ACLS - Practical Application

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 - CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER 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