advanced adult life support

Question 1

shockable rhythms

Answer 1

VF

pulseless VT

Question 2

non-shockable rhythms

Answer 2

asystole

pulseless electrical activity

Question 3

ratio chest compressions to ventilation

Answer 3

30:2

Question 4

defibrillation - VF/pulseless VT

Answer 4

singel shock

followed by 2 min CPR

Question 5

defibrillation - VF/pulseless VT - cardiac arrest is witnessed

Answer 5

up to 3 quick successive shocks (rather than one) followed by CPR

Question 6

drug delivery

Answer 6

1st line = IV access

Question 7

adrenaline - non-shockable rhythm

Answer 7

adrenaline 1mg ASAP

Question 8

adrenaline - VF/VT

Answer 8

adrenaline 1mg once chest compressions have restarted after 3rd shock

Question 9

adrenaline - repeating it

Answer 9

repeat adrenaline 1mg every 3-5min whilst ALS continues

Question 10

when should amiodarone 300mg be given

Answer 10

patient in VF/VT after 3 shocks have been given

Question 11

giving amiodarone to those in VT/VF

Answer 11

300mg after 3 shocks

150mg after 5 shocks

Question 12

CPR and thrombolytic drugs

Answer 12

if thrombolytic drug given, CPR should be continued for 60-90mins

Question 13

reversible causes of cardiac arrest - the Hs

Answer 13

hypoxia
hypovolaemia
hyperkalaemia, hypokalaemia 
hypoglycaemia 
hypothermia

Question 14

reversible causes of cardiac arrest - the Ts

Answer 14

thrombosis
tension pneumothorax
tamponade
toxins