1. you find an unresponsive patient who is not breathing. start chest compressions
after activating the emergency response system, you at a rate of at least
determine that there is no pulse. what is your next 100/min.
action?
2. you are evaluating a 58-year-old man with chest obtaining 12-lead ecg.
pain. the blood pressure is 92/50 mm hg, the heart
rate is 92/min, the nonlabored respiratory rate is 14
breaths/min, and the pulse oximetry reading is 97%.
what assessment step is most important now?
3. what is the preferred method of access for epineph- peripheral intravenous
rine administration during cardiac arrest in most pa-
tients?
4. An activated AED does not promptly analyze the begin chest compressions.
rhythm. What is your next action?
5. You have completed 2 min of CPR. The ECG monitor administer one mg of epi-
displays the lead below and the pt. has no pulse. anoth- nephrine
er member resumes chest compressions and an IV is
in place. What management step is your next priority?
6. During a pause in CPR, you see this lead II ECG rhythm resume chest compres-
on the monitor. The patient has no pulse. What is the sions
next action?
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, ACLS version A
7. what is a common but sometimes fatal mistake in car- prolonged interruptions of
diac arrest management? chest compressions
8. what action is a component of high-quality chest com- uninterrupted compres-
pressions? sions at a depth of 1 1/2
inches
9. Which action increases the chance of successful con- ventricular tachycardia
version of ventricular fibrillation? with a pulse
10. which situation BEST describes pulseless electrical ac- sinus rhythm without a
tivity? pulse
11. What is the best strategy for perfoming high-quality provide continuous chest
CPR on a pt.with an advanced airway in place? compressions without
pauses and 10 ventilations
per minute.
12. Three minutes after witnessing a cardiac arrest, one chest compressions may
member of your team inserts an endotracheal tube not be effective
while another performs continuous chest compres-
sions. During subsequent ventilation, you notice the
presence of a waveform on the capnography screen
and a PETCO2 level of 8 mm Hg. What is the signifi-
cance of this finding?
13.
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