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ACLS Practical Application 2025

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ACLS Practical Application 2025

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ACLS Practical
Application
1. You are providing bag-mask ventilations to a patient in respiratory
arrest. How often should you provide ventilations?: About every 5-6 seconds
2. A 45-year-old woman with a history of palpitations develops light
headed- ness and palpitations. She has recieved adenosine 6 mg IV for the
rhythm shown here, without conversion of the rhythm. She is now
extremely appre- hensive. Her blood pressure is 128/70 mm Hg. What is the
next appropriate intervention?: Administer adenosine 12 mg IV
3. A patients 12-lead ECG is transmitted by the paramedics and shows a
STEMI. When the patient arrives in the emergency department, the rhythm
shown here is seen on the cardiac monitor. The patient has resolution of
moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. Blood
pressure is 104/70 mm hg. Which intervention is most important in
reducing this patient's in hospital and 30 day mortality rate?: Reperfusion
therapy
4. A patient becomes unresponsive. You are uncertain if a faint pulse is pre-
sent. The rhythm shown here is seen on the cardiac monitor. An IV is in
place. Which action do you take next?: Start high-quality CPR
5. What action minimizes the risk of air entering the victim's stomach during
bag-mask ventilation?: Ventilating until you see the chest rise
6. What is the recommended depth of chest compressions for an adult
vic- tim?: At least 2 inches
7. Your patient is not responsive and is not breathing.You can palpate a
carotid pulse. Which action do you take next?: Start rescue breathing
8. Your patient is a 56-year-old woman with a history of type 2 diabetes who
reports feeling dizzy. She is pale and diaphoretic. Her blood pressure is
80/60 mm Hg. The cardiac monitor documents the rhythm shown here. She
is receiving oxygen at 4L/min by nasal cannula, and an IV has been
established. What do you administer next?: Atropine 0.5 mg IV
9. You are the code team leader and arrive to find a patient with CPR in
progress. On the next rhythm check, you see the rhythm shown here. Team
members tell you that the patient was well but reported chest discomfort
and then collapsed. She has no pulse or respiration. Bag-mask ventilation
are producing visible chest rise, and IO access has been established.
Which intervention would be your next action?: Epinephrine 1 mg
10. How does complete chest recoil contribute to effective CPR?: allows
max- imum blood return to the heart
11. What is the recommended compression rate for high-quality CPR?: 100
- 120 compressions per minuet
12. How often should you switch chest compressors to avoid fatigue?:
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