ACLS Drugs Dosages & Uses 2024/2025 Exam Questions And Answers 100% Solved

ACLS Drugs Dosages & Uses 2024/2025 Exam Questions And Answers 100% Solved For poor perfusion with Bradycardia Treat with which first line treatment? ✔✔Atropine 1mg IV (repeat to a total of 3mg IV) For poor perfusion with Bradycardia Treat, if the first line of treatment is ineffective, what should be provided and what med should be given? ✔✔Transcutaneous pacing Dopamine 5 -20mcg/kg/minute infusion OR Epinephrine 2 -10mcg/min infusion What is the first line drug for acute stable bradycardia and how do you administer it? ✔✔Atropine given as 1mg IV q 3 -5minutes (up to 3mg IV) Hoe does Atropine work? ✔✔Reverses the cholinergic -mediated decreases in the heart rate and A V node conduction Which two AV block types will not respond to Atropine? ✔✔Mobitz type II second -degree A V block and third -degree AV block What is the preferred treatment for Mobitz type II second -degree AV block and third -degree A V block? ✔✔TCP or B -adrenergic (dopamine, epinephrine) support until transcutaneous pacing can be achieved If only 0.5mg of IV Atropine is given what consequence could it have? ✔✔It can further lower the HR What can be used if bradycardia is unresponsive to Atropine? ✔✔B-adrenergic infusions (dopamine or epinephrine) What must you consider before giving B -adrenergic infusions in bradycardia? ✔✔The pt's BP/intravascular volume status for hypovolemia What can be given for bradycardia when vasoconstriction is not desired ? ✔✔Dobutamine (badrenergic agonist) Epinephrine should be given at what dose/rate for Bradycardia ? ✔✔2-10mcg/min Dopamine should be given at what dose/rate for Bradycardia ? ✔✔5-20mcg/kg/min How does Transcutaneous Pacing (TCP) work and when should it be used? ✔✔It delivers pacing impulses to the heart through skin via cutaneous electrodes. for unstable bradycardia (hypotension, AMS, shock, ischemic chest pain) For light sedation within the RN scope of practice give which 3 things should be given before TCP if the pt's condition allows for it? ✔✔-Parenteral narcotic -Parenteral benzodiazepine -Chronotropic infusion How much of a safety margin (energy above the dose at which consistent capture is observed) should you allow when using the transcutaneous pacemaker? ✔✔2 mA