 Joules

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15
Q

What is an indication for inducing therapeutic hypothermia?

A

ROSC (return of systemic circulation) but the patient remains comatose

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16
Q

What is an ABSOLUTE contraindication to therapeutic hypothermia?

A

NOT being comatose

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17
Q

What is the goal core temperature when inducing therapeutic hypothermia?

A

32-34 degrees C

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18
Q

When checking to see if a patient has a pulse or is breathing, how long do you wait before returning to chest compressions?

A

5-10 seconds

19
Q

What are the goals of a rapid response team during a code?

A
  1. ) Identify Early Deterioration in Patient

2. ) Stabilize Patient

20
Q

Why are multifunction electrodes better than paddles?

A

because they save time (seconds per defibrillation attempt)

21
Q

What practices or steps should be taken when you are about to defibrillate the patient?

A
  1. ) Stop Compressions
  2. ) Remove Oxygen Source
  3. ) Step Away from the Table
22
Q

Without any contraindications for its use, how much NS is usually used in a code?

A

1-2 L

23
Q

What kind of shock results from pericardial tamponade, and how is it treated?

A

obstructive shock

treated via pericardialcentesis

24
Q

What kind of shock results from a PTX and how is it treated?

A

obstructive shock

treat with needle thoracostomy firstm then chest tube

25
Q

What are the necessary steps to doing a needle thoracostomy?

A

insert at the 2nd or 3rd intercostal space at the mid clavicular line, place at a 90 degree angle, use the biggest needle you can

place above the rib to avoid VAN

26
Q

Where is the chest tube placed in a PTX patient?

A

mid axillary line in the 4th-5th intercostal space

27
Q

What does of Atropine is given to a patient with bradycardia?

A

0.5mg, with a max dose of 3mg

28
Q

When an IV cannot be established, what is the recommended route of drug therapy?

A

IO is now recommended rather than pushing drugs down the tube

29
Q

If the HCP is not proficient in intubation techniques, what is the recommended?

A

either the Combie Tube or LMA

30
Q

How many cycles of compressions and breaths should be done in 2 minutes?

A

5

31
Q

How far down do you push during compressions?

A

2 inches down (really is 1/3 of AP diameter)

32
Q

At what rate should compressions be given?

A

AT LEAST 100 per minute

33
Q

TRUE/FALSE

Amiodarone is now preferred to Lidocaine, but both are acceptable to use.

A

TRUE

34
Q

At what rate is a dopamine drip given?

A

2-10 mcg/kg/min

35
Q

How much of the BVM do you squeeze when giving the patient a breath?

A

until you see a slight chest rise

36
Q

What is the desired O2 saturation once circulation has been restored?

A

greater than or equal to 94%

goal is NOT 100%

no supplementary O2 is given if sats are greater than 94%

37
Q

What is the acronym used to BLS compressions?

A

CCAB

Circulation, Compressions, Airway, Breaths

38
Q

TRUE/FALSE

Cricoid pressue is no longer routinely recommended for use with ventilations.

A

TRUE

39
Q

TRUE/FALSE

ET Intubation is still considered the gold standard and its the only tube that sits in the trachea.

A

TRUE

40
Q

What are the H’s that are possible in PEA or Asystole?

A

Hypovolemia
Hypoxia
Hydrogen Ion (Acidosis)
Hypo/Hyperkalemia

41
Q

What are the T’s that are possible in PEA or Asystole?

A

Toxins
Tamponade
Tension PTX
Thrombosis (coronary or pulmonary)

42
Q

What are the steps to the shockable rhythm of VT/VF?

A
  1. ) Check Rhythm
  2. ) Shock (increase energy dose after first)
  3. ) Give 1mg of IV/IO Epinephrine (before or after shock)
  4. ) Resume CPR after shock
  5. ) Amiodarone 300mg IV/IO once (150mg after first time)
  6. ) if in Torsades, consider Magnesium (loading dose of 1-2g IV/IO)
    * Amiodarone and Magnesium are anti-arrhythmics that can be given before or after the shock
  7. ) After 5 cycles of CPR, consider shocking patient again
43
Q

What is the only drug you give during PEA/asystole?

A

Epinephrine 1mg IV/IO

*Repeated every 3-5 mins

44
Q

What things are done every 2 mins in PEA/asystole?

A

checking the pulses and rhythm

rotation of compressors

ACLS (1 decks)

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