ACLS

Question 0

How many compressions per minute should be being provided?

Answer 0

100-120

Question 1

What is the first step for V fib?

Answer 1

Shock

Question 2

When should ventilation be started in V fib protocol?

Answer 2

After the second shock and during the second round of chest compressions

Question 3

When is cardiac epi given in the v fib protocol?

Answer 3

After the second shock

Question 4

What is the dosage of cardiac epi?

Answer 4

10 cc of 1:10,000

Each cc has 100 mcg

Question 5

What drug is given after epi and how much?

Answer 5

300 mg of amiodarone

Question 6

What must you do after giving amiodarone?

Answer 6

Flush the line - amiodarone eats veins!

Question 7

What is the next med and dose given after the first dose of amiodarone?

Answer 7

150 mg of amiodarone

Question 8

What can be given after amiodarone?

Answer 8

Lidocaine (100) or magnesium (1-2 grams over 60 minutes)

Question 9

What is the maintenance dose of magnesium?

Answer 9

0.5-1 gram q hour

Question 10

What is the first step in the treatment of anaphylaxis?

Answer 10

0.3 mg epi IM

Question 11

What are the subsequent steps of treating anaphylaxis?

Answer 11

Steroids
Benadryl
H2 blockers
Fluids

Question 12

What is the IV drip formula for epi in a patient in anaphylactic shock?

Answer 12

1 liter of normal saline + 1 amp or 1 mg of epi hooked into a fast running bag at 1 cc/min increasing by 1 cc every minute

Question 13

What is PSVT?

Answer 13

Narrow, 180, regular

Question 14

What is the first thing you say for PSVT?

Answer 14

Stable or unstable

Question 15

What is the second thing you ask about PSVT?

Answer 15

Old or young?

Question 16

What is the first step in treating PSVT?

Answer 16

Vagal maneuvers:

1. Valsalva
2. Carotid massage
3. 1+2
4. Ice

Question 17

What is the medicine you give for PSVT?

Answer 17

6 mg of adenosine IV push or 12

Question 18

What is the PSVT protocol for older people?

Answer 18

1. Valsalva

2. Adenosine

Question 19

What is the PSVT protocol for stable young people?

Answer 19

1. Valsalva
2. Carotid massage
3. 1+2
4. Ice
5. Adenosine 6 mg IV push then flush

Question 20

What do you do for unstable PSVT?

Answer 20

Synchronized cardioversion

Question 21

What are the contraindications to adenosine?

Answer 21

1. Sinus tachycardia
2. Atrial flutter or fib
3. Irregular rhythm
4. Rate of over 220 (=bypass tract)
5. History of a fib, a flutter, or MAT
6. COPD, ACS, or HF

Question 22

What is a clean kill if you give adenosine?

Answer 22

Wide, irregular rhythm = a fib with WPW

Question 23

What is the first thing you say with PEA?

Answer 23

Reversible!

Question 24

What are the reversible causes of PEA?

Answer 24

A: hypoxia B: PTX C: hypovolemic, hypervolemia (tamponade) D: toxic (drug OD: TCA, BB, CAB) , metabolic (hyper K)

Question 25

What is the first step in treating PEA?

Answer 25

1. Oxygenate and ventilate

Question 26

What is the second step in PEA protocol?

Answer 26

2. Get open IV access

Question 27

What is the third step in PEA protocol?

Answer 27

Look at 3: 1. EKG 2. Temperature 3. Volume status

Question 28

What drug can you give in PEA?

Answer 28

1 mg of epi q 3 min

Question 29

What is the PEA protocol?

Answer 29

1. Oxygenate and ventilate 2. IV access 3. Look at EKG, temp, volume status 4. Give 1 mg of epi q 3 min

Question 30

Wide complex, rate = 25-40, no p waves

Answer 30

Idioventricular rhythm

Question 31

What is the first step in the BLS protocol?

Answer 31

1. Check for responsiveness

Question 32

What is the second step on BLS.

Answer 32

Activate the emergency response system/get an AED

Question 33

What is the third step in BLS?

Answer 33

Check for carotid pulse

Question 34

What do you do if there is no pulse?

Answer 34

Start chest compressions

Question 35

What do you do next if there is a pulse?

Answer 35

Start rescue breathing at 1 breath every 5-6 seconds

Question 36

How often should you check a pulse?

Answer 36

Every 2 minutes

Question 37

How often should you switch CPR givers?

Answer 37

Every 2 minutes

Question 38

What does a end tidal CO2 less than 10 tell you?

Answer 38

The chest compressions are of poor quality

Question 39

Which patients should have induced hypothermia?

Answer 39

ROSC patients after out of hospital Vfib | Comatose patients with ROSC with cardiac arrest in the hospital or out of hospital with PEA or asystole

Question 40

What temperature is induced hypothermia?

Answer 40

32 to 34 degrees Celsius

Question 41

What should oxygen supply be titrated to?

Answer 41

The lowest level that can keep sats above 94%

Question 42

What should ventilation rates be titrated to?

Answer 42

35-40 ETCO2 or PaCO2 of 40-45

Question 43

What is the MAP goal?

Answer 43

65

Question 44

Where should the glucose be kept in a patient with ROSC after cardiac arrest?

Answer 44

144-180

Question 45

How frequent do you give breath during a cardiac arrest with BMV?

Answer 45

2 ventilation after every 30 compressions

Question 46

How frequently do you give breaths with an advanced airway in cardiac arrest?

Answer 46

1 every 6-8 seconds

Question 47

Why so we resume chest compressions after successful defibrillation?

Answer 47

Because the rhythm the heart comes back with is usually slow and does not create a pulse or give adequate perfusion

Question 48

What does defibrillation do to the heart?

Answer 48

Briefly terminates all electrical activity