BLS/ACLS

Question 1

Signs of Stroke?
(Acronym)

Answer 1

Face
Arms
Speech
Time

ARMS -palms up, arms out and eyes closed

FAST

Question 2

Treatment for narrow QRS>= 12 secs

Answer 2

IVs + 12 Lead (Movie)
Vagal Maneuvers
Adenosine (if regular)
B Blocker or CA blocker

Question 3

(7)

Drugs in Stroke protocol?

Answer 3

1. Fibrotic agent (tPA)
2. Glucose
3. Labetalol
4. Nicardipine
5. Enalaprilat
6. Aspirin
7. Nitroprusside

Question 4

Synchronized Cardioversion?
1.Narrow irregular
2.Narrow regular
3.Wide regular
4.Wide irregular

Answer 4

1. 120-200J narrow irregular
2. 50-100J narrow regular
3. 100J wide regular
4. Defib dose - wide irregular

Question 5

H’s T; (5 each)

5 T’s?

Answer 5

1. Thombus (pulm)
2. Thrombus (cardiac)
3. Toxins
4. Tension pneumo
5. Tamponade

Question 6

For ACS tx, how much aspirin do you give?

Answer 6

160-325mg

Question 6

’

5 H’s?

Answer 6

1. Hypovolemia
2. Hyper/Hypokalemia
3. H+ (acidosis)
4. Hypoxia
5. Hypothermia

Question 7

2 reperfusion techniques for STEMI?

Answer 7

Fibrinolysis
PCI

Percutaneous coronary intervention

Question 8

6 drugs for ACS? ST elevation

Answer 8

1. Aspirin
2. Oxygen
3. Nitroglycerin
4. Opiate
5. Fibrolytic tx (maybe)
6. Heparin

Question 9

ABC…

Steps for PRIMARY assessment

Answer 9

Airway
Breathing
Circulation (CPR, IV/IO, glucose/temp)
Disability (pupils, neuro)
Expose (trauma’s, bleeds)

Question 10

CPR: How much depth?
How fast?

Answer 10

5 cm - width of credit card
100-120/min

Question 11

What Pet C02 indicates quality CPR

Answer 11

> 10 mmHg

Question 12

ST

12 Lead ecg with ACS helps lump patient’s in what 3 categories

Answer 12

ST elevation (ongoing injury)
ST depression (ischemia)
Normal

Question 14

Occlusion of what 2 coronary arteries is associated with PEA

Answer 14

Left Main
or
Proximal Left anterior descending

Question 15

Think super basic

Steps for BLS assessment

Answer 15

1. Safe to proceed?
2. Check responsiveness
3. Activate ER response/ Get AED Defibrillator
4. Check Pulse
5. Defib if need

Question 16

Dx for ACS? Stroke?

Answer 16

ACS - 12 lead
Stroke - CT scan

Question 17

Tx for cardiac tamponade in arrest?

Answer 17

Pericardiocentesis

Question 18

2 most common causes of PEA?

Answer 18

Hypoxia
Hypovolemia

Question 19

Tachycardia: when do we consider Adenosine? Dose?

Answer 19

regular narrow complex tachy
1st - 6mg IV push
2nd - 12mg IV push

Question 20

Stoke:
% are ischemic
% are hemorrhagic

Answer 20

80% ischemic
20% hemorrhagic

Question 21

How often do you deliver breath with BVM?

Answer 21

Every 5-6 seconds

Question 22

Wide QRS stable Tx?

Answer 22

IVs + 12 Lead
Adenosine - regular monomorphic
Antiarrhythmic infusion

Question 23

Bradycardia
1) Dose of what initial drug?
2) What 2 alt. drugs and mechanical tx?

Answer 23

1) Atropine 0.5mg Bolus
2) Pacing transcutaneous or Dopamine/Epinephrine

Question 24

Major cause of narrow complex tachy PEA?

Answer 24

Hypovolemia

Question 25

4 Steps when medical emergency?

Answer 25

1 Initial assessment
BLS assess
Primary A-B-C-D-E
Secondary H’s and T’s

Question 26

SA Node BPM?

Answer 26

60-100 bpm

Question 27

AV node BPM?

Answer 27

40-60 BPM

Question 28

Bundle of his/ Purkinje Fibers BPM?

Answer 28

20-40 BPM

Question 29

Does Atropine work in 3rd degree heart block?
Why? Why not?

Answer 29

Doesn’t work in 3rd degree block
Works on Vagus nerve