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ACLS
| Question | Answer |
|---|---|
| What is a common but sometimes fatal mistake in cardiac arrest management? | Prolonged interruption in chest compressions |
| You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now? | Obtaining a 12-lead ECG |
| What is the preferred method of access for epinephrine administration during cardiac arrest in most patients? | Peripheral intrvenous |
| An activated AED does not promptly analyze the rhythm. What is your next action? | Begin chest compressions |
| 3 mins after witnessing a cardiac arrest, 1 member inserts an ET tube while another performs chest compress. During subsequent ventilation, you notice the presence of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What does this mean? | Chest compressions may not be effective |
| The use of quantitative capnography in intubated patients | allows for monitoring of CPR quality |
| For 25 minutes, an EMS crew has attempted resuscitation of a pt who presented in V Fib. After the first shock, the ECG screen displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is next? | Consider terminating resuscitative efforts after consulting medical control |
| Which is a safe and effective practice within the defibrillation sequence? | Be sure oxygen is not blowing over the patient's chest during the shock |
| D. Commandingly announce “clear” after you deliver the defibrillation shock. What is the primary purpose of a medical emergency team (MET) or rapid response team (RRT)? | Identifying and treating early clinical deterioration |
| Choose an appropriate indication to stop or withhold resuscitative efforts. | Evidence of igor mortis |
| What is the first treatment priority for a patient who achieves ROSC? | Optimizing ventilation and oxygenating |
| What is the minimum systolic blood pressure one should attempt to achieve with fluid, inotropic, or vasopressor administration in a hypotensive post–cardiac arrest patient who achieves ROSC? | 90mm Hg |
| What is the potential danger of using ties that pass circumferentially around the patient’s neck when securing an advanced airway? | Obstruction of venous return from the brain |
| What is the most reliable method of confirming and monitoring correct placement of an endotracheal tube? | Continuous waveform capnoraphy |
| What is the recommended IV fluid (normal saline or Ringer’s lactate) bolus dose for a patient who achieves ROSC but is hypotensive during the post–cardiac arrest period? | 1 to 2 L |
| Which condition is a contraindication to therapeutic hypothermia during the post arrest cardiac period for patients who achieve return of post arrest spontaneous circulation (ROSC)? | Responding to verbal commands |
| Choose an appropriate indication to stop or withhold resuscitative efforts. | Evidence of rigor mortis. |
| What is the usual poet-cardiac target range for PETCO2 when ventilating a patient who achieves return of post arrest spontaneous circulation (ROSC)? |
Created by:
ldrozd