ACLS 1

Question 1

how to give adenosine

Answer 1

fast

Question 2

how to give amio

Answer 2

slow (can drop BP), but fast if dead

Question 3

how to give O2 if airway in place

Answer 3

continuous O2

Question 4

other med people usually get when in a code

Answer 4

bicarb (acidotic for obvious reasons)

Question 5

code labs

Answer 5

….

Question 6

where to stand when managing code

Answer 6

foot of bed

Question 7

new drug in code cart

Answer 7

methylpred (given with epi, has been shown to improve outcomes)

Question 8

bristojet

Answer 8

…

Question 9

drug and dose for torsades

Answer 9

Magnesium 2 grams

Question 10

how to dose insulin for hyperK

Answer 10

Insulin regular 10 units IV push

Question 11

5 H’s

Answer 11

Hypothermia
Hypokalemia
…

Question 12

5 T’s

Answer 12

…

Question 13

drug to give when ROSC is achieved.

Answer 13

amiodarone drip (still arrhythmogenic potential, so need to get an antiarrythmic on board)

Question 14

how to dose sodium bicarb

Answer 14

50 mEq

Question 15

other antiarrhythmic in code cart

Answer 15

lidocaine

Question 16

calcium chloride vs calcium gluconate

Answer 16

calcium chloride is 3x more potent

Question 17

most common rhythm responsible for sudden cardiac death

Answer 17

v fib

Question 18

other meds for symptomatic bradycardia (other than atropine)

Answer 18

dopamine

epinephrine

Question 19

t-PA other name

Answer 19

alteplase

Question 20

how to dose t-PA + route

Answer 20

50 mg slow IV push over 2 minutes

• not in code cart
• also need to continue CPR for it to be effective

Question 21

frequency for giving epi in asystole

Answer 21

3-5 minutes

Question 22

chest compression rate for patients with advanced airway

Answer 22

100 per minute

Question 23

dose of amio for patient with pulse

Answer 23

150 mg

Question 24

adenosine fast or slow?

Answer 24

give fast, very slow half-life

Question 25

atropine dose

Answer 25

0.5 mg

Question 26

alternative drug to either first or second dose of epi in VT/VF

Answer 26

vasopressin

Question 27

dose, concentration, route of epi for anaphylaxis

Answer 27

0. 3 mg IM | * there are two different concentrations of epi in codecart so watch out

Question 28

caveat about atropine in CICU

Answer 28

won't work for heart transplant patients

Question 29

H's

Answer 29

Hypovolemia, Hypoxia, Hydrogen ion (acidosis), Hyper-/hypokalemia, Hypothermia.

Question 30

H's and T's pnemonic

Answer 30

underlying factors in pulseless arrest

Question 31

T's

Answer 31

Toxins, Tamponade(cardiac),Tension pneumothorax, Thrombosis (coronary and pulmonary)

Question 32

reversal drug for benzo overdose

Answer 32

flumazenil

Question 33

contraindication to atropine

Answer 33

if in block

Question 34

what to do if you panic or lose your train of thought

Answer 34

go back to assessment of vitals

Question 35

icationhow to reverse oversedation

Answer 35

0.1 mg narcan

Question 36

adenosine impt contrind

Answer 36

asthma (can throw someone into respiratory arrest) | - give dilt or metop instead

Question 37

what does high end tidal CO2 mean generally during a code?

Answer 37

ROSC

Question 38

What to do after intubating every time

Answer 38

Recheck a pulse

Question 39

pressor usually used

Answer 39

dopamine

Question 40

should you sedate a person before cardioversion?

Answer 40

depends on how stable they are

Question 41

Blood pressure threshold for stable patient

Answer 41

90 sbp

Question 42

voltage to start at for pacing

Answer 42

120 joules

Question 43

how to capture when pacing

Answer 43

turn up milliamps until 1:1 pacing

Question 44

what to use for sedation pre cardioversion

Answer 44

versed (but not in codecart generally)

Question 45

exam to use for stroke assessment

Answer 45

FAST

Question 46

Drug mnemonic for chest pain

Answer 46

MONA | Morphine, oxygen, nitroglycerin, aspirin

Question 47

what you should probably also do while pacing

Answer 47

start dopamine or epi drip

Question 48

where to keep O2 sat

Answer 48

between 94 and 100 (evidence that over 100 is bad)

Question 49

when to transfer with no ROSC

Answer 49

25 minutes