ADVANCED CARDIOVASCULAR LIFE SUPPORT |45 QUESTIONS AND ANSWERS.

You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT was normal with no sign of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy. Which treatment is best? a. start fibrinolytic therapy ASAP b. hold fibrinolytic therapy for 24 hours c. order an echo before fibrinolytic administration d. wait for MRI result a. start fibrinolytic therapy ASAP For STEMI pt, maximum goal time for ED door-to-balloon-inflation time for PCI? a. 150 mins b. 180 mins c. 120 mins d. 90 mins 90 mins Which is the recommended oral dose of ASA for a pt w/ suspected ACS? a. 81 mg b. 325-650 mg c. 160-325 mg d. 40 mg 160-325 mg chest compressions during for adult rate 100-120/min effect of excessive ventilation a. decresed cardiac output b. decreased intrathoracic pressure c. increased perfusion pressure d. increased venous return decreased cardiac output temperature to achieve targeted temperature management after cardiac arrest 32-36C 3 mins into cardiac arrest resuscitation attempt, one member of your team inserts an endotracheal tube while another performs chest compressions. Capnography shows a persistent waveform & a PETCO2 of 8mmHg. What is the significance of the finding? a. chest compression may not be effective b. The endotrachael tube is in the esophagus c. the team is ventilating the patient too often d. the patient meets the criteria for termination of efforts a. chest compression may not be effective Your patient is in cardiac arrest and has been intubated. to assess CPR quality, you should monitor the patient's PETCO2 In addition to clinical assessment, which is the most reliable method to confirm & monitor correct placement of an endotracheal tube? continous waveform capnography A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room air. answer has to do with acute coronary syndrome A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. What do we do? a. chest compression b. vasoactive meds c. vascular access d. advanced airway a. chest compression A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room air. Despite 2 defib attempt, the patient remains in V-fib. Which drug & dose should be given? a. lidocaine 1 mg/kg b. amiodarone 300mg c. epi 1mg d. atropine 1 mg epi 1 mg A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room air. despite the drug provided above & continuous CPR, the patient remains in v-fib. which drug should be given next? a. atropine 1mg b. mag sulfate 1g c. amiodarone 300mg d. epi 1 mg c. amiodarone 300mg A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room air. The patient has returned of spontaneous circulation (ROSC) & is not able to follow commands. Which immediate post-cardiac arrest care intervention do you choose for the patient? a. extubate b. check glucose c. give epi d. initiate targeted temp. management initiate targeted temperature management (the guideline no longer has post-arrest optimal glucose level) A 45M has coronary artery stents placed 2 days ago. Today, he is in severe distress & crushing chest discomfort. he is pale, diaphoretic, & cool to the touch. His radial pulse is very weak. Blood pressure is 64/40 mm Hg, respiratory rate is 28 bpm & O2 is 89%. cardiac monitor initially showed ventricular tachycardia, which quickly changed to v-fib. what would you have done first if the patient had not gone into v-fib? a. give atropine 1mg b. establish IV c. do a 12 lead d. performed synchronized cardioversion performed synchronized cardioversion During post-cardiac arrest, which is recommended duration of targeted temp. management after reaching the correct temperature range? a. at least 24 hours b. 0-8 hour c. at least 36 hours d. at least 48 hours at least 24 hours which is the primary purpose of medical emergency team or rapid response team? a. provide diagnostic consultation to emergency department patients b. provide online consultation to EMS personnel c. improving patient outcomes by identifying & treating early clinical deterioration d. improving care for patients admitted to critical care units c. improving patient outcomes by identifying & treating early clinical deterioration A patient is respiratory distress, 70/50, presents with lead 2 ECG shown. appropriate treatment? a. defibrillation b. perform synchronized cardioversion c. administering adenosine 6mg IV pust d. perform vagal maneuvers performing synchronized cardioversion