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ACLS Quiz
ACLS Quiz
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a
heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and the
pulse O2 is 97%. What assessment step is most important now?
What is the preferred method of access for epi administration during cardiac
arrest in most pts?
Peripheral IV
An AED does not promptly analyze a rythm. What is your next step?
You have completed 2 min of CPR. The ECG monitor displays the lead below
(PEA) and the pt. has no pulse. You partner resumes chest compressions and an
IV is in place. What management step is your next priority?
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt.
has no pulse. What is the next action?
Resume compressions
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET
tube while another performs continuous chest comressions. During subsequent
bentilation, you notice the presence of a wavefom on the capnogrophy screen and
a PETCO2 of 8 mm Hg. What is the significance of this finding?
During your assessment, your pt suddenly loses consciousness. After calling for
help and determining that the pt. is not breathing, you are unsure whether the
pt. has a pulse. What is your next action?
Early defibrillation
Which drug and dose are recommended for the management of a pt. in
refractory V-FIB?
Amioderone 300mg
10 seconds or less
Atropine 0.5mg
A pt. presents to the ER with dizziness and SOB with a sinus brady of 40/min.
The initial atropine dose was ineffective and your monitor does not provide TCP.
What is the appropriate dose of Dopamine for this pt?
2-10mcg/kg/min
A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is 110/70, resp. rate
is 18, O2 sat is 98%. This is a reg narrow complex tach rythm. What is the next
intervention?
Vagal manuever.
A monitored pt. in the ICU developed a suddent onset of narrow complex tach at
a rate of 220/min. The pt's BP is 128/58, the PETCO2 is 38mm Hg, and the O2
sat is 98%. There is an EJ established for vascular access. The pt. denies taking
any vasodialators. A 12 lead shows no ischemia or infarction. Vagal manuevers
are ineffective. What is the next intervention?
Adenosine 12mg IV
You receiving a radio report from an EMS team enroute with a pt. who may be
having a stroke. The hospital CT scanner is broken. What should you do?
A 49 y/ofmaile arrives in the ER with persistant epigastric pain. She has been
taking antacids PO for the past 6 hours because she she had heartburn. BP is
118/72, heart rate is 92/min, resp. rate is 14 non-labored and O2 sat is 96%.
What is the most appropriate next action?
A pt. in respiratory failure becomes apneic but contineues to have a strong pulse.
The heart rate is dropping paridly and now shows a sinus brady rate at 30/min.
What intervention has the highest priority?
Atropine 0.5mg
You are transporting a pt. with a positive stroke assessment. BP is 138, pulse is
80/min, resp rate is 12/min, 02 sat is 95% room air. Glucose levels are normal
and the ECG shows a sinus rythm. What is next.
Head CT scan
What is the proper ventilation rate for a pt. in cardiac arrest who has an
advanced airway in place?
A 62 y/o male pt. in the ER says his heart is beating fast. No chest pain or SOB.
BP is 142/98, pulse rate is 200/min, reps rate is 14/min, O2 sats are 95 at room
air. What should be the next evaluation?
You are evaluating a 48 y/o male with crushing sub-sternal pain. He is cool, pale,
diaphretic, and slow to respond to your questions. BP is 58/32, pulse is 190/min,
resp rate is 18, and you are unable to obtain an 02 sat due to no radial pulse. The
ECG shows a wide complex tach rythm. What intervention should be next?
Syncronized cardioversion.
What is the initial priority for an unconscious pt. with any tachycardia on the
monitor?
Unstable SVT
What is the recommended dose for adenosine for pt's in refractory, but stable
narrow complex tachycardia?
12mg
What is the usual post-cardiac arrest target range for PETCO2 who achieves
return of spontaneous circulation (ROSC)?
35-40mm Hg
What is the potential danger to using ties that pass circumfrentially around the
pt's neck when securing an advanced airway?
What is the recommended IV fluid (NS or LR) bolus dose for a pt. who achieves
ROSC but is hypotensive during the post-cardiac arrest period?
1 to 2 Liters
What is the minimum systolic BP one should attempt to achieve with fluid,
Inotropic, or vasopressor administration in a hypotensive post-cardiac arrest
who achieves ROSC?
90mm Hg
What is the 1st treatment priority for a pt. who achieves ROSC?
1 every 5 to 6 seconds
10 to 12 breaths/minute
600mL
only epi, vasopressin and lidocaine and you will need to double the dose
why do we give a saline bolus after infusion of a drug via peripheral IV?
