ALS

Question 1

How much adrenaline do we give in ALS?

Answer 1

1mg IV

Question 2

When do we give adrenaline in shockable rhythms?

Answer 2

after shock three and then every second 1

Question 3

When do we give adrenaline in non-shockable rhythms?

Answer 3

straight away and then every 3-5 mins (teo 10 puff rounds of CPR)

Question 4

How much adrenaline is given in anaphylaxis?

Answer 4

IM 500mcg.

Question 5

How much amiodarone is given in shockable rhythms and when?

Answer 5

300mcg (if need to repeat then 150)

after shock three and then every second.

Question 6

Do we give amiodarone in non shockable rhythms?

Answer 6

no

Question 7

If we have a brady patient with low BP should we give fluids?

Answer 7

try increasing HR first as it may be this causing hypotension.

BP = CO X PVR

CO=HR X SV.

HR = atropine
SV = fluids.

Question 8

What do we charge a defib to for ALS?

Answer 8

150.

Question 9

What do the buttons do on the defib?

Answer 9

2 charges it (O2 away) and 3 deploys it (stand clear).

Question 10

What does the advisory button bit on the dial do to the defib?

Answer 10

Turns it into an AED.

Question 11

What bloods are good to get for ALS?

Answer 11

FBC, U and E, BM

and appropriate others e.g. G and S, cross match and coags in bleeding.
Trops etc.

Question 12

When performing pleural decompression, the proper location for needle insertion is the?

Answer 12

Second intercostal space, mid clavicular line