ACLS Premium Exam Questions and Answers

-An adult patient in respiratory arrest with a pulse is ventilated via bag valve mask: -ANSWER- Chest compressions for an adult are performed: -ANSWER-At a rate between 100 and 120 compressions per minute -The ratio of compressions to breaths in adults is: -ANSWER-30:2 An adult patient in respiratory arrest with a pulse is ventilated via bag valve mask: -ANSWER-10 to 12 times per minute (RATIONALE - When there is no advanced airway in place, ventilations should be given 10 to 12 times per minute. This translates to one ventilation every 5 to 6 seconds.) Hypotension following cardiac arrest is NOT treated with: -ANSWER-IV calcium infusion (RATIONALE - Fluid resuscitation and/or "pressors" like epinephrine and dopamine are used to maintain blood pressure after cardiac arrest. Hypocalcemia, if present, can be treated separately but this is not a standard treatment for hypotension.) The leader in team resuscitation must: -ANSWER-Be able to perform all the skills if needed Recommended ED door to balloon inflation time for a STEMI patient is: -ANSWER-No longer than 90 minutes The effectiveness of CPR can be estimated by: -ANSWER-All of the above (Arterial diastolic blood pressure, Quantitative waveform capnography, Central venous oxygen saturation.) (RATIONALE - All of these measures can inform providers about the quality of CPR. The quantitative waveform capnography goal is at least 10 mm Hg during CPR. Arterial diastolic blood pressure should be at least 20 mm Hg during CPR. Central venous oxygen saturation as measured by a Swan-Ganz catheter or equivalent should be at least 30%.)