ACLS-Test-Bank.

You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? Start chest compressions of at least 100 per min.  You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most important now? Obtaining a 12 lead ECG.  What is the preferred method of access for epi administration during cardiac arrest in most pts? Peripheral IV  An AED does not promptly analyze a rythm. What is your next step? Begin chest compressions.  You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the pt. has no pulse. You partner resumes chest compressions and an IV is in place. What management step is your next priority? Administer 1mg of epinepherine  During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no pulse. What is the next action? Resume compressions  What is a common but sometimes fatal mistake in cardiac arrest management? Prolonged interruptions in chest compressions.  Which action is a componant of high-quality chest comressions? Allowing complete chest recoil  Which action increases the chance of successful conversion of ventricular fibrillation? Providing quality compressions immediately before a defibrillation attempt. Which situation BEST describes PEA? Sinus rhythm without a pulse  This study source was downloaded by from CourseH on :44:23 GMT -06:00 What is the best strategy for perfoming high-quality CPR on a an advanced airway in place? Provide continuous chest compressions without pauses and 10 ventilations per minute.  3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube while another performs continuous chest comressions. During subsequent ventilation, you notice the presence of a wavefom on the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the significance of this finding? Chest compressions may not be effective.  The use of quantitative capnography in intubated pt's does what? Allows for monitoring CPR quality  For the past 25 min, EMS crews have attempted resuscitation of a pt who originally presented with V-FIB. After the 1st shock, the ECG screen displayed asystole which has persisted despite 2 doses of epi, a fluid bolus, and high quality CPR. What is your next treatment? Consider terminating resuscitive efforts after consulting medical control.  Which is a safe and effective practice within the defibrillation sequence? Be sure O2 is NOT blowing over the pt's chest during shock.  During your assessment, your pt suddenly loses consciousness. After calling for help and determining that the pt. is not breathing, you are unsure whether the pt. has a pulse. What is your next action? Begin chest compressions.  What is an advantage of using hands-free d-fib pads instead of d-fib paddles? Hands-free allows for more rapid d-fib.  What action is recommended to help minimize interruptions in chest compressions during CPR? Continue CPR while charging the defibrillator.  Which action is included in the BLS survey? Early defibrillation This study source was downloaded by from CourseH on :44:23 GMT -06:00  Which drug and dose are recommended for the management of a pt. in refractory V-FIB? Amioderone 300mg  What is the appropriate interval for an interruption in chest compressions? 10 seconds or less  Which of the following is a sign of effective CPR? PETCO2 = or 10mm Hg  What is the primary purpose of a medical emergency team or rapid response team? Identifying and treating early clinical deterioration.  Which action improves the quality of chest compressions delivered during resuscitave attemepts? Shitch providers about every 2 min or every 5 compression cycles.  What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse of 80 beats/min? 1 breath every 5-6 seconds  A pt. presents to the ER with a new onset of dizziness and fatigue. On examination, the pt's heart rate is 35 beats/min, BP is 70/50, resp. rate is 22 per min, O2 sat is 95%. What is the appropriate 1st medication? Atropine 0.5mg  A pt. presents to the ER with dizziness and SOB with a sinus brady of 40/min. The initial atropine dose was ineffective and your monitor does not provide TCP. What is the appropriate dose of Dopamine for this pt? 2-10mcg/kg/min  A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is 110/70, resp. rate is 18, O2 sat is 98%. This is a reg narrow complex tach rythm. What is the next intervention? Vagal manuever. 