ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
VERIFIED ANSWERS 2023-2024/AGRADE
Hypoxia
H+ (acidosis)
HyperK+
HypoK+
Hypothermia
What are the T's of PEA? - ANSWER Trauma
Tension PTX
Tamponade
Toxins
Thrombosis (Pulmonary or Coronary)
Why should you not excessively ventilate? - ANSWER Causes gastric insufflation
Incr intrathoracic pressure
Decr venous return and CO
Decr survival
When do you use oropharyngeal airways? - ANSWER Unconscious pts
No gag reflex pts
When do you use a nasopharyngeal airway? - ANSWER Conscious, semiconscious, or
unconscious pts with or witho ut gag flex
Oropharyngeal airway - ANSWER
Nasopharyngeal airway - ANSWER
When should you proceed with an advanced airway? - ANSWER Difficult to bag mask vent
Airway compromise
Need to isolate airway
What should you use to monitor ET tube? - ANSWER Waveform capnography
,ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
VERIFIED ANSWERS 2023-2024/AGRADE
If waveform capnography jumps up, it may indicate... - ANSWER ROSC
If a patient is in cardiac arrest what are the first two steps? - ANSWER (1) CPR
(2) Attach AED
What rhythms are shockable? - ANSWER VFib or pulseless VTach
What rhythms are NOT shockable - ANSWER Asystole or PEA
How often should you give epinephrine? - ANSWER Every 3-5 minutes
When should you consider giving amiodarone? - ANSWER After you have given 3 shocks and 3 CPR
sessions and they are still in VF or pVT
When should you determine if the rhythm is shockable for asystole or PEA in the cardiac arrest
algorithm? - ANSWER After the first CPR session (2 minutes)
When should you start treating reversible causes of asystole or PEA? - ANSWER After the second CPR
session
Bradycardia is categorized as a HR less than... - ANSWER 50
When should you give atropine? - ANSWER When there is bradycardia and perfusion is low
If atropine fails in treating bradycardia, what should you do? - ANSWER (1)
Transcutaneous pacing
,ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
VERIFIED ANSWERS 2023-2024/AGRADE
(2) Dopamine
(3) Epinephrine
If atropine, tcp, dopamine, epinephrine all fail to tx bradycardia, what should you do? - ANSWER (1) Seek
expert consultation
(2) Transcutaneous pacing
When should you use synchronized cardioversion in tachycardia? - ANSWER If the pt is hemodynamically
unstable
What should you do if you encounter a pt who has a pulseless tachycardia? - ANSWER Manage it like a
cardiac arrest algorithm
Most symptomatic tachycardias will present with a HR of greater than - ANSWER 150
If a tachycardia patient is hemodynamically stable, what is the next thing you should assess? - ANSWER
If QRS is wide (>= 0.120 sec)
If QRS is not wide for a tachycardia patient, what should you do next? - ANSWER (1)
Vagal manuevers
(2) Adenosine
(3) Bblock or CCB
(4) Expert consultation
What things do you need to do after ROSC? - ANSWER (1) Optimize ventilation and oxygenation (2)
Treat Hypotension
(3) EKG
, ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
VERIFIED ANSWERS 2023-2024/AGRADE
(4) See if pt follows commands
During post ROSC, what things do you need to do to optimize ventilation and oxygenation? - ANSWER -
O2 > 94%
- Advanced airway + capnography
- Don't hyperventilate
During post ROSC, if a pt cannot follow commands, what do you need to do? - ANSWER Initiate targeted
temperature management
If a patient is responsive and talking, what is the next step of the ACS algorithm? - ANSWER Obtain a 12
lead ECG
What is the dosing of nitroglycerin according to the ACS algorithm? - ANSWER Every 35 minutes for a
maximum of 3 doses
What are the contraindications of nitroglycerin according to the ACS algorithm? - ANSWER - Severe
bradycardia
- Tachycardia
- Hypotension
- Phosphodiesterase inhibitors
Initiation of fibrinolytic therapy, if appropriate, within _____ of hospital arrival and ______
from onset of symptoms - ANSWER Initiation of fibrinolytic therapy, if appropriate, within 1
hour of hospital arrival and 3 hours from onset of symptoms
In ACS algorithm, what determines whether or not a STEMI gets reperfusion or not? -
ANSWER Whether or not the sxs of onset are less than 12 hrs
