op 24/25 AHA ACLS {Algorithm} Exam
T
Question & Verified Answers Score A
dult Cardiac Arrest Circular Algorithm?
A
Start CPR
• Give Oxygen
• Attach monitor/ Defibrillator
Check rhythm every 2min
• If VF/pVT, then Shock
• Continuous CPR
Adult: Describe good CPR Quality.
• Push hard and fast (2in depth and 100-120/min) and allow complete chest
recoil.
• Minimize interruptions in compressions.
• Avoid excessive ventilation.
• Swap people every 2 min
• If no advanced airway, 30:2 compression-ventilation ratio.
• Quantitative waveform capnography
- If PETCO2 is low or decreasing, reassess CPR quality.
Adult Cardiac Arrest: Shock Energies for Defib?
• Biphasic: Manufacturer recommendation (eg, initial dose of 120-200 J); if
unknown, use maximum available. Second and subsequent doses should
be equivalent, and higher doses may be considered.
• Monophasic: 360 J
Adult Cardiac Arrest: Epinephrine Dose?
pinephrine IV/IO dose: 1 mg every 3-5 minutes
E
1/10,000 (0.1mg/1ml)
Adult Cardiac Arrest: Amiodarone?
irst dose: 300 mg bolus. Second
F
dose: 150 mg.
or give Lidocaine IV/IO
, Adult Cardiac Arrest: Lidocaine Dose?
First dose: 1-1.5 mg/kg. Second dose: 0.5-0.75 mg/kg.
Adult Cardiac Arrest: Describe Advance Airway placement?
• Endotracheal intubation or supraglottic advanced airway
• Waveform capnography or capnometry to confirm and monitor
ET tube placement
• Once advanced airway is in place, give 1 breath every 6 seconds
(10 breaths/min) with continuous chest compressions
Cardiac Arrest: Describe ROSC
• Pulse and blood pressure
• Abrupt sustained increase in Petco2 (typically ≥40 mm Hg)
• Spontaneous arterial pressure waves with intra-arterial
monitoring
Name all the H's and T's.
• Hypovolemia
• Hypoxia
• Hydrogen ion (acidosis)
• Hypo-/hyperkalemia
• Hypothermia
• Tension pneumothorax
• Tamponade, cardiac
• Toxins
• Thrombosis, pulmonary
• Trauma
Adult Cardiac Arrest: Describe the steps of a shockable rhythm.
- if VF/pVt then Shock
-Continue CPR for 2min. Gained IV/IO access
- After 2min, shockable rhythm?Yes, then Shock
- Continue CPR for 2min. Give EPI1 mg every 3-5 minutes
and consider advanced airway. Attach Capnography
-After 2min,Shockable rhythm? Yes, then Shock
- Continue CPR for 2min.
give Amiodarone or lidocaine. Treat reversible causes. (H's and T's)
T
Question & Verified Answers Score A
dult Cardiac Arrest Circular Algorithm?
A
Start CPR
• Give Oxygen
• Attach monitor/ Defibrillator
Check rhythm every 2min
• If VF/pVT, then Shock
• Continuous CPR
Adult: Describe good CPR Quality.
• Push hard and fast (2in depth and 100-120/min) and allow complete chest
recoil.
• Minimize interruptions in compressions.
• Avoid excessive ventilation.
• Swap people every 2 min
• If no advanced airway, 30:2 compression-ventilation ratio.
• Quantitative waveform capnography
- If PETCO2 is low or decreasing, reassess CPR quality.
Adult Cardiac Arrest: Shock Energies for Defib?
• Biphasic: Manufacturer recommendation (eg, initial dose of 120-200 J); if
unknown, use maximum available. Second and subsequent doses should
be equivalent, and higher doses may be considered.
• Monophasic: 360 J
Adult Cardiac Arrest: Epinephrine Dose?
pinephrine IV/IO dose: 1 mg every 3-5 minutes
E
1/10,000 (0.1mg/1ml)
Adult Cardiac Arrest: Amiodarone?
irst dose: 300 mg bolus. Second
F
dose: 150 mg.
or give Lidocaine IV/IO
, Adult Cardiac Arrest: Lidocaine Dose?
First dose: 1-1.5 mg/kg. Second dose: 0.5-0.75 mg/kg.
Adult Cardiac Arrest: Describe Advance Airway placement?
• Endotracheal intubation or supraglottic advanced airway
• Waveform capnography or capnometry to confirm and monitor
ET tube placement
• Once advanced airway is in place, give 1 breath every 6 seconds
(10 breaths/min) with continuous chest compressions
Cardiac Arrest: Describe ROSC
• Pulse and blood pressure
• Abrupt sustained increase in Petco2 (typically ≥40 mm Hg)
• Spontaneous arterial pressure waves with intra-arterial
monitoring
Name all the H's and T's.
• Hypovolemia
• Hypoxia
• Hydrogen ion (acidosis)
• Hypo-/hyperkalemia
• Hypothermia
• Tension pneumothorax
• Tamponade, cardiac
• Toxins
• Thrombosis, pulmonary
• Trauma
Adult Cardiac Arrest: Describe the steps of a shockable rhythm.
- if VF/pVt then Shock
-Continue CPR for 2min. Gained IV/IO access
- After 2min, shockable rhythm?Yes, then Shock
- Continue CPR for 2min. Give EPI1 mg every 3-5 minutes
and consider advanced airway. Attach Capnography
-After 2min,Shockable rhythm? Yes, then Shock
- Continue CPR for 2min.
give Amiodarone or lidocaine. Treat reversible causes. (H's and T's)
