ACLS Written Exam

You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? - Start chest compressions of at least 100 per min. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now? - Obtaining a 12 lead ECG. What is the preferred method of access for epi administration during cardiac arrest in most pts? - Peripheral IV An AED does not promptly analyze a rythm. What is your next step? - Begin chest compressions. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm below, and the patient has no pulse. Another member of your team resumes chest compressions, and an IV is in place. What management step is your next priority? - Administer 1mg of epinephrine During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no pulse. What is the next action? - Resume compressions What is a common but sometimes fatal mistake in cardiac arrest management? - Prolonged interruptions in chest compressions. Which action is a componant of high-quality chest comressions? - Allowing complete chest recoil Which action increases the chance of successful conversion of ventricular fibrillation? - Providing quality compressions immediately before a defibrillation attempt. Which situation BEST describes pulseless electrical activity? - Sinus rythm without a pulse