ACLS Quiz Questions with 100% Correct Answers (Verified)

Recommended time window after symptom onset for early fibrinolytic therapy or PCI with STEMI - 12 HOURS Goal for PCI with symptomatic ischemia in STEMI - When to administer first dose of epi with shockable rhythm - between second and third shock How much and how often epi - 1 mg q 3-5 minutes Amiodarone first and second dose amounts - 300/150 Lidocaine first and second dose amounts - 1-1.5 mg/kg then 0.5-0.75 mg/kg H's and T's - 5 H's H ypoxia H ypovolemia H ydrogen ion (acidosis) H ypo / H yper kalemia H ypothermia 5 T's T ension pneumothorax T amponade T oxins T hrombosis (pulmonary) T hrombosis (coronary) Two most common underlying causes of PEA - hypovolemia and hypoxia When is the recommended point to administer epinephrine to a pt with asystole? - As soon as IV/IO access is available Which alteration to standard ACLS algorithm is appropriate for patient's whose cardiac arrest is secondary to hypothermia? - Spacing medications further apart Which arrhythmia is caused by methadone and propoxyphene? - Torsades de Pontes List all possible ways to administer Narcan - IV IM Nasal Sub Q Nebulize for inhalation ET Tube 2 Most common causes of LVAD RVAD or BVAD devices - 1. Disconnection of Power 2. Disconnection of Driveline How will the current generation of continuous-flow VADs complicate BLS assessment - The devices will not produce a pulse What is the recommended position for a third trimester gravid pt? - Supine with left lateral displacement Whens should resuscitation team leaders activate the protocol for perimortem c section? - As soon as cardiac arrest is detected in a gravid pt ETCO2 - Concentration of CO2 in exhaled air at end of expiration What is the recommended fluid bolus dose for patients who are hypotensive during the post cardiac arrest phase - 1-2L Recommended dose of Norepi for hypotensive pts in post cardiac arrest phase? - 0.1-0.5 mcg/kg/min Recommended starting dose of IV drip epi for post cardiac arrest patients and need pressor support? - 2-10 mcg/min MAP goals of pts where ROSC is achieved when administering epi - >65 mm Hg What is the purpose of obtaining 12-lead EKG during post cardiac arrest phase? - To detect ST elevation or LBBB During post cardiac arrest phase the 12-lead EKG reveals a STEMI. Which step has the highest priority? - Coronary angiography Optimal duration of total temp mgt (TTM) to improve neuro recovery after cardiac arrest - 24 hours How to monitor core temp in TTM patients - 1. Foley in non anuric patients 2. esophogeal thermometer 3. Pulm artery catheter if one is already in place for other indications Temp range goal for TTM patients - 32-36C Which factor can confound neuroprognostication during the post-cardiac arrest phase? - Targeted temperature management How long should you wait to determine the neurologic prognosis of a patient treated with TTM after the pt returns to normothermia? - 72 hours Which EKG finding is indicative of high risk non st elev'n ACS? - Dynamic T wave inversion STEMI is characterized by: - 1. ST elevation in two or more contiguous leads and 2. New LBBB Oxygen should be delivered to a HF patient if O2 sats are __________ or below or unknown - 90%