ACLS Test Flashcards
once you start CPR, you are only allowed to stop compressions for _________
10 seconds
at what rate are compressions given?
30 compressions and then 2 breaths
what is the best device to use to continually measure CO2?
wave form capnography
What is a good pCO2 in a healthy patient?
35-40mmHg
What is the minimum acceptable pCO2 return in a cardiac arrest patient?
10mmHg
What can you do if the pCO2 is lower than 10mmHg?
- ) Give them more volume
2. ) Give them more CPR
Advanced airway patients should be given how many breaths per minute?
8-10 breaths per minute
Advanced airway patients are given one breath every how many seconds?
one breath every 6-8 seconds
Basic Airway Patients are given how many breaths per minute?
10-12 breaths per minute
Basic Airway Patients are given one breath every how many seconds?
one breath every 5-6 seconds
energy of a biphasic defibrillator
200 Joules
energy of a monophasic defibrillator
360 Joules
what energy setting on the defibrillator is selected when starting synchronized cardioversion?
50-100 Joules
what energy setting on the defibrillator is selected for synchronized cardioversion during Afib?
120 Joules
What is an indication for inducing therapeutic hypothermia?
ROSC (return of systemic circulation) but the patient remains comatose
What is an ABSOLUTE contraindication to therapeutic hypothermia?
NOT being comatose
What is the goal core temperature when inducing therapeutic hypothermia?
32-34 degrees C
When checking to see if a patient has a pulse or is breathing, how long do you wait before returning to chest compressions?
5-10 seconds
What are the goals of a rapid response team during a code?
- ) Identify Early Deterioration in Patient
2. ) Stabilize Patient
Why are multifunction electrodes better than paddles?
because they save time (seconds per defibrillation attempt)
What practices or steps should be taken when you are about to defibrillate the patient?
- ) Stop Compressions
- ) Remove Oxygen Source
- ) Step Away from the Table
Without any contraindications for its use, how much NS is usually used in a code?
1-2 L
What kind of shock results from pericardial tamponade, and how is it treated?
obstructive shock
treated via pericardialcentesis
What kind of shock results from a PTX and how is it treated?
obstructive shock
treat with needle thoracostomy firstm then chest tube
What are the necessary steps to doing a needle thoracostomy?
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
Where is the chest tube placed in a PTX patient?
mid axillary line in the 4th-5th intercostal space
What does of Atropine is given to a patient with bradycardia?
0.5mg, with a max dose of 3mg
When an IV cannot be established, what is the recommended route of drug therapy?
IO is now recommended rather than pushing drugs down the tube
If the HCP is not proficient in intubation techniques, what is the recommended?
either the Combie Tube or LMA
How many cycles of compressions and breaths should be done in 2 minutes?
5
How far down do you push during compressions?
2 inches down (really is 1/3 of AP diameter)
At what rate should compressions be given?
AT LEAST 100 per minute
TRUE/FALSE
Amiodarone is now preferred to Lidocaine, but both are acceptable to use.
TRUE
At what rate is a dopamine drip given?
2-10 mcg/kg/min
How much of the BVM do you squeeze when giving the patient a breath?
until you see a slight chest rise
What is the desired O2 saturation once circulation has been restored?
greater than or equal to 94%
goal is NOT 100%
no supplementary O2 is given if sats are greater than 94%
What is the acronym used to BLS compressions?
CCAB
Circulation, Compressions, Airway, Breaths
TRUE/FALSE
Cricoid pressue is no longer routinely recommended for use with ventilations.
TRUE
TRUE/FALSE
ET Intubation is still considered the gold standard and its the only tube that sits in the trachea.
TRUE
What are the H’s that are possible in PEA or Asystole?
Hypovolemia
Hypoxia
Hydrogen Ion (Acidosis)
Hypo/Hyperkalemia
What are the T’s that are possible in PEA or Asystole?
Toxins
Tamponade
Tension PTX
Thrombosis (coronary or pulmonary)
What are the steps to the shockable rhythm of VT/VF?
- ) Check Rhythm
- ) Shock (increase energy dose after first)
- ) Give 1mg of IV/IO Epinephrine (before or after shock)
- ) Resume CPR after shock
- ) Amiodarone 300mg IV/IO once (150mg after first time)
- ) 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 - ) After 5 cycles of CPR, consider shocking patient again
What is the only drug you give during PEA/asystole?
Epinephrine 1mg IV/IO
*Repeated every 3-5 mins
What things are done every 2 mins in PEA/asystole?
checking the pulses and rhythm
rotation of compressors
