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M/S 3 > Exam 2 - ACLS > Flashcards

Exam 2 - ACLS Flashcards

1
Q

when and who should assign jobs for a code

A

CN at the beginning of shift

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2
Q

where are critical meds kept in a crash cart

A

first drawer

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3
Q

how long do you have to determine if pt has a pulse

A

< 10 seconds

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4
Q

primary survery

A

ABCD (early defib)
use of AED

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5
Q

secondary survey

A

advanced skills
differential dx

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6
Q

meds that can be administered in an ETT

A

lidocaine
epi
vasopressin

*atropine + narcan but not included in ACLS protocol

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7
Q

what 5 things are continuously being assessed during a code

A

pulse ox
ETCO2
pulse check
ABGs
lab work

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8
Q

200 jules is called ___; 360 jules is called ___

A

200: biphasic
360: monophasic

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9
Q

VF, pulseless VT interventions

A

ABCD, initiate CPR
shock, CPR, shock, CPR, etc.
epi, vasopressin
intubate
continue with drug shock

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10
Q

asystole interventions

A

ABCD with CPR
airway, O2, intubate
IV access
confirm in 2 leads
treat cause
transcutaneous pacer
epi

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11
Q

PEA interventions

A

ABCD with CPR
airway, oxygen, intubate
IV access
epi

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12
Q

What are the H’s in H&T’s

A

hypoxia
hypovolemia
hypothermia
H+ ions (acidosis)
hypo or hyperkalemia

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13
Q

What are the T’s in H&T’s

A

tablets (OD)
tamponade (cardiac)
tension pneumothorax
thrombosis (coronary, pulmonary)

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14
Q

symptomatic bradycardia interventions

A

ABCD with CPR
airway, O2
IV access
atropine
consider cause
transcutaneous pacing
dopamine, epi
NO LIDOCAINE

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15
Q

unstable tachycardia interventions

A

ABCD
airway, O2
IV access
ID unstable tachycardia
sedation
cardioversion
reassess pt and rhythm

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16
Q

what is the primary treatment for VF and pulsless VT

A

defibrillation

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17
Q

defib complications

A

skin burns
damage to heart muscle

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18
Q

when are internal spoons defib used

A

cardiac surgery
open-chest CPR

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19
Q

defibrillator paddle/pad placement

A

transverse/posterior
anterior/posterior

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20
Q

cardioversion provides synchronized delivery on __ wave

A

R wave

prevents shock on T wave

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21
Q

cardioversion joules amount

A

50

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22
Q

no pulse =

A

defibrillation

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23
Q

symptomatic tachycardia =

A

cardioversion

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24
Q

transcutaneous cardiac pacing pad placement

A

anterior/posterior

25
Q

what meds are needed with transcutaneous pacing

A

sedation, analgesia

26
Q

how much O2 is to be delivered during cardiopulmonary arrest

A

100% O2
15L/min via BVD

27
Q

epi can be used during which rhythms

A

VF
pulseless VT
asystole
PEA

28
Q

how much and how often can epi be used/given

A

1mg (1:10000) IVP q 3-5 minutes followed by 20 cc NS flush

29
Q

how much vasopressin is administered

A

1 time dose of 40 units

30
Q

rhythms for vasopressin

A

VF
pulseless VT

31
Q

when is atropine given

A

symptomatic bradycardia

32
Q

is atropine administered for asystole or PEA

A

No

33
Q

if pt has a Mobtiz 2 or 3rd degree AVB, should you give atropine

A

No, does not respond

34
Q

how much and how to administer atropine

A

q3-5 minutes IVP for a maximum dose of 3mg

35
Q

atropine maximum dose

A

3 mg

36
Q

amiodarone facilitates the termination of which 2 rhythms

A

VT
VF

37
Q

how much amiodarone is given during cardiac arrest

A

300 mg bolus, repeat with 150 mg after a cycle of CPR

38
Q

when would you give amiodarone 150 mg as a loading bolus

A

if they have a pulse

39
Q

lidocaine concentration

A

1 mg/min
15 mL/hour

40
Q

initial dose of adenosine

A

6 mg over 1-3 seconds followed by 20cc rapid saline flush

41
Q

what is expected in rhythm after administering adenosine

A

short pause in rhythm

42
Q

2nd and 3rd dose of adenosine is __ mg

A

12 mg

43
Q

how much time between adenosine doses

A

1-2 minutes

44
Q

when is mag administered

A

refractory VF
torsades

45
Q

nonarrest mag loading dose

A

1-2 G

46
Q

mag has to be diluted with at least __ mL of NS

A

10

47
Q

how long to infuse mag

A

5-20 minutes

48
Q

what to do before and after administered sodium bicarb

A

flush - sodium bicarb has a lot of interaction

49
Q

sodium bicarb treats which acid-base imbalance

A

metabolic acidosis

50
Q

initial dose of sodium bicarb

A

1 mEq/kg

51
Q

when is dopamine given

A

symptomatic hypotension

52
Q

how much dopamine is given

A

2-5 mcg/kg/min

53
Q

what dose does mark vasoconstriction occur with dopamine

A

20 mcg/kg/min

54
Q

BGL post CPR may be high or low

A

high

55
Q

lower or higher body temperature is associated with better recovery

A

lower

therapeutic hypothermia

56
Q

methods to measure body core temperature

A

bladder cath with temp probe
esophageal thermometer
pulmonary artery catheter

57
Q

primary survey: ABCDE

A

airway
breathing
circulation
disability (lethargic, irritable)
exposure (pt temp)

58
Q

secondary survey: SAMPLE

A

s/sx
allergies
medications taking
pertinent PHMx
last PO intake
events/exposure leading up to

M/S 3 (17 decks)

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