ACLS - Practical Application Q&A Verified Solutions

ACLS - Practical Application Q&A Verified Solutions 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 - 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 - 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 - 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 B. atropine administration C. nitroglycerin administration D. reperfusion therapy - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER D. start rescue breathing