ACLS

Question 1

In A-fib, will you see a QRS COMPLEX?

Answer 1

YES

Question 2

In V-fib, will you see a QRS COMPLEX?

Answer 2

NO!

Question 3

Where is lead 1 placed?

Answer 3

4th intercostal space to the right of the sternum

Question 4

Where is lead 2 placed

Answer 4

4th intercostal space to the left of the sternum

Question 5

Where is lead 4 placed

Answer 5

5th intercostal, mid clavicular ( below nipple line)

Question 6

Where is lead 3 placed

Answer 6

Midway between leads 2&4

Question 7

Where is lead 5 placed

Answer 7

5th intercostal space, anterior axillary line

Question 8

Where is lead 6 placed

Answer 8

5th intercostal space mid axillary

Question 9

What interventions should be performed for pulseless electrical activity

Answer 9

1. Identify the cause
2. Start CPR
3. 100% oxygen
4. Administer EPINEPHRINE
5. IV fluids
6. ACLS PROTOCOL

Question 10

What drugs can be given for ventricular fibrillation/ tachycardia

Answer 10

{VEALM}

1. Vasopressin
2. Epinephrine
3. Amiodarone
4. Lidocaine
5. Magnesium

Question 11

What drugs can be administered for PEA/ asystole

Answer 11

Epi

Question 12

What drugs can be administered to treat bradycardia

Answer 12

1. Atropine
2. Epinephrine
3. Dopamine

Question 13

What drugs can be administered to treat tachycardia

Answer 13

Adenosine
Amiodarone 
Beta blockers
Digoxin
Dilitiazem 
Magnesium 
Verapamil

Question 14

What drugs can be administered to treat ACUTE CORONARY SYNDROMES

Answer 14

MORPHINE, OXYGEN,NITROGLYCERIN, ASPIRIN, fibrinolytic therapy, heparin, beta blockers.

Question 15

What is the first line drug of choice for symptomatic bradycardia

Answer 15

Atropine

IT MAY BE BENEFICIAL IN AV BLOCK OR ASYSTOLE!

Question 16

What is the second line drug of choice for symptomatic bradycardia

Answer 16

DOPAMINE

Question 17

What does dopamine treat

Answer 17

Dopamine is the second line drug of choice for symptomatic bradycardia and, it is also used for hypotension with signs and symptoms of shock.

Question 18

What is epinephrine indicated for

Answer 18

1. Cardiac arrests ( VF, asystole, PEA)
2. Symptomatic bradycardia, (after atropine alternative to dopamine.)
3. Severe hypotension
4. Anaphylaxis

Question 19

What drugs are used for tachycardia

Answer 19

Dilitiazem
Adenosine
Metoprolol
Amiodarone

Question 20

Dilitiazem is indicated for what

Answer 20

Tachycardias such as A- fib OR A- flutter

Question 21

Adenosine is indicated for what condition

Answer 21

1st drug of choice for supraventricular tachycardia ( SVT)

Question 22

What can be done for SVT

Answer 22

You can give adenosine while preparing to cardiovert

Question 23

What are the indications for metoprolol

Answer 23

1. Suspected MI or unstable angina
2. 2nd line agent for SVT refractory to adenosine
3. To reduce myocardial ischemia in MI patients with elevated HR and/or BP
4. Emergency antihypertensive therapy for acute hemmorhagic or ischemic stroke.

Question 24

What is amiodarone indicated for

Answer 24

LIFE THREATENING DYSRHYTHMIAS

1. VF/ pulseless
2. VT unresponsive to shock, CPR, and vasopressors
3. Recurrent hemodynamically unstable VT

Question 25

What drug prolongs the QT interval

Answer 25

Procainamide

Question 26

What are contraindications for amiodarone therapy

Answer 26

Bradycardia
2nd and 3rd degree block
Meds that prolong QT interval

Question 27

What is lidocaine indicated for

Answer 27

1. Alternative to amiodarone in VF/VT arrest
2. Stable monomorphic VT
3. Malignant PVC’s
4. Can be used if Torsades is suspected

Question 28

What is magnesium indicated for

Answer 28

1. Torsades

2. Life threatening ventricular dysrhythmias in digitalis OD

Question 29

Normal PR interval

Answer 29

0.12-0.20 sec

Question 30

Normal QRS complex

Answer 30

0.04-0.12 sec

Question 31

Normal QT INTERVAL

Answer 31

0.36-0.44 sec