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ACLS - Practical Application

Terms in this set (20)

You arrive on the scene to find CPR in progress. Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapsed. Two shocks have been delivered, and an IV has been initiated. What do you administer now?

A. atropine 0.5 mg IV
B. epinephrine 1 mg IV
C. endotracheal intubation
D. transcutaneous pacing
B. epinephrine 1 mg IV
A 45-year-old woman with a history of palpitations develops light-headedness and palpitations. She has received adenosine 6 mg IV for the rhythm shown here (SVT), without conversion of the rhythm. She is n9ow extremely apprehensive. Her blood pressure is 128/70 mm Hg. What is the next appropriate intervention?

A. administer adenosine 12 mg IV
B. perform unsynchronized cardioversion
C. perform vagal maneuvers
D. perform synchronized cardioversion
A. administer adenosine 12 mg IV
What is the recommended depth of chest compression for an adult victim?

A. at least 1.5 inches
B. at least 2 inches
C. at least 2.5 inches
D. at least 3 inches
B. at least 2 inches
A patient's 12-lead ECG is transmitted by the paramedics and shows a STEMI. When the patient arrives in the emergency department, the rhythm shown here (ST elevation) is seen on the cardiac monitor. The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. Blood pressure is 104/70 mm Hg. Which intervention is most important in reducing this patient's in-hospital and 30-day mortality rate?

A. application of transcutaneous pacemaker
B. atropine administration
C. nitroglycerin administration
D. reperfusion therapy
D. reperfusion therapy
A patient has been resuscitated from cardiac arrest. During post-ROSC treatment, the patient becomes unresponsive, with the rhythm shown here (polymorphic ventricular tachycardia). which action is indicated next?

A. give an immediate unsynchronized high-energy shock
(defibrillation dose)
B. give lidocaine 1 to 1.5 mg/kg IV
C. perform synchronized cardioversion
D. repeat amiodarone 300 mg IV
A. give an immediate unsynchronized high-energy
shock (defibrillation dose)
A patient becomes unresponsive. You are uncertain if a faint pulse is present. The rhythm shown here is seen on the cardiac monitor. An IV is in place. Which action do you take next?

A. begin transcutaneous pacing
B. start high-quality CPR
C. administer atropine 1 mg
D. administer epinephrine 1 mg IV
B. start high-quality CPR
Your patient is not responsive and is not breathing. You can palpate a carotid pulse. Which action do you take next?

A. apply an AED
B. obtain a 12-lead ECG
C. start an IV
D. start rescue breathing
D. start rescue breathing
After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm (ventricular fibrillation) is present on the next rhythm check. A second shock is given, and chest compressions are resumed immediately. An IV is in place, and no drugs have been given. Bag-mask ventilations are producing visible chest rise. What is your next intervention?

A. administer 3 sequential (stacked) shocks at 360 J
(monophasic defibrillator)
B. give amiodarone 300 mg IV / IO
C. give epinephrine 1 mg IV / IO
D. intubate and administer 100% oxygen
C. give epinephrine 1 mg IV / IO
What is the recommended compression rate for high-quality CPR?

A. 50 to 60 compressions per minute
B. 70 to 80 compressions per minute
C. 90 to 100 compressions per minute
D. 100 to 120 compressions per minute
D. 100 to 120 compressions per minute
A 35-year-old woman presents with a chief complaint of palpitations. She has no chest discomfort, shortness of breath, or light-headedness. Her blood pressure is 120/78 mm Hg. Which intervention is indicated first?

A. adenosine 3 mg IV bolus
B. adenosine 12 mg IV slow push (over 1 to 2 minutes)
C. metoprolol 5 mg IV and repeat if necessary
D. vagal maneuvers
D. vagal maneuvers
Which action should you take immediately after providing an AED shock?

A. check the pulse rate
B. prepare to deliver a second shock
C. resume chest compressions
D. start rescue breathing
C. resume chest compressions
Which action is likely to cause air to enter the victim's stomach (gastric inflation) during bag-mask ventilation?

A. giving breaths over 1 second
B. ventilation too quickly
C. providing a good seal between the face and the mask
D. providing just enough volume for the chest to rise
B. ventilation too quickly
What is the maximum interval for pausing chest compressions?

A. 10 seconds
B. 15 seconds
C. 20 seconds
D. 25 seconds
A. 10 seconds
How often should you switch chest compressors to avoid fatigue?

A. about every 2 minutes
B. about every 3 minutes
C. about every 4 minutes
D. about every 5 minutes
A. about every 2 minutes
Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy. She is pale ad diaphoretic. Her blood pressure is 80/60 mm Hg. The cardiac monitor documents the rhythm shown here (sinus bradycardia). she is receiving oxygen at 4 L/min by nasal cannula, and an IV has been established. What so you administer next?

A. atropine 0.5 mg IV
B. dopamine at 2 to 10 mcg/kg per minute
C. glucose 50% IV push
D. morphine sulfate 4 mg IV
A. atropine 0.5 mg IV
How does complete chest recoil contribute to effective CPR?

A. allows maximum blood return to the heart
B. reduces rescuer fatigue
C. reduces the risk of rib fractures
D. increases the rate of chest compressions
A. allows maximum blood return to the heart
You are the code team leader and arrive to find a patient with CPR in progress. On the next rhythm check, you see the rhythm shown here (looks like normal sinus rhythm). Team members tell you that the patient was well but reported chest discomfort and then collapsed. She has no pulse or respirations. Bag-mask ventilations are producing visible chest rise, and IO access has been established. which intervention would be your next action?

A. atropine 1 mg
B. dopamine at 10 to 20 mcg/kg per minute
C. epinephrine 1 mg
D. intubation and administration of 100% oxygen
C. epinephrine 1 mg
What action minimizes the risk of air entering the victim's stomach during bag-mask ventilation?

A. ventilating until you see the chest rise
B. ventilation as quickly as you can
C. squeezing the bad with both hands
D. delivering the largest breath you can
A. ventilating until you see the chest rise
A patient was in refractory ventricular fibrillation. A third shock has just been administered. Your team looks to you for instructions. What is your next action?

A. check the carotid pulse
B. give amiodarone 300 mg IV
C. give atropine 1 mg IV
D. resume high-quality chest compressions
D. resume high-quality chest compressions
You are providing bag-mask ventilations to a patient in respiratory arrest. How often should you provide ventilations?

A. about every 5-6 seconds
B. about every 8-10 seconds
C. about every 12-14 seconds
D. about every 17-18 seconds
A. about every 5-6 seconds
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