MORE THAN 150 QUESTIONS WITH 100%
VERIFIED ANSWERS 2023-2024/AGRADE
Hypoxia
H+ (acidosis)
HyperK+
HypoK+
Hypothermia
What are the T's of PEA? - ANSWER Trauma
Tension PTX
Tamponade
Toxins
Thrombosis (Pulmonary or Coronary)
Why should you not excessively ventilate? - ANSWER Causes gastric insufflation
Incr intrathoracic pressure
Decr venous return and CO
Decr survival
When do you use oropharyngeal airways? - ANSWER Unconscious pts
No gag reflex pts
When do you use a nasopharyngeal airway? - ANSWER Conscious, semiconscious, or
unconscious pts with or witho ut gag flex
Oropharyngeal airway - ANSWER
Nasopharyngeal airway - ANSWER
When should you proceed with an advanced airway? - ANSWER Difficult to bag mask vent
Airway compromise
Need to isolate airway
What should you use to monitor ET tube? - ANSWER Waveform capnography
,ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
VERIFIED ANSWERS 2023-2024/AGRADE
If waveform capnography jumps up, it may indicate... - ANSWER ROSC
If a patient is in cardiac arrest what are the first two steps? - ANSWER (1) CPR
(2) Attach AED
What rhythms are shockable? - ANSWER VFib or pulseless VTach
What rhythms are NOT shockable - ANSWER Asystole or PEA
How often should you give epinephrine? - ANSWER Every 3-5 minutes
When should you consider giving amiodarone? - ANSWER After you have given 3 shocks and 3 CPR
sessions and they are still in VF or pVT
When should you determine if the rhythm is shockable for asystole or PEA in the cardiac arrest
algorithm? - ANSWER After the first CPR session (2 minutes)
When should you start treating reversible causes of asystole or PEA? - ANSWER After the second CPR
session
Bradycardia is categorized as a HR less than... - ANSWER 50
When should you give atropine? - ANSWER When there is bradycardia and perfusion is low
If atropine fails in treating bradycardia, what should you do? - ANSWER (1)
Transcutaneous pacing
,ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
VERIFIED ANSWERS 2023-2024/AGRADE
(2) Dopamine
(3) Epinephrine
If atropine, tcp, dopamine, epinephrine all fail to tx bradycardia, what should you do? - ANSWER (1) Seek
expert consultation
(2) Transcutaneous pacing
When should you use synchronized cardioversion in tachycardia? - ANSWER If the pt is hemodynamically
unstable
What should you do if you encounter a pt who has a pulseless tachycardia? - ANSWER Manage it like a
cardiac arrest algorithm
Most symptomatic tachycardias will present with a HR of greater than - ANSWER 150
If a tachycardia patient is hemodynamically stable, what is the next thing you should assess? - ANSWER
If QRS is wide (>= 0.120 sec)
If QRS is not wide for a tachycardia patient, what should you do next? - ANSWER (1)
Vagal manuevers
(2) Adenosine
(3) Bblock or CCB
(4) Expert consultation
What things do you need to do after ROSC? - ANSWER (1) Optimize ventilation and oxygenation (2)
Treat Hypotension
(3) EKG
, ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
VERIFIED ANSWERS 2023-2024/AGRADE
(4) See if pt follows commands
During post ROSC, what things do you need to do to optimize ventilation and oxygenation? - ANSWER -
O2 > 94%
- Advanced airway + capnography
- Don't hyperventilate
During post ROSC, if a pt cannot follow commands, what do you need to do? - ANSWER Initiate targeted
temperature management
If a patient is responsive and talking, what is the next step of the ACS algorithm? - ANSWER Obtain a 12
lead ECG
What is the dosing of nitroglycerin according to the ACS algorithm? - ANSWER Every 35 minutes for a
maximum of 3 doses
What are the contraindications of nitroglycerin according to the ACS algorithm? - ANSWER - Severe
bradycardia
- Tachycardia
- Hypotension
- Phosphodiesterase inhibitors
Initiation of fibrinolytic therapy, if appropriate, within _____ of hospital arrival and ______
from onset of symptoms - ANSWER Initiation of fibrinolytic therapy, if appropriate, within 1
hour of hospital arrival and 3 hours from onset of symptoms
In ACS algorithm, what determines whether or not a STEMI gets reperfusion or not? -
ANSWER Whether or not the sxs of onset are less than 12 hrs
