ALS

Question 1

shockable and non shockable rhythms

Answer 1

see algorithm

Question 2

when to give amiodarone and adrenaline

Answer 2

after 3rd shock in VF/pulsemess VT

Question 3

PEA/Asystole drugs

Answer 3

give 1mg adrenaline ASAP

Question 4

PErcentage survival cardiac arrest in hospital

Answer 4

24%

Question 5

surviva out of hospital cardiac arrest

Answer 5

10%

Question 6

most common in hopsital cardiac arrest rhythim

Answer 6

PEA

Question 7

normal t wave inversion on ecg leads

Answer 7

aVR, v1, lead III

Question 8

NSTEMI ecg signs

Answer 8

t wave inversion - in v2-v6 leads
ST depression also in ant leads and lateral leads

Question 9

post resus care— temp aim

Answer 9

can be initiated in the average Dr by rapid infusion of 2 litres of ice cold crystalloid solution and the target temperature is 32 - 36°C.

Question 10

tachycardia number

Answer 10

over 100bpm

Question 11

drugs for rate control

Answer 11

beta blocker
(diltiazem if b blocker CI’d)
Digoxin

Question 12

drugs rhythm control

Answer 12

flecanide
amiodarone

Question 13

post cardioversion for AF- how many weeks of anticoag

Answer 13

4 weeks min

Question 14

what to do if cardioversion does not terminate tachycardia after 3 attempts?

Answer 14

iv amiodarone 300mg and try cardioverting again

Question 15

contraindicated in asthma

Answer 15

adenosine
beta blocker

Question 16

draw tachycardia algorithm

Answer 16

see book

Question 17

Tricyclic antidepressant overdose ecg

Answer 17

tricyclic antidepressant. The ECG shows a tachycardia with broad QRS complexes

Question 18

TCA overdose treatment

Answer 18

activated charcoal if the overdose is within 1h

consider 50 mmol L-1 of sodium bicarbonate

consider prescribing 50 mmol L-1 of sodium bicarbonate

TOXBASE

Question 19

how much adrenaline adult anaphylaxis

Answer 19

500micrograms of 1mg/ml 1:1000 adrenaline

Question 20

when not to give bendroflumethiazide in benzo overdose

Answer 20

in pts with seizures

Question 21

If the pH decreases below 7.35, with a high PaCO2, this is called ??

Answer 21

resp acidoses

Question 22

pH increases above 7.45, with a low PaCO2, this is called a respiratory alkalosis.

Answer 22

resp alkalosis

Question 23

normal bicarb abg

Answer 23

22-26

Question 24

initial ALS shock energy

Answer 24

120-150 JOULES

Question 25

how does end tidal vol change on ROSC

Answer 25

it increases

Question 26

do not use which airway adjunct in concious pt

Answer 26

do not use guedel in consious pt