ACLS Test Questions and Correct Answers the Latest Update
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Course
ACLS
Institution
ACLS
Adenosine Indications
- first drug for most forms of stable narrow-complex SVT
- effective in terminating narrow-complex SVT due to reentry involving AV node or
sinus node
- regular and monomorphic wide complex tachycardia
- does NOT convert atrial fibrillation, atrial flutter, or VT
Ade...
ACLS Test Questions and Correct
Answers the Latest Update
Adenosine Indications
✓ - first drug for most forms of stable narrow-complex SVT
✓ - effective in terminating narrow-complex SVT due to reentry involving AV node or
sinus node
✓ - regular and monomorphic wide complex tachycardia
✓ - does NOT convert atrial fibrillation, atrial flutter, or VT
Adenosine Adult Dosage IV Rapid Push
✓ - place patient in mild reverse Trendelenburg position before administration of drug
✓ - initial bolus of 6mg given rapidly over 1 to 3 seconds followed by NS bolus of
20mL; then elevate the extremity
✓ - a second dose (12mg) can be given in 1 to 2 minutes if needed
Adenosine Adult Dosage Injection Technique
✓ - record rhythm strip during administration
✓ - draw up adenosine dose and flush in 2 separate syringes
✓ - attach both syringes to the IV injection port closest to patient
✓ - clamp IV tubing above injection port
✓ - push IV adenosine as quickly as possible (1 to 3 seconds)
✓ - while maintaining pressure on the adenosine plunger, push NS flush as rapidly as
possible after adenosine
✓ - unclamp IV tubing
✓ - because its use is associated with toxicity, amiodarone is indicated for use in
patients with life threatening arrhythmias when administered with appropriate
monitoring
✓ (- VF/pulseless VT unresponsive to shock delivery, CPR, and a vasopressor)
✓ (- recurrent, hemodynamically unstable VT)
✓ - with expert consultation amiodarone may be used for treatment of some atrial and
ventricular arrhythmias
Amiodarone Adult Dosage
- VF/VT cardiac arrest unresponsive to CPR, shock, and vasopressor
✓ - first dose: 300mg IV/IO push
✓ - second dose (if needed): 150mg IV/IO push
Amiodarone Adult Dosage
- Life threatening arrhythmias
✓ Maximum cumulative dose: 2.2g IV over 24 hours
✓
✓ - Rapid infusion: 150mg IV over first 10 minutes, may repeat rapid infusion every 10
minutes as needed
✓ - Slow infusion: 360mg IV over 6 hours
✓ - Maintenance infusion: 540mg IV over 18 hours
Atropine Indications
✓ - first drug for symptomatic sinus bradycardia
✓ - may be beneficial in presence of AV nodal block
✓ - not likely to be effective for type 2 second degree or third degree AV block or a
block in non nodal tissue
✓ - routine use during PEA or systole is unlikely to have a therapeutic benefit
✓ - organophosphate poisoning: extremely large doses may be needed
✓ - extremely large doses (2mg to 4mg or higher) may be needed
Atropine Adult Dosage
- Bradycardia (with or without ACS)
✓ - 0.5mg IV every 3 to 5 minutes as needed, not to exceed total dose of 0.04mg/kg
(total 3mg)
✓ - use shorter dosing interval (3 minutes) and higher doses in severe clinical
conditions
Dopamine Indications
✓ - second line drug for symptomatic bradycardia (after atropine)
✓ - use for hypotension with signs and symptoms of shock
Dopamine Adult Dosage
-IV Administration
✓ - usual infusion rate is 2 to 20 mcg/kg per minute
✓ - titrate to patient response, taper slowly
Epinephrine Indications
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