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ACLS Review Questions 100% verified
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ACLS Review Questions 100% verified
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ACLS Review QuestionsWhat is the primary purpose of the CPR coach on a resuscitation team?
increasing CPR quality
What is the most common type of stroke?
ischemic stroke
What is a contraindication to the administration of aspirin for the management of a pt with acute
coronary syndromes?
recent gastrointestinal bleeding
What blood component is acted upon by aspirin administration during the management of a pt
with ACS?
platelets
What is the most appropriate destination for pts with suspected acute ischemic stroke?
certified stroke center
A 49-year-old man arrives at the emergency department with chest discomfort. He states that he
was working in the garden this morning when his chest started hurting. The last episode lasted
about 25 minutes, and he was sweaty. The chest discomfort is not relieved with rest.
Within the first 10 minutes, on the basis of the pt showing symptoms suggestive of MI, what will
your first actions include (if not completed by EMS before arrival)?
If SpO2 is less than 90%, start oxygen
Obtain a 12-lead EKG
Administer aspirin and establish IV access
Assess ABCs
Consider nitroglycerin, morphine, and a P2Y inhibitor
Activate the STEMI team
, His initial VS are HR 120/min, BP 135/88 mmHg, RR 23/min, SpO2 87%, and temperature 37.3
degrees C.
When considering oxygen saturation, what is your course of action?
Start oxygen at 4L/min via nasal cannula
Do not start oxygen
Intubate pt immediately
Administer albuterol nebulizer
Start oxygen at 4L/min via nasal cannula
What additional questions help you determine next steps?
When did the symptoms start?
Do you have any allergies?
Do you take any medication?
Your pt continues to say that he has chest discomfort.
What treatment can you repeat as long as it is not contraindicated by vital signs?
Nitroglycerin IV every 1 to 3 mins
Morphine sublingual every 1 to 3 mins
Nitroglycerin sublingual or translingual every 3 to 5 mins
Morphine IV every 1 to 3 mins
Nitroglycerin sublingual or translingual every 3 to 5 mins
What is your interpretation of the pt's EKG tracing?
Anterior STEMI
With the diagnosis of STEMI, what is the most probable treatment?
Admission for observation
Admission for PCI or fibrinolysis
Admission to ICU
Release to home
Admission for PCI or fibrinolysis
What is your goal for PCI when treating this patient?
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