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ACLS 2023 Questions with 100% Complete Solutions, Rated A+

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75yo male present to the ED. He fainted 45 min ago HR 30 BP 66/43 RR 20 O2 89% Alert and responsive What should your next steps be to assess and treat this patient - Establish IV Obtain 12 lead Maintain airway and administer O2 as needed 75yo patient difficulty breathing emphysema drowsy b/l wheeze, difficult to appreciate RR 38 O2 85% PETCO2 49mmHg - Respiratory failure a 49 yo says that he has had chest discomfort and excessive sweating for the past 25 minutes. Within the first 10 minutes, on the basis of the patient showing symptoms suggestive of MI, what will your first actions include? - Provide prehospital notification to the receiving hospital Administer aspirin if considering prehospital fibrinolysis, use the fibrinolytic checklist assess ABC Obtain EKG consider oxygen, nitroglycerin, and morphine if needed a 49yo arrives with chest discomfort, palpitations for past several hours, cold sweaty and weak initial steps - ABC monitor rhythm and vital signs IV access 12 lead EKG a 59yo is reporting difficulty breathing nasal flaring, intercostal retractions, and use of accessory muscles RR 28 O2 92% PETCO2 36mmHg - Respiratory distress A 72yo male has been suffering from progressive dizziness and bouts of palpitations after exercising last night. His symptoms reappeared and worsened this morning The patient is conscious and alert, HR 180 weak radial pulse BP 110/78 O2 96% What are the most appropriate initial interventions - A 74 yo man was brought to the hospital by his wife. She states that her husband started having sudden left arm weakness and left sided paralysis during lunch. He has a past medical history or poorly controlled hypertension HR 92 RR 14 BP 130/86 SPO2 97% Afib on monitor What additional assessment and stabilization activities should be completed? - Establish time of symptom onset (last known normal) perform validated prehospital stroke screen and stroke severity tool provide prehospital notification to the receiving hospital initiate stroke protocol check glucose A BLS team is bringing a 70yo woman who suddenly collapsed while on her morning jog. CPR in progress - a patient with suspected opioid poisoning is not breathing normally but has a pulse. What is your next step - provide rescue breathing and give naloxone After you give report to the hospital, staff advise you to proceed to the cath lab for PCI What is the goal for PCI when treating this patient - First medical contact to balloon inflation time of 90 minutes an 18yo is reporting difficulty breathing and is displaying increased respiratory effort b/l wheeze RR 28 O2 91% PETCO2 44mmHg - Respiratory distress appropriate demand rate - 60-80 Based on patient's condition, what is your next action (pt in vfib) - shock immediately, establish IV/IO Because the patient is no longer a candidate for fibrinolyic therapy, what are your next steps for him? - Support ABC Begin stroke pathway Admit to ICU CPR position for 3rd trimester patient - supine with manual left lateral uterine displacement Definition of bradycardia - HR 50 During CPR, CCF should be at least ______% and ideally greater than _____% - 60/80 During post cardiac care phase why is it important to assess the patient's ability to follow commands - to determine need for TTM during the management of a patient in cardiac arrest, you have initiated CPR, attached the defibrillator, delivered first shock, and resumed CPR. What is your next intervention - establish IV/ IO


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