ACLS Practical Application| Questions with 100% Correct Answers | Verified

A 35-year-old woman presents with a chief complaint of palpitations. She has no chest discomfort, shortness of breath, or light-headedness. Her blood pressure is 120/78 mm Hg. Which intervention is indicated first? - Vagal maneuvers A 45-year-old woman with a history of palpitations develops light headedness and palpitations. She has recieved adenosine 6 mg IV for the rhythm shown here, without conversion of the rhythm. She is now extremely apprehensive. Her blood pressure is 128/70 mm Hg. What is the next appropriate intervention? - Administer adenosine 12 mg IV A patient becomes unresponsive. You are uncertain if a faint pulse is present. 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 A patient has been resuscitated from cardiac arrest. During post-ROSC treatment, the patient becomes unresponsive, with the rhythm shown here. Which action is indicated next? - give an immediate unsynchronized high energy shock (defibrillation dose) A patient was in refractory ventricular fibrillation. A third shock has just been administered. Your team looks to you for instructions. What is your next action? - Resume high-quality chest compressions 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 After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. A second shock is given, and chest compressions are resumed. immediately. AN IV is in place, and no drugs have been given. Bag-mask ventilations are producing visible chest rise. What is your next inteverntion? - give epinephrine 1 mg IV/IO How does complete chest recoil contribute to effective CPR? - allows maximum blood return to the heart