Advanced life support

Question 1

Steps for placing A.E.D. pads

Answer 1

Place one pad on the upper right chest, below the right clavicle to the right of the sternum.
Place the other pad on the left side of the chest along the midaxillary line a few inches below the armpit.

Question 2

The difference between biphasic and monophasic

Answer 2

Search Results
Featured snippet from the web
Biphasic shocks are more effective for endocardial defibrillation than monophasic shocks. For transthoracic ventricular defibrillation, biphasic and monophasic shocks are equally effective, but biphasic shocks require less energy for the same efficacy

Question 3

5 H’s and T’s

Answer 3

Hypovolemia
Hypoxia
Hydrogen ion excess (acidosis)
Hyper- or hypokalemia
Hypothermia 
Toxins
Tamponade
Tension pneumothorax
Thrombosis (pulmonary embolism)
Thrombosis (myocardial infarction)

Question 4

ACLS Epinephrine (doses, route, and contraindications)

Answer 4

1 mg IV/IO every 3 to 5 minutes
in cases where raising the blood pressure and increasing heart rates may cause myocardial ischemia, angina, and increased demand for myocardial oxygen.

Question 5

ACLS Vasopressin (doses, route, and contraindications)

Answer 5

40 units of vasopressin IV/IO push may be given to replace the first or second dose of epinephrine

Question 6

ACLS Amiodarone (doses, route, and contraindications)

Answer 6

For VT/VF (w/o a pulse)
300mg IV/IO push
150 mg IV/IO push
Contraindications: PEA, asystole
For stable VT:
Maximum dose 2.2 g IV/ IO over 24 h; may be administered as:
Rapid infusion: 150 mg IV/IO over 10 min; may repeat every 10 min as needed
Maintenance infusion: 1 mg/min for first 6 hours

Question 7

ACLS Atropine (doses, route, and contraindications)

Answer 7

For Symptomatic bradycardia

0.5 mg IV/IO every 3–5 min, not to exceed a total dose of 3 mg or 0.04 mg/kg

Question 8

ACLS Adenosine (doses, route, and contraindications)

Answer 8

6 mg by rapid IV/IO push follow by 10- to 20-mL NS flush

Question 9

Treatment for bradycardia

Answer 9

For stable bradycardia should be monitored (cardiac monitoring, blood pressure
monitoring, vital signs). A 12-lead ECG may be obtained
For unstable bradycardia First-line therapy is with atropine. Second-line therapies include transcutaneous pacing and β-adrenergic agonists.

Question 10

Procedures for Transcutaneous pacing

Answer 10

Apply the pacing pads to the patient’s chest. Set the cardiac monitor/defibrillator to pacing mode. Set the demand rate to approximately 60 beats per minute. Set the current milliamperes output by starting low and gradually increasing it until consistent electrical capture is observed on the monitor. Check for mechanical capture. Lock in the the appropriate milliamperes.

Question 11

Treatment for SVT

Answer 11

For SVT search for an underlying systemic cause (such as dehydration, blood loss, fever, infection or anxiety). patient’s condition should be monitored (e.g., cardiac monitoring, noninvasive blood pressure monitoring, vital signs). A 12-lead ECG may be obtained