ACLS PALS review Questions with complete solution ACLS PALS review
What are 5 symptomatic issues? - correct answer 1. LOC
2. look for signs of shock
3. signs of chest pain
4. Hypotension
5. Signs of acute heart failure
What are the signs of shock to look for? - correct answer 1. pallo...
ACLS PALS review
What are 5 symptomatic issues? - correct answer ✔1. LOC
2. look for signs of shock
3. signs of chest pain
4. Hypotension
5. Signs of acute heart failure
What are the signs of shock to look for? - correct answer ✔1. pallor/pale
2. diaphoretic
3. change in LOC
4. change in respirations
What does shock =? - correct answer ✔shock = inadequate tissue
perfussion
What does it mean if you wait for a patient to become hypotensive in shock? -
correct answer ✔means you've waited too long
What HR and BP should we attempt to maintain? - correct answer ✔want to
maintain patient at 90 bpm and if systolic drops below 90 think hypoperfusion
issues
What are some signs of acute heart failure? - correct answer ✔Acute: SOB
and pulmonary edema
Chronic: JVD and LE edema
, What is the first drug of choice when treating a pt for MI? - correct answer
✔oxygen- if O2 sats are less than 94% and pt is pale, cool, clammy and a little
short of breath- ultimately we treat patients not mumbers
What is the second drug of choice for tx in pt with MI? - correct answer
✔ASA- anti-platelet 162-325 mg
ask about allergies
What is the 3rd drug of choice in tx of MI? - correct answer ✔Nitroglycerin
ask if they are allergic or if they have taken phosphodiesterase inhibitors in
the last 12-24 hours
also make sure systolic is 90 or above before giving NTG
What should we give with nitroglycerin? - correct answer ✔NTG is a
vasodilating O2 demanding drug so give O2
What is the initial dose of nitroglycerin? - correct answer ✔0.4 mg pill or
spray every 3-5 min up to 3 doses
What is the 4th drug of choice for MI treatment? - correct answer
✔Morphine- smooth muscle relaxer (vessels) helps reduce pain and cardiac
output
What is the Morphine dosage? - correct answer ✔2-4 mg
What is the problem that can arise with Morphine use? - correct answer
✔respiratory depression
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