ACLS Advanced Cardiovascular Life Support Exam 3 Solved 100%

What happens before ACLS? - Answer BLS first!!! scene safety check responsiveness shout for help check breathing and pulse What should be the quality of chest compressions? - Answer *compress to at least 2 inches* compress at a rate of 100-120 compressions/minute allow complete chest recoil between compressions What are the steps for ACLS primary assessment? - Answer airway breathing circulation disability exposure (heat body up if cold) What are the steps for ACLS secondary assessment? - Answer signs and symptoms allergies meds past medical history last meal consumed (hypoglycemia) events What are the H's of ACLS (causes)? (6) - Answer hypovolemia hypoxia hydrogen ion (acidosis) hypo/hyperkalemia hypothermia hypoglycemia What are the T's of ACLS (causes)? - Answer tension pneumothorax tamponade (fluid in the sac around the heart) toxins thrombosis (pulmonary) thrombosis (coronary) What is the cardiac arrest algorithm? - Answer pulseness ventricular tachycardia (pVT) ventricular fibrillation (VF) pulseness electrical activity (PEA) asystole How is epinephrine used in cardiac arrest ACLS? - Answer cardiac arrest --1 mg IV/IO (intraosseous) every 3-5 minutes ***alternative dosing per endotrachial tube: 2-2.5 mg in 10 mL sterile water/NS, follow with positive pressure ventilations therapeutic effects: --increase in systemic vascular resistance (SVR), BP, HR, coronary and cerebral blood flow precautions: --increase in myocardial oxygen requirements, may induce or exacerbate ventricular ectopy How is amiodarone used in cardiac arrest ACLS? - Answer initial cardiac arrest dose: --300 mg IV/IO push (diluted or undiluted) therapeutic effects: --stabilize rhythm and prevent recurrent arrhythmias precautions: --hypotension and bradycardia with IV formulations -- may affect post-resuscitative care --avoid with other concomitant QT prolonging drugs How is lidocaine used in cardiac arrest ACLS? - Answer initial cardiac arrest dose: --1-1.5 mg/kg IV/IO push --second dose 0.5-0.75 mg/kg IV/IO push if needed --option for maintenance infusion: 1-4 mg/min (30-50 mcg/kg/min) therapeutic effects: --stabilize rhythm and prevent recurrent arrhythmias