ACLS

Question 1

compression depth during CPR

Answer 1

1.5-2 inches

Question 2

compression rate during CPR

Answer 2

100-120 per minute

Question 3

CO2 value indicating high quality chest compressions

Answer 3

10-20 mmHg

Question 4

shockable rhythms during CPR

Answer 4

VF and pVT

Question 5

non-shockable rhythms during CPR

Answer 5

asystole and PEA

Question 6

how often to give epinephrine during CPR

Answer 6

every 3-5 minutes

Question 7

general management for VF/pVT

Answer 7

shock

CPR x2 min

epinephrine + advanced airway

shock

amiodarone

Question 8

general management for asystole/PEA

Answer 8

CPR + epinephrine every 3-5 minutes

consider advanced airway

Question 9

epinephrine dose and frequency during CPR

Answer 9

1 mg every 3-5 minutes

Question 10

amiodarone dose for cardiac arrest (first and second doses)

Answer 10

first dose = 300 mg

second dose = 150 mg

Question 11

reversible causes of cardiac arrest

Answer 11

Hypovolemia
Hypoxia
Hydrogen ions (acidosis)
Hypo/hyperkalemia
Hypothermia

Tension pneumothorax
cardiac Tamponade
Toxins
pulmonary Thrombosis
coronary Thrombosis

Question 12

treatment for stable bradycardic patient

Answer 12

monitor and observe

Question 13

treatment for unstable bradycardic patient

Answer 13

atropine

transcutaneous pacing

dopamine or epinephrine drip

Question 14

atropine dose for bradycardia

Answer 14

first dose: 0.5 mg

repeat every 3-5 minutes

max: 3 mg total

Question 15

treatment for unstable tachyarrhythmia

Answer 15

synchronized cardioversion

if narrow, consider adenosine

Question 16

treatment for stable tachyarrhythmia with wide QRS

Answer 16

adenosine, but only if regular and monomorphic

antiarrhythrmic

Question 17

treatment for stable tachyarrhythmia with narrow QRS

Answer 17

vagal maneuvers

adenosine (if regular)

beta-blocker or calcium channel blocker

Question 18

dose for synchronized cardioversion if narrow and regular

Answer 18

50-100 J

Question 19

dose for synchronized cardioversion if narrow and irregular

Answer 19

120-200 J

Question 20

dose for synchronized cardioversion if wide and regular

Answer 20

100 J

Question 21

dose for synchronized cardioversion if wide and irregular

Answer 21

trick question

defibrillation, not synchronized cardioversion

Question 22

amiodarone dose for tachyarrhythmia with a pulse

Answer 22

150 mg over 10 minutes