ACLS Top Exam Questions and answers, 100% Accurate. Rated A+, Approved.

ACLS Top Exam Questions and answers, 100% Accurate. Rated A+, Approved. Tell me some requirements for good CPR quality - --Push hard (at least 2 inches) and fast (100-120) and allow complete chest recoil -Minimize interruptions in compressions -Avoid excessive ventilation -Rotate compressor every 2 minutes, or sooner if fatigued -If no advanced airway, 30:2 compression-ventilation ratio -Quantitative waveform capnography *If Petco2 <10 mm Hg, attempt to improve CPR quality -Intra-arterial pressure *If relaxation phase (diastolic) pressure <20 mm Hg, attempt to improve CPR quality What is the typical shock energy for a biphasic defibrillator? - -120-200 J (usually 200) What is the typical shock energy for a monophasic defibrillator? - -260 J What is the typical epi dose (IV/IO)? - -1 mg every 3-5 minutes What is the typical amiodarone IV/IO dose? - -First dose: 300 mg bolus Second dose: 150 mg Endotracheal intubation or supraglottic advanced airway is used. Just know this! - - What is used to confirm and monitor ET tube placement? - -Waveform capnography or capnometry Once an advanced airway is in place, how often do you give breaths? - -1 breath every 6 seconds (10 breaths/min) with continuous chest compressions What is ROSC? - -Return of spontaneous circulation What indicates ROSC (maybe?) - --Pulse and blood pressure -Abrupt sustained increase in PETCO2 (typically >40 mm Hg) -Spontaneous arterial pressure waves with intra-arterial monitoring What are the reversible causes of cardiac arrest? Know these super well!! - --Hypovolemia -Hypoxia -Hydrogen ion (acidosis) -Hypo/hyperkalemia -Hypothermia -Tension pneumothorax -Tamponade, cardiac -Toxins -Thrombosis, pulmonary -Thrombosis, coronary What are the shockable rythms? - -VF and pVT Tell me about the cardiac arrest algorithm for VF/pVT - -1. Quality CPR, start oxygen, attach monitor/defibrillator 2. Shock 3. CPR 2 minutes, IV/IO access 4. Is the rhythm shockable? *No: If ROSC, go to post-cardiac arrest care. If no signs of ROSC, continue CPR and give epi 5. Yes, shock 6. CPR 2 minutes, epi every 3-5 minutes, consider advanced airway, capnography 7. Is rhythm shockable? 8. Yes, shock 9. CPR 2 minutes, amiodarone, treat reversible causes And then go back to 4 Tell me about the cardiac arrest algorithm for asystole/PEA - -NON SHOCKABLE! 1. CPR 2 minutes, IV/IO access, epi q 3-5 minutes, consider advanced airway, capnography 2. Rhythm shockable? *Yes, shock and gives meds as necessary (see shockable algorithm) 3. No, CPR 2 minutes, treat reversible causes 4. Rhythm shockable? 5. No *If ROSC, go to post-cardiac arrest care *If no ROSC, repeat step 1 What needs to be done if ROSC is achieved? - --Optimize ventilation and oxygenation -Treat hypotension (SBP <90) -12 Lead ECG: STEMI or AMI -Coronary reperfusion -If they don't follow commands, initiate targeted temperature manageme