HEARTCODE ACLS 2025 QUESTIONS AND CORRECT
ANSWERS GRADED A+.
in cardiac arrest when do you first introduce medical intervention? which drug? -
(answers)after 2 rounds of CPR/shock
after 2nd shock give 1 mg epinephrine every 3-5 minutes
when do you introduce amiodarone during cardiac arrest? - (answers)after the
3rd shock give 300 mg bolus of amiodarone
if second dose is needed give 150mg as second dose
what rhythms are shockable in cardiac arrest - (answers)VF
VT
what rhythms are not shockable in cardiac arrest - (answers)asystole
PEA
if you are in an unshockable rhythm arrest when do you give epi - (answers)1mg
epi every 3-5 minutes after 1st round of CPR
what do you do after return of spontaneous circulation - (answers)maintain O2
sat at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
, 2
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
what are the 5 h's and 5 t's - (answers)hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic bradycardia - (answers)monitor and observe
what constitutes symptomatic bradycardia - (answers)hypotension
altered mental status
signs of shock
chest pain
acute heart failure
, 3
how do you treat symptomatic bradycardia - (answers)1. give 0.5mg atropine
every 3-5 mins to max of 3mg
if that doesn't work try one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
what is considered a tachycardia requiring treatment - (answers)over 150 per
minute
when do you consider cardioversion - (answers)if persistent tachycardia is
causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
if persistent tachycardia does not present with symptoms what do you need to
consider - (answers)wide QRS?
greater than 0.12 seconds