AHA ACLS Review Questions with verified answers
After ROSC, what is the immediate risk of excessive ventilation?
After ROSC, what is the risk of routine over-oxygenation? Ans✓✓✓ Cerebral
hypoperfusion
Free radical damage
After ROSC, what is the target PETCO2 reading? Ans✓✓✓ 35-40 mmHg
Can you used an AED or defibrillator on pt who has AICD or permanent pacer?
Ans✓✓✓ YES
Correct treatments for unstable bradycardia? Ans✓✓✓ Atropine 0.5 mg IVP q 3-5
min max 3 mg
or transcutaneous pacing
FOR ALL BRADYS
Describe what PEA is Ans✓✓✓ Pulseless electrical activity
Heart rhythm most associated with CVA? Ans✓✓✓ Atrial fibrillation
How do you confirm a pt is really in asystole? Ans✓✓✓ Check in 2 leads of ECG
, How do you know how much air to ventilate your patient? What happens if you
over-ventilate your pt? Ans✓✓✓ Risk of emesis, aspiration, and increased
intrathoracic pressure
How often can you defibrillate a pt? What rhythms can be defibrillated?
Ans✓✓✓ Every 2 min. Can defibrillate VT, VF, and Torsades w/pulse
How often do we switch CPR compressors? Ans✓✓✓ Every 2 min
How soon should compressions be started in the pulseless pt? How long should
the pulse check take? Ans✓✓✓ Within 10 seconds
If a pt is non-responsive, what is the recommended treatment?
How long?
Target temp range? Ans✓✓✓ Cool the pt to 32-34 deg for 12-24 hours
If amiodarone is not an option, what drug can be used as an antiarrhythmic? Dose
and frequency? Ans✓✓✓ Lidocaine 1-1.5 mg/kg IV push, repeat with 1/2 dose
every 5-10min to a max of 3mg/kg
If outside of hospital arrest, what kind of hospital should pt be transported to?
Ans✓✓✓ PCI-capable facility
If the 12 lead ECG shows ST elevation, what is the treatment plan? Ans✓✓✓
Consult experts; coronary reperfusion
After ROSC, what is the immediate risk of excessive ventilation?
After ROSC, what is the risk of routine over-oxygenation? Ans✓✓✓ Cerebral
hypoperfusion
Free radical damage
After ROSC, what is the target PETCO2 reading? Ans✓✓✓ 35-40 mmHg
Can you used an AED or defibrillator on pt who has AICD or permanent pacer?
Ans✓✓✓ YES
Correct treatments for unstable bradycardia? Ans✓✓✓ Atropine 0.5 mg IVP q 3-5
min max 3 mg
or transcutaneous pacing
FOR ALL BRADYS
Describe what PEA is Ans✓✓✓ Pulseless electrical activity
Heart rhythm most associated with CVA? Ans✓✓✓ Atrial fibrillation
How do you confirm a pt is really in asystole? Ans✓✓✓ Check in 2 leads of ECG
, How do you know how much air to ventilate your patient? What happens if you
over-ventilate your pt? Ans✓✓✓ Risk of emesis, aspiration, and increased
intrathoracic pressure
How often can you defibrillate a pt? What rhythms can be defibrillated?
Ans✓✓✓ Every 2 min. Can defibrillate VT, VF, and Torsades w/pulse
How often do we switch CPR compressors? Ans✓✓✓ Every 2 min
How soon should compressions be started in the pulseless pt? How long should
the pulse check take? Ans✓✓✓ Within 10 seconds
If a pt is non-responsive, what is the recommended treatment?
How long?
Target temp range? Ans✓✓✓ Cool the pt to 32-34 deg for 12-24 hours
If amiodarone is not an option, what drug can be used as an antiarrhythmic? Dose
and frequency? Ans✓✓✓ Lidocaine 1-1.5 mg/kg IV push, repeat with 1/2 dose
every 5-10min to a max of 3mg/kg
If outside of hospital arrest, what kind of hospital should pt be transported to?
Ans✓✓✓ PCI-capable facility
If the 12 lead ECG shows ST elevation, what is the treatment plan? Ans✓✓✓
Consult experts; coronary reperfusion
