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ACLS questions and answers latest 2024/2025
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ACLS questions and answers latest 2024/2025
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ACLSIn cardiac arrest while do you first introduce scientific intervention? Which drug? - ANSafter 2
rounds of CPR/surprise
after second surprise provide 1 mg epinephrine every 3-5 mins
when do you introduce amiodarone at some point of cardiac arrest? - ANSafter the third
surprise provide three hundred mg bolus of amiodarone
if 2d dose is wanted provide 150mg as second dose
what rhythms are shockable in cardiac arrest - ANSVF
VT
what rhythms are not shockable in cardiac arrest - ANSasystole
PEA
if you are in an unshockable rhythm arrest when do you supply epi - ANS1mg epi every 3-5
minutes after 1st spherical of CPR
what do you do after return of spontaneous movement - ANSmaintain O2 sat at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma do not forget hypothermia
if no longer in coma and ekg shows STEMI or AMI recollect re-perfusion
what are the five h's and five t's - ANShypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
anxiety pneumothorax
tamponade, cardiac
pollution
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic bradycardia - ANSmonitor and look at
what constitutes symptomatic bradycardia - ANShypotension
altered intellectual reputation
symptoms of shock
, chest ache
acute coronary heart failure
how do you treat symptomatic bradycardia - ANS1. Supply zero.5mg atropine each 3-five mins
to max of 3mg
if that does not paintings strive one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
what's considered a tachycardia requiring treatment - ANSover 150 in step with minute
whilst do you recollect cardioversion - ANSif chronic tachycardia is causing:
hypotension
altered intellectual reputation
symptoms of shock
chest pain
acute coronary heart failure
if chronic tachycardia does no longer present with signs what do you want to recall - ANSwide
QRS?
Greater than 0.12 seconds
If chronic tachycardia with out signs DOES have a wide QRS what to do you do? - ANSIV
access and 12 lead if to be had
6mg adenosine accompanied by means of NS flush simplest IF regular and monomorphic
consider anti-arrhythmic infusion:
- 20-50mg/min procainamide (max 17mg/kg)
- 150mg amiodarone over 10 mins
- 100mg sotalol over five minutes
which anti-arrhythmic pills can be used if extended QT - ANSonly amiodarone
150mg over 10 mins, repeat if VT occurs
comply with by way of maintenance infusion 1mg/min for first 6 hours
if continual tachycardia without signs and without extensive QRS what do you do - ANSIV get
admission to and 12 lead EKG if available
vagal maneuvers
6mg adenosine observed by means of NS flush best IF ordinary
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