ACLS
Recommended time window after symptom onset for early fibrinolytic therapy or PCI
with STEMI - ANS12 HOURS
Goal for PCI with symptomatic ischemia in STEMI - ANS
When to administer first dose of epi with shockable rhythm - ANSbetween second and
third shock
How much and how often epi - ANS1 mg q 3-5 minutes
Amiodarone first and second dose amounts - ANS300/150
Lidocaine first and second dose amounts - ANS1-1.5 mg/kg then 0.5-0.75 mg/kg
H's and T's - ANS5 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 - ANShypovolemia and hypoxia
When is the recommended point to administer epinephrine to a pt with asystole? -
ANSAs 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? - ANSSpacing medications further apart
, Which arrhythmia is caused by methadone and propoxyphene? - ANSTorsades de
Pontes
List all possible ways to administer Narcan - ANSIV
IM
Nasal
Sub Q
Nebulize for inhalation
ET Tube
2 Most common causes of LVAD RVAD or BVAD devices - ANS1. Disconnection of
Power
2. Disconnection of Driveline
How will the current generation of continuous-flow VADs complicate BLS assessment -
ANSThe devices will not produce a pulse
What is the recommended position for a third trimester gravid pt? - ANSSupine with left
lateral displacement
Whens should resuscitation team leaders activate the protocol for perimortem c
section? - ANSAs soon as cardiac arrest is detected in a gravid pt
ETCO2 - ANSConcentration 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 - ANS1-2L
Recommended dose of Norepi for hypotensive pts in post cardiac arrest phase? -
ANS0.1-0.5 mcg/kg/min
Recommended starting dose of IV drip epi for post cardiac arrest patients and need
pressor support? - ANS2-10 mcg/min
MAP goals of pts where ROSC is achieved when administering epi - ANS>65 mm Hg
What is the purpose of obtaining 12-lead EKG during post cardiac arrest phase? -
ANSTo detect ST elevation or LBBB
Recommended time window after symptom onset for early fibrinolytic therapy or PCI
with STEMI - ANS12 HOURS
Goal for PCI with symptomatic ischemia in STEMI - ANS
When to administer first dose of epi with shockable rhythm - ANSbetween second and
third shock
How much and how often epi - ANS1 mg q 3-5 minutes
Amiodarone first and second dose amounts - ANS300/150
Lidocaine first and second dose amounts - ANS1-1.5 mg/kg then 0.5-0.75 mg/kg
H's and T's - ANS5 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 - ANShypovolemia and hypoxia
When is the recommended point to administer epinephrine to a pt with asystole? -
ANSAs 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? - ANSSpacing medications further apart
, Which arrhythmia is caused by methadone and propoxyphene? - ANSTorsades de
Pontes
List all possible ways to administer Narcan - ANSIV
IM
Nasal
Sub Q
Nebulize for inhalation
ET Tube
2 Most common causes of LVAD RVAD or BVAD devices - ANS1. Disconnection of
Power
2. Disconnection of Driveline
How will the current generation of continuous-flow VADs complicate BLS assessment -
ANSThe devices will not produce a pulse
What is the recommended position for a third trimester gravid pt? - ANSSupine with left
lateral displacement
Whens should resuscitation team leaders activate the protocol for perimortem c
section? - ANSAs soon as cardiac arrest is detected in a gravid pt
ETCO2 - ANSConcentration 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 - ANS1-2L
Recommended dose of Norepi for hypotensive pts in post cardiac arrest phase? -
ANS0.1-0.5 mcg/kg/min
Recommended starting dose of IV drip epi for post cardiac arrest patients and need
pressor support? - ANS2-10 mcg/min
MAP goals of pts where ROSC is achieved when administering epi - ANS>65 mm Hg
What is the purpose of obtaining 12-lead EKG during post cardiac arrest phase? -
ANSTo detect ST elevation or LBBB
