Advanced Life Support Exam Questions With Accurate
Solutions.
The ALS algorithm divides patients into which two groups? - accurate
answers-Shockable versus non-shockable rhythms
What are the shockable rhythms? - accurate answers-Ventricular fibrillation
Pulseless ventricular tachycardia
What are the non-shockable rhythms? - accurate answers-Pulseless electrical
activity (PEA) and asystole
What ratio should chest compressions and resuscitation breaths be delivered
at? - accurate answers-30:2
How often should shocks be given in shockable rhythms? - accurate answers-
Every 2 minutes
How often should the rhythm be reassessed in non-shockable rhythms? -
accurate answers-Every 2 minutes
When should adrenaline be given for non-shockable rhythms? - accurate
answers-As soon as possible
When should adrenaline be given in shockable rhythms? - accurate answers-
Once chest compressions have been re-started after the third shock has been
delivered
How often should adrenaline be repeated in both shockable and non-
shockable rhythms? - accurate answers-Every 3-5 minutes
What dose of adrenaline is given in advanced life support? - accurate answers-
1mg
Is amiodarone given in shockable or non-shockable rhythms? - accurate
answers-Amiodarone is only given in shockable rhythms
, When should amiodarone first be given in shockable rhythms? - accurate
answers-After 3 shocks
What dose of amiodarone is given after the 3rd shock? - accurate answers-
300mg
What dose of amiodarone is given after the 5th shock? - accurate answers-
150mg
What are the four H's in advanced life support? - accurate answers-
Hypothermia
Hypoxia
Hyper/hypokalaemia
Hypovolaemia
What are the four T's in advanced life support? - accurate answers-
Thrombosis
Tamponade
Tension pnuemothorax
Toxins
If VF/pVT occurs in a witnessed/monitored area, such as cardiac care, which
changes to the shocking pattern are made? - accurate answers-Three
successive stacked shocks should be given rather than one shock followed by
CPR
Ventilation should be performed at which rate in ALS? - accurate answers-10
breaths/min
A patient has tachycardia with life threatening features. Should they be
cardioverted? - accurate answers-Yes - up to three attempts of DC
synchronised cardioversion
What is meant by "synchronised" cardioversion? - accurate answers-To
convert atrial or ventricular tachyarrhythmias, the shock must be
synchronised to occur with the R wave of the electrocardiogram (ECG).
Solutions.
The ALS algorithm divides patients into which two groups? - accurate
answers-Shockable versus non-shockable rhythms
What are the shockable rhythms? - accurate answers-Ventricular fibrillation
Pulseless ventricular tachycardia
What are the non-shockable rhythms? - accurate answers-Pulseless electrical
activity (PEA) and asystole
What ratio should chest compressions and resuscitation breaths be delivered
at? - accurate answers-30:2
How often should shocks be given in shockable rhythms? - accurate answers-
Every 2 minutes
How often should the rhythm be reassessed in non-shockable rhythms? -
accurate answers-Every 2 minutes
When should adrenaline be given for non-shockable rhythms? - accurate
answers-As soon as possible
When should adrenaline be given in shockable rhythms? - accurate answers-
Once chest compressions have been re-started after the third shock has been
delivered
How often should adrenaline be repeated in both shockable and non-
shockable rhythms? - accurate answers-Every 3-5 minutes
What dose of adrenaline is given in advanced life support? - accurate answers-
1mg
Is amiodarone given in shockable or non-shockable rhythms? - accurate
answers-Amiodarone is only given in shockable rhythms
, When should amiodarone first be given in shockable rhythms? - accurate
answers-After 3 shocks
What dose of amiodarone is given after the 3rd shock? - accurate answers-
300mg
What dose of amiodarone is given after the 5th shock? - accurate answers-
150mg
What are the four H's in advanced life support? - accurate answers-
Hypothermia
Hypoxia
Hyper/hypokalaemia
Hypovolaemia
What are the four T's in advanced life support? - accurate answers-
Thrombosis
Tamponade
Tension pnuemothorax
Toxins
If VF/pVT occurs in a witnessed/monitored area, such as cardiac care, which
changes to the shocking pattern are made? - accurate answers-Three
successive stacked shocks should be given rather than one shock followed by
CPR
Ventilation should be performed at which rate in ALS? - accurate answers-10
breaths/min
A patient has tachycardia with life threatening features. Should they be
cardioverted? - accurate answers-Yes - up to three attempts of DC
synchronised cardioversion
What is meant by "synchronised" cardioversion? - accurate answers-To
convert atrial or ventricular tachyarrhythmias, the shock must be
synchronised to occur with the R wave of the electrocardiogram (ECG).