90 minutes
door-to-needle (fibrinolysis)
if pt is hemodynamically unstable do you give nitroglycerin?
treatment of bradyarrhythmia
unstable SVT
unstable afib
unstable a flutter
unstable, regular, monomorphic tachycardia w/a pulse
vagal maneuver
or
give adenosine
stroke
general assessment w/in __ minutes of arrival
CT w/in __ minutes
interpret CT within __ minutes
initiate fibrinolytic therapy within ?
door-to-admission time of 3 hours
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a
heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and the
pulse O2 is 97%. What assessment step is most important now?
What is the preferred method of access for epi administration during cardiac
arrest in most pts?
Peripheral IV
An AED does not promptly analyze a rythm. What is your next step?
You have completed 2 min of CPR. The ECG monitor displays the lead below
(PEA) and the pt. has no pulse. You partner resumes chest compressions and an
IV is in place. What management step is your next priority?
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt.
has no pulse. What is the next action?
Resume compressions
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET
tube while another performs continuous chest comressions. During subsequent
bentilation, you notice the presence of a wavefom on the capnogrophy screen and
a PETCO2 of 8 mm Hg. What is the significance of this finding?
During your assessment, your pt suddenly loses consciousness. After calling for
help and determining that the pt. is not breathing, you are unsure whether the
pt. has a pulse. What is your next action?
Early defibrillation
Which drug and dose are recommended for the management of a pt. in
refractory V-FIB?
Amioderone 300mg
10 seconds or less
Atropine 0.5mg
A pt. presents to the ER with dizziness and SOB with a sinus brady of 40/min.
The initial atropine dose was ineffective and your monitor does not provide TCP.
What is the appropriate dose of Dopamine for this pt?
2-10mcg/kg/min
A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is 110/70, resp. rate
is 18, O2 sat is 98%. This is a reg narrow complex tach rythm. What is the next
intervention?
Vagal manuever.
A monitored pt. in the ICU developed a suddent onset of narrow complex tach at
a rate of 220/min. The pt's BP is 128/58, the PETCO2 is 38mm Hg, and the O2
sat is 98%. There is an EJ established for vascular access. The pt. denies taking
any vasodialators. A 12 lead shows no ischemia or infarction. Vagal manuevers
are ineffective. What is the next intervention?
Adenosine 12mg IV
You receiving a radio report from an EMS team enroute with a pt. who may be
having a stroke. The hospital CT scanner is broken. What should you do?
A 49 y/ofmaile arrives in the ER with persistant epigastric pain. She has been
taking antacids PO for the past 6 hours because she she had heartburn. BP is
118/72, heart rate is 92/min, resp. rate is 14 non-labored and O2 sat is 96%.
What is the most appropriate next action?
A pt. in respiratory failure becomes apneic but contineues to have a strong pulse.
The heart rate is dropping paridly and now shows a sinus brady rate at 30/min.
What intervention has the highest priority?
Atropine 0.5mg
You are transporting a pt. with a positive stroke assessment. BP is 138, pulse is
80/min, resp rate is 12/min, 02 sat is 95% room air. Glucose levels are normal
and the ECG shows a sinus rythm. What is next.
Head CT scan
What is the proper ventilation rate for a pt. in cardiac arrest who has an
advanced airway in place?
A 62 y/o male pt. in the ER says his heart is beating fast. No chest pain or SOB.
BP is 142/98, pulse rate is 200/min, reps rate is 14/min, O2 sats are 95 at room
air. What should be the next evaluation?
You are evaluating a 48 y/o male with crushing sub-sternal pain. He is cool, pale,
diaphretic, and slow to respond to your questions. BP is 58/32, pulse is 190/min,
resp rate is 18, and you are unable to obtain an 02 sat due to no radial pulse. The
ECG shows a wide complex tach rythm. What intervention should be next?
Syncronized cardioversion.
What is the initial priority for an unconscious pt. with any tachycardia on the
monitor?
Unstable SVT
What is the recommended dose for adenosine for pt's in refractory, but stable
narrow complex tachycardia?
12mg
What is the usual post-cardiac arrest target range for PETCO2 who achieves
return of spontaneous circulation (ROSC)?
35-40mm Hg
What is the potential danger to using ties that pass circumfrentially around the
pt's neck when securing an advanced airway?
What is the recommended IV fluid (NS or LR) bolus dose for a pt. who achieves
ROSC but is hypotensive during the post-cardiac arrest period?
1 to 2 Liters
What is the minimum systolic BP one should attempt to achieve with fluid,
Inotropic, or vasopressor administration in a hypotensive post-cardiac arrest
who achieves ROSC?
90mm Hg
What is the 1st treatment priority for a pt. who achieves ROSC?