ACLS 2024 certification part 1 review

ACLS 2024 certification part 1 review The main focus of the BLS Primary Survey is - early CPR and early defibrillation, if needed. Is the patient breathing NORMALLY? (small gasping breaths are not considered normal. If no pulse - ? If not sure if a pulse is present,-? - BEGIN COMPRESSIONS at a rate of 100/min to 120/min. If pulse is present and breathing absent,-? - begin ventilation at a rate of 10 per minute or once every 6 seconds using mouth to mouth or bag valve mask. You are nurse in the intensive care unit. Your patient is a 68-year-old with severe COPD. He was admitted about an hour ago after coming to the emergency department with shortness of breath. Despite all of the usual interventions, he remains severely short of breath. The decision has been made to intubate him and anesthesia has been paged. He suddenly gasps a few times and stops breathing. You quickly glance at the monitor. He remains in sinus tachycardia and you can feel a reasonable strong radial pulse. He is unresponsive 1) next step of action is ? 2)This patient is in respiratory arrest, but maintaining a pulse. He should be ventilated at what rate ? 3) Although you are managing to ventilate him utilizing a bag valve mask, the recommendation for a BVM is? 4) the airway should be maintained using what maneuver? 5) what should be the The goal oxygen saturation for this patient ? - step 1 begin call for assistance , place patient supine position, open airway , begin ventillation , This patient is in respiratory arrest, but maintaining a pulse. He should be ventilated = 10xper minute or once every 6 seconds using mouth to mouth or bag valve mask. Although you are managing to ventilate him utilizing a bag valve mask, the recommendation for a BVM is that it be utilized by-2 people His airway should be maintained using what maneuver? head tilt - chin lift The goal oxygen saturation for this patient is: 94-99% unstable wide complex Vtach synch cardioversion disintegrate into Vfib(cardiac arrest) - You are working on a telemetry unit. A patient calls you into his room as you pass by in the hall. He is complaining of chest pain and looks rather ill. He is slightly diaphoretic, appears a little cyanotic around the lips. You look quickly at the monitor. It shows the following: 1)Because of the way this patient presents, you make the diagnosis of: 2) You should immediately prepare for 3) Ventricular tachycardia can often disintegrate into: Place the patient on a cardiac monitor. palpitation stable Supraventricular tachycardia (SVT) attempt vagal maneuver first adenosine 6mg IV fast push -> important fast push and followed by normal saline It is not uncommon for adenosine to cause: A pause in electrical activity for a brief period of time. While preparing a second dose of adenosine, the patient suddenly loses consciousness. Her radial pulse is extremely fast and weak. You glance at the monitor and realize that her heart rate has increased to over 200. You should prepare immediately to= synch cardiovert or defibrillate if you expect delays - You are working in the emergency department when a 32-year-old female is brought in by personal vehicle complaining of "feeling her heart beating in her chest and head." Her color is good. She is alert and oriented. Her BP is 138/84. Her pulse is 180. Respirations are 22 and the Pulse Ox is 98% on room air. She states that she was sitting watching television when suddenly it felt like her heart was pounding out of her chest. She got frightened and came to the Emergency Department. She has no significant past medical history. 1) first thing to do ? 2) Being able to feel your heart beating is called 3) The patient is placed on the cardiac monitor (this rhythm strip). With a blood pressure of 138/84, good color, a pulse ox of 98% and a chief complaint of palpitations, you decide that this patient has 4) The first step in the treatment of this rhythm would be to 5) If the previous step does not improve the rhythm, a reasonable next intervention would be? adenosine 6mg IV fast push. -> important Give it fast push followed by a bolus of saline. It is not uncommon for adenosine to cause: A pause in electrical activity for a brief period of time. While preparing a second dose of adenosine, the patient suddenly loses consciousness. Her radial pulse is extremely fast and weak. You glance at the monitor and realize that her heart rate has increased to over 200. You should prepare immediately to=Perform synchronized cardioversion or unsynchronized if a delay will occur.