Study Guide – Practice Questions & Verified
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Learning Objectives ------- ✔ CORRECT ANSWER ✓✓1) Describe the role of pharmacists in
advanced cardiac life support scenarios
2) Identify the role of targeted pharmacotherapy in specific advanced cardiac life support
scenarios:
a) Asystole/Pulseless Electrical Activity (PEA)
b) Ventricular fibrillation (VF or V-Fib)
c) Ventricular tachycardia (VT or V-Tach), Pulseless Ventricular tachycardia
d) Supraventricular Tachycardia (SVT)
e) Bradycardia
f) Torsades de Pointes
3) Anticipate and recommend algorithm specific advanced cardiac life support
pharamcotherapy
What is Advanced Cardiac Life Support? ------- ✔ CORRECT ANSWER ✓✓
Basic Life Support
Adult Cardiac Arrest Algorithm ------- ✔ CORRECT ANSWER ✓✓
High Quality CPR ------- ✔ CORRECT ANSWER ✓✓If not good circulation = medications will not
perfuse through the body
,CPR is key
1) 100 to 120 compressions per minute
Approximately the tempo of "Staying Alive"
2) Perform chest compressions at a depth of at least 2 inches (5 cm)
3) Avoid leaning on the chest to allow full chest recoil
Adult Cardiac Life Support
Adult Cardiac Arrest Circular Algorithm ------- ✔ CORRECT ANSWER ✓✓1) Systematic approach
for timing and selection of management strategies according to rhythm disturbances
2) BLS components + pharmacologic therapy
3) Includes pharmacologic approach to treat reversible causes of cardiac arrest
Acute Cardiac Life Support Algorithms ------- ✔ CORRECT ANSWER ✓✓Larger versions are on
Moodle
Post-Cardiac Arrest Care
Adult Immediate Post Cardiac Arrest Care Algorithm ------- ✔ CORRECT ANSWER ✓✓1) Vital to
increasing the likelihood of survival and increasing quality of life
, 2) High mortality rate 24 hours post cardiac arrest
3) Management of multi-organ dysfunction and potential CNS injury during post-arrest care may
reduce mortality
Pharmacist Role in Acute Cardiac Life Support ------- ✔ CORRECT ANSWER ✓✓1) Pharmacists
are an integral part of hospital code teams
2) Having pharmacists as a member of the code team reduces hospital mortality and improves
acute cardiac life support guideline compliance
3) Potential roles on code team:
a) Evaluating and managing laboratory abnormalities
b) Evaluating potential drug related causes for cardiac arrest (Hs and Ts)
c) Anticipating need for and procuring medications
d) Assessing proper dosing and admin of medications
e) Documenting admin of medications
The Guidelines ------- ✔ CORRECT ANSWER ✓✓Web-based integrated guidelines
2018 AHA CPR ECC Guidelines
https://eccguidelines.heart.org/index/php/circulation/cpr-ecc-guidelines-2/
2018 Guideline Updates ------- ✔ CORRECT ANSWER ✓✓