ACLS Test

Question 1

once you start CPR, you are only allowed to stop compressions for _________

Answer 1

10 seconds

Question 2

at what rate are compressions given?

Answer 2

30 compressions and then 2 breaths

Question 3

what is the best device to use to continually measure CO2?

Answer 3

wave form capnography

Question 4

What is a good pCO2 in a healthy patient?

Answer 4

35-40mmHg

Question 5

What is the minimum acceptable pCO2 return in a cardiac arrest patient?

Answer 5

10mmHg

Question 6

What can you do if the pCO2 is lower than 10mmHg?

Answer 6

1. ) Give them more volume

2. ) Give them more CPR

Question 7

Advanced airway patients should be given how many breaths per minute?

Answer 7

8-10 breaths per minute

Question 8

Advanced airway patients are given one breath every how many seconds?

Answer 8

one breath every 6-8 seconds

Question 9

Basic Airway Patients are given how many breaths per minute?

Answer 9

10-12 breaths per minute

Question 10

Basic Airway Patients are given one breath every how many seconds?

Answer 10

one breath every 5-6 seconds

Question 11

energy of a biphasic defibrillator

Answer 11

200 Joules

Question 12

energy of a monophasic defibrillator

Answer 12

360 Joules

Question 13

what energy setting on the defibrillator is selected when starting synchronized cardioversion?

Answer 13

50-100 Joules

Question 14

what energy setting on the defibrillator is selected for synchronized cardioversion during Afib?

Answer 14

120 Joules

Question 15

What is an indication for inducing therapeutic hypothermia?

Answer 15

ROSC (return of systemic circulation) but the patient remains comatose

Question 16

What is an ABSOLUTE contraindication to therapeutic hypothermia?

Answer 16

NOT being comatose

Question 17

What is the goal core temperature when inducing therapeutic hypothermia?

Answer 17

32-34 degrees C

Question 18

When checking to see if a patient has a pulse or is breathing, how long do you wait before returning to chest compressions?

Answer 18

5-10 seconds

Question 19

What are the goals of a rapid response team during a code?

Answer 19

1. ) Identify Early Deterioration in Patient

2. ) Stabilize Patient

Question 20

Why are multifunction electrodes better than paddles?

Answer 20

because they save time (seconds per defibrillation attempt)

Question 21

What practices or steps should be taken when you are about to defibrillate the patient?

Answer 21

1. ) Stop Compressions
2. ) Remove Oxygen Source
3. ) Step Away from the Table

Question 22

Without any contraindications for its use, how much NS is usually used in a code?

Answer 22

1-2 L

Question 23

What kind of shock results from pericardial tamponade, and how is it treated?

Answer 23

obstructive shock

treated via pericardialcentesis

Question 24

What kind of shock results from a PTX and how is it treated?

Answer 24

obstructive shock

treat with needle thoracostomy firstm then chest tube

Question 25

What are the necessary steps to doing a needle thoracostomy?

Answer 25

insert at the 2nd or 3rd intercostal space at the mid clavicular line, place at a 90 degree angle, use the biggest needle you can place above the rib to avoid VAN

Question 26

Where is the chest tube placed in a PTX patient?

Answer 26

mid axillary line in the 4th-5th intercostal space

Question 27

What does of Atropine is given to a patient with bradycardia?

Answer 27

0.5mg, with a max dose of 3mg

Question 28

When an IV cannot be established, what is the recommended route of drug therapy?

Answer 28

IO is now recommended rather than pushing drugs down the tube

Question 29

If the HCP is not proficient in intubation techniques, what is the recommended?

Answer 29

either the Combie Tube or LMA

Question 30

How many cycles of compressions and breaths should be done in 2 minutes?

Answer 30

5

Question 31

How far down do you push during compressions?

Answer 31

2 inches down (really is 1/3 of AP diameter)

Question 32

At what rate should compressions be given?

Answer 32

AT LEAST 100 per minute

Question 33

TRUE/FALSE Amiodarone is now preferred to Lidocaine, but both are acceptable to use.

Answer 33

TRUE

Question 34

At what rate is a dopamine drip given?

Answer 34

2-10 mcg/kg/min

Question 35

How much of the BVM do you squeeze when giving the patient a breath?

Answer 35

until you see a slight chest rise

Question 36

What is the desired O2 saturation once circulation has been restored?

Answer 36

greater than or equal to 94% goal is NOT 100% no supplementary O2 is given if sats are greater than 94%

Question 37

What is the acronym used to BLS compressions?

Answer 37

CCAB | Circulation, Compressions, Airway, Breaths

Question 38

TRUE/FALSE Cricoid pressue is no longer routinely recommended for use with ventilations.

Answer 38

TRUE

Question 39

TRUE/FALSE ET Intubation is still considered the gold standard and its the only tube that sits in the trachea.

Answer 39

TRUE

Question 40

What are the H's that are possible in PEA or Asystole?

Answer 40

Hypovolemia Hypoxia Hydrogen Ion (Acidosis) Hypo/Hyperkalemia

Question 41

What are the T's that are possible in PEA or Asystole?

Answer 41

Toxins Tamponade Tension PTX Thrombosis (coronary or pulmonary)

Question 42

What are the steps to the shockable rhythm of VT/VF?

Answer 42

1. ) Check Rhythm 2. ) Shock (increase energy dose after first) 3. ) Give 1mg of IV/IO Epinephrine (before or after shock) 4. ) Resume CPR after shock 5. ) Amiodarone 300mg IV/IO once (150mg after first time) 6. ) if in Torsades, consider Magnesium (loading dose of 1-2g IV/IO) * Amiodarone and Magnesium are anti-arrhythmics that can be given before or after the shock 7. ) After 5 cycles of CPR, consider shocking patient again

Question 43

What is the only drug you give during PEA/asystole?

Answer 43

Epinephrine 1mg IV/IO *Repeated every 3-5 mins

Question 44

What things are done every 2 mins in PEA/asystole?

Answer 44

checking the pulses and rhythm rotation of compressors