ACLS Drugs dosages & uses questions with verified
answers
A patient with a ventricular assist device (VAD) is not breathing, has signs of
inadequate perfusion, and is unconscious. You determine the VAD is functioning.
After endotracheal intubation, the patient has a PETCO2 of 12mm Hg.
What is your next action? Ans✓✓✓ perform external chest compressions
A pt with suspected opioid poisoning is not breathing normally but has a pulse.
What is your next step? Ans✓✓✓ Provide rescue breathing and give Naloxone
Adenosine can cause ____ so you should not give it to pt's with asthma or COPD.
Ans✓✓✓ bronchospasm
Adenosine increased AV block and will terminate approx. ___% of reentry
arrhythmias within ___ minutes. Ans✓✓✓ 90%
2 minutes
Adenosine is safe or unsafe during pregnancy? Ans✓✓✓ SAFE
After ROSC start a cycle of ____breaths/minutes. Ans✓✓✓ 10
Amiodarone should be given as a bolus dose of _____. Then consider 1 additional
____mg IV for shockable rhythms in VF/pVT specifically. Ans✓✓✓ Amiodarone
300mg IV bolus
150 mg IV
,Antiarrhythmic drugs for tachy-arrhythmias: Ans✓✓✓ -Procainamide
20-50mg/min IV (max 17mg/kg IV)
-Amiodarone 150mg IV over 10 minutes
-Sotalol 100mg (1.5mg/kg) IV over 5 minutes
Depending on training and clinical circumstance, how can rescuers administer
maloxone? Ans✓✓✓ IV, Intranasally, IM
Dopamine should be given at what dose/rate for Bradycardia? Ans✓✓✓ 5-
20mcg/kg/min
During the management of a patient in cardiac arrest, you have initiated CPR,
attached the manual defibrillator, delivered the first shock, and immediately
resumed CPR, beginning with chest compressions.
What is your next intervention? Ans✓✓✓ Establish IV/IO access
During the management of a pt in cardiac arrest, you have initiated CPR, attached,
the manual defibrillator, delivered the first shock, and immediately resumed CPR
with chest compressions. What is your next intervention? Ans✓✓✓ Establish IV
or IO access
During the post-cardiac arrest care period, the 12-lead EKG reveals an ST-segment
elevation MI.
What is the next step/highest priority action? Ans✓✓✓ Coronary Angiography
Epinephrine should be given at what dose/rate for Bradycardia? Ans✓✓✓ 2-
10mcg/min
, First dose amount for Antiarrhythmic drug Amiodarone: Ans✓✓✓ 150mg IV over
10 minutes
First dose amount of Antiarrhythmic drug Procainamide: Ans✓✓✓ 20-50mg/min
IV
First dose amount of Antiarrhythmic drug Sotalol:
-dont give if prolonged QT is present Ans✓✓✓ 100mg (1.5mg/kg) IV over 5
minutes
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? Ans✓✓✓ -Parenteral narcotic
-Parenteral benzodiazepine
-Chronotropic infusion
For poor perfusion with Bradycardia Treat with which first line treatment?
Ans✓✓✓ 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? Ans✓✓✓
Transcutaneous pacing
Dopamine 5-20mcg/kg/minute infusion
OR
answers
A patient with a ventricular assist device (VAD) is not breathing, has signs of
inadequate perfusion, and is unconscious. You determine the VAD is functioning.
After endotracheal intubation, the patient has a PETCO2 of 12mm Hg.
What is your next action? Ans✓✓✓ perform external chest compressions
A pt with suspected opioid poisoning is not breathing normally but has a pulse.
What is your next step? Ans✓✓✓ Provide rescue breathing and give Naloxone
Adenosine can cause ____ so you should not give it to pt's with asthma or COPD.
Ans✓✓✓ bronchospasm
Adenosine increased AV block and will terminate approx. ___% of reentry
arrhythmias within ___ minutes. Ans✓✓✓ 90%
2 minutes
Adenosine is safe or unsafe during pregnancy? Ans✓✓✓ SAFE
After ROSC start a cycle of ____breaths/minutes. Ans✓✓✓ 10
Amiodarone should be given as a bolus dose of _____. Then consider 1 additional
____mg IV for shockable rhythms in VF/pVT specifically. Ans✓✓✓ Amiodarone
300mg IV bolus
150 mg IV
,Antiarrhythmic drugs for tachy-arrhythmias: Ans✓✓✓ -Procainamide
20-50mg/min IV (max 17mg/kg IV)
-Amiodarone 150mg IV over 10 minutes
-Sotalol 100mg (1.5mg/kg) IV over 5 minutes
Depending on training and clinical circumstance, how can rescuers administer
maloxone? Ans✓✓✓ IV, Intranasally, IM
Dopamine should be given at what dose/rate for Bradycardia? Ans✓✓✓ 5-
20mcg/kg/min
During the management of a patient in cardiac arrest, you have initiated CPR,
attached the manual defibrillator, delivered the first shock, and immediately
resumed CPR, beginning with chest compressions.
What is your next intervention? Ans✓✓✓ Establish IV/IO access
During the management of a pt in cardiac arrest, you have initiated CPR, attached,
the manual defibrillator, delivered the first shock, and immediately resumed CPR
with chest compressions. What is your next intervention? Ans✓✓✓ Establish IV
or IO access
During the post-cardiac arrest care period, the 12-lead EKG reveals an ST-segment
elevation MI.
What is the next step/highest priority action? Ans✓✓✓ Coronary Angiography
Epinephrine should be given at what dose/rate for Bradycardia? Ans✓✓✓ 2-
10mcg/min
, First dose amount for Antiarrhythmic drug Amiodarone: Ans✓✓✓ 150mg IV over
10 minutes
First dose amount of Antiarrhythmic drug Procainamide: Ans✓✓✓ 20-50mg/min
IV
First dose amount of Antiarrhythmic drug Sotalol:
-dont give if prolonged QT is present Ans✓✓✓ 100mg (1.5mg/kg) IV over 5
minutes
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? Ans✓✓✓ -Parenteral narcotic
-Parenteral benzodiazepine
-Chronotropic infusion
For poor perfusion with Bradycardia Treat with which first line treatment?
Ans✓✓✓ 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? Ans✓✓✓
Transcutaneous pacing
Dopamine 5-20mcg/kg/minute infusion
OR
