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Acls pretest
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Agonal/as ystole
Monomorp hic Ventricular Tachycardia
Supervent ricular Tachycardia
Polymorph ic ventricular tachycardia
Patient has no pulse
Pulseless Electrical Activity
Sinus Bradycardia
Atrial Flutter
Atrial Fibrillation
Second-degree atrioventricular block (Mobitz II block)
Supervent ricular Tachycardia
Second- degree atrioventricular block (Mobitz I Wenckebach)
Sinus Bradycardia
Normal Sinus Rhythm
Second- degree atrioventricular block (Mobitz II block)
Sinus Bradycardia
Part 2
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock. Which drug should be administered first? Epinephrine 1mg IV/IO
You arrive on the scene with the code team. High-quality CPR is in progress. An AED has previously advised “no shock indicated.” A rhythm check now finds asystole. After resuming high-quality compressions, which action do you take next? Establish I/IO access
Which intervention is most appropriate for the treatment of a patient in asystole? Epinephrine
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. What is the initial dose of atropine? 1 mg
A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. The patient’s blood pressure is 128/58 mm Hg, the PETCO 2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. The heart rate has not responded to vagal maneuvers. What is your next action? Administer adenosine 6 mg IV push
What is the indication for the use of magnesium in cardiac arrest? Pulseless ventricular tachycardia associated with Torsades des Pointes
A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established. Which drug should be administered? Adenosine 6 mg
In which situation does bradycardia require treatment? Hypotension
A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. Which best describes the guidelines for antiplatelet and fibrinolytic therapy? Hold aspirin for at least 24 hours if rtPA is administered
A patient is in cardiac arrest. High-quality chest compressions are being given. The patient is intubated, and an IV has been started. The rhythm is asystole. What is the first drug/dose to administer? Epinephrine 1 mg
to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. The patient is confused, and her blood pressure is 88/56 mm Hg. Which therapy is now indicated? Epinephrine 2 to 10 mcg/min
A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300 mg IV. The patient is intubated. Which best describes the recommended second dose of amiodarone for this patient? 150 mg IV push
Part 3
What is the maximum interval for pausing chest compressions? 10 seconds
How often should you switch chest compressors to avoid fatigue? About every 2 minutes
How does complete chest recoil contribute to effective CPR? Allows maximum blood return to the heart
You are the code team leader and arrive to find a patient with CPR in progress. On the next rhythm check, you see the rhythm shown here. Team members tell you that the patient was well but reported chest discomfort and then collapsed. She has no pulse or respirations. Bag-mask ventilations are producing visible chest rise, and IO access has been established. Which intervention would be your next action?
Epinephrine 1mg
A 35-year-old woman presents with a chief complaint of palpitations. She has no chest discomfort, shortness of breath, or light-headedness. Her blood pressure is 120/78 mm Hg. Which intervention is indicated first?
Vagal maneuvers
What action minimizes the risk of air entering the victim’s stomach during bag-mask ventilation? Ventilating until you see the chest rise
A patient has been resuscitated from cardiac arrest. During post-ROSC treatment, the patient becomes unresponsive, with the rhythm shown here. Which action is indicated next?
Give an immediate unsynchronized high-energy shock (defibrillation dose)
Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy. She is pale and diaphoretic. Her blood pressure is 80/60 mm Hg. The cardiac monitor documents the rhythm shown here. She is receiving oxygen at 4 L/min by nasal cannula, and an IV has been established. What do you administer next?
Atropine 1 mg IV
Which action should you take immediately after providing an AED shock? Resume chest compressions
You are providing bag-mask ventilations to a patient in respiratory arrest. How often should you provide ventilations? Every 6 seconds
After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. A second shock is given, and chest compressions are resumed immediately. An IV is in place, and no drugs have been given. Bag-mask ventilations are producing visible chest rise. What is your next intervention?
Give epinephrine 1 mg IV/IO
Administer 12 mg adenosine
Which action is likely to cause air to enter the victim’s stomach (gastric inflation) during bag- mask ventilation? Ventilating too quickly
A patient was in refractory ventricular fibrillation. A third shock has just been administered. Your team looks to you for instructions. What is your next action?
Resume high-quality chest compressions
What is the recommended compression rate for high-quality CPR? 100 to 120 compressions per minute
Your patient is not responsive and is not breathing. You can palpate a carotid pulse. Which action do you take next? Start rescue breathing
What is the recommended depth of chest compressions for an adult victim? At least 2 inches
Acls pretest
