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Exam (elaborations)

ACLS Version B EXAM

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1. what should be done to minimize interruptions in chest compressions during CPR? continue CPR while the defibrilla- tor is charging 2. what condition is an indication to stop of withhold resuscitative efforts? 3. After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation. The patient's lead II ECG appears below. What is your next action? 4. After verifying unresponsiveness and abnormal breathing, you activate the emergency response team. What is your next action? 5. what is the recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest? 6. What survival advantages does CPR provide to a pa- tient in ventricular fibrillation? 7. what is the recommended compression rate for per- forming CPR? 8. EMS personnel arrive to find a patient in cardiac ar- rest. Bystanders are performing CPR. After attaching a cardiac monitor, the responder observes the follow- ing rhythm strip. What is the most important early intervention? safety to threat providers? IV or IO access check for a pulse not recommended for routine use? produces a small amount of blood flow to the heart at least 100 per minute defibrillation 9. a patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. the next intervention is to: 10. what is the recommended next step after a defibrilla- tion attempt? 11. which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest? 12. what is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation? administer a sec- ond shock begin CPR, start- ing with chest compressions antecubital vein 300 mg 13. IV/IO drug administration during CPR should be given rapidly dur- ing compressions 14. how often should the team leader switch chest com- pressors during a resuscitation attempt? every 2 minutes 15. which finding is a sign of ineffective CPR? PETCO2 10 mm Hg 16. A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges when the medication is administered. What element of effective resuscita- tion team dynamics does this represent? 17. how long should it take to perform a pulse check during the BLS survey? 18. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he is unresponsive and notice that he is taking agonal breaths. What is the next step in your assessment and management of

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