ACLS CLASS

Question 1

A person is in VF/VT. CPR has been initiated; epinephrine, vasopressin & shocks have been unsuccessful. What drug do u prescribe now?

Answer 1

Amiodarone 300 mg IV/IO OR lidocaine 1-1.5mg/kg

Question 2

For Torsades de pointes what should you do

Answer 2

Stop all antiarrthymics…. GIVE MAGNESIUM OR EPINEPHRINE

Question 3

Lidocaine dosage

Answer 3

Initial dose- 1-1.5 mg/kg IV

Repeat dose- 0.5- 0.75 mg/kg IV

Question 4

How often can you repeat lidocaine

Answer 4

Every 5-10 minutes

Question 5

What is the maximum dose of lidocaine that can be administered

Answer 5

3mg/ kg

Question 6

What is the cardiac arrest dose of magnesium

Answer 6

1-2 g over 5-20 minutes

Question 7

What is the dosage for magnesium in a person suffering from Torsades

Answer 7

1-2 g IV/IO over 5-60 minutes

Question 8

For any heart blocks what drug should be administered

Answer 8

Atropine

Question 9

For WIDE SVT, what drug should be administered

Answer 9

Amiodarone

Question 10

For SVT NARROW what drug should be administered

Answer 10

Adenosine

Question 11

For narrow SVT do you cardiovert

Answer 11

YES. PREPARE A SYNCHRONIZED CARDIOVERSION

Question 12

Atropine dosage

Answer 12

0.5 mg bolus

Repeat every 3-5 min for a max of 3 mg.

Question 13

If a person Is hypotensive how much dopamine should be administered

Answer 13

2-20 mcg/kg per minute

Question 14

If a person is suffering from bradycardia how much dopamine should be administered

Answer 14

2-10 mcg/kg per minute

Question 15

What are dosages of adenosine

Answer 15

Administer rapidly IV push over 1-3 sec. initial bolus of 6 mg. ( may repeat with 12 mg twice only)

Question 16

How many joules should be given for A FIB

Answer 16

120-200

Question 17

How many joules should be given for A FLUTTER or SVT

Answer 17

50-100

Question 18

How many joules should be given for MONOMORPHIC VT

Answer 18

100

Question 19

For synchronized cardioversion what is best practice

Answer 19

Premedicate with both a sedative and a analgesic!

Question 20

Name 3 sedatives

Answer 20

Diazepam
Midazolam
Etomidate

Question 21

Name 3 analgesics

Answer 21

Fentanyl
Morphine
Hydromorphone

Question 22

What is used for repercussion therapy and ACS adjuncts

Answer 22

Morphine
Oxygen
Nitroglycerin
Aspirin 160-325 mg.

Question 23

Give examples of when a ASPIRIN OR CLOPIDOGREL should be used

Answer 23

STEMI
NSTEMI
UNSTABLE ANGINA
UA UNDERGOING PCI

Question 24

What should be administered to all patients with suspected ischemic pain

Answer 24

Aspirin 160-325 mg chewed

2-4 baby aspirin can be given

Question 25

Nitroglycerin actions

Answer 25

``` Decreases pain of ischemia Increases venous dilation Decreases venous blood return to heart Decreases preload and cardiac oxygen consumption Dilates coronary arteries ```

Question 26

Nitroglycerin sublingual dosages

Answer 26

Sublingual 0.3 - 0.4 mg REPEAT EVERY 5 minutes

Question 27

Nitroglycerin spray inhaler dosages

Answer 27

1-2 metered doses at 5 min intervals | Max of 3 sprays within 15 min

Question 28

Nitroglycerin IV INFUSION dosage

Answer 28

12.5 - 25 mcg bolus/ 10-20 mcg/min infusion titrated

Question 29

When Is nitroglycerin therapy contraindicated

Answer 29

Systolic BP LESS THAN 90

Question 30

When is a good time to administer morphine

Answer 30

Administer to all patients with suspected ischemic pain unresponsive to oxygen and nitrates Reassess and repeat VS between dosages

Question 31

What is the initial dose of morphine

Answer 31

2-4 mg IV over 1-5 min | Administer slowly