ACLS Precourse Work 2024 with complete solution

ACLS Precourse Work 2024 with complete solution Lesson1: system of care. Which quality improvement component of systems of care best describes the capture and review of data related to resuscitation education, processes, and outcomes? - Measurement Lesson1: system of care.Which one of the following is an interdependent component of systems of care? - Structure Lesson2: Science of Resuscitation.What is an effect of excessive ventilation? - decreased CO Lesson2: Science of Resuscitation. Which is the maximum interval you should allow for an interruption in chest compressions? - 10 s Lesson2: Science of Resuscitation.Which is the recommended next step after a defibrillation attempt? - Resume CPR, starting with chest compressions Lesson2: Science of Resuscitation.How does complete chest recoil contribute to effective CPR? - Allows maximum blood return to the heart Lesson3: Systematic Approach.What is an advantage of a systematic approach to patient assessment? - Reduces the chances of missing important signs and symptoms Lesson3: Systematic Approach.What is the first step in the systematic approach to patient assessment? - Initial impression Lesson3: Systematic Approach.Which action is part of the Secondary Assessment of a conscious patient?Which action is part of the Secondary Assessment of a conscious patient? - Formulate a differential diagnosis Lesson3: Systematic Approach.Which is one of the H's and T's that represent a potentially reversible cause of cardiac arrest and other emergency cardiopulmonary conditions? - Hypothermia Lesson4: CPR Coach.What should be the primary focus of the CPR Coach on a resuscitation team? - To ensure high-quality CPR Lesson4: CPR Coach.The CPR Coach role can be blended into which of the following roles? - The monitor/defibrillator Lesson4: CPR Coach.Which of the following is a responsibility of the CPR Coach? - Coordinating compressor switches Lesson 5: High Quality BLS Part 1.What is the recommended compression rate for high-quality CPR? - 100 to 120 Lesson 5: High Quality BLS Part 1.Which best describes the length of time it should take to perform a pulse check during the BLS Assessment? - 5-10 seconds Lesson 5: High Quality BLS Part 1.Which is a component of high-quality CPR? - Compression depth of at least 2 inches Lesson 5: High Quality BLS Part 1.Which component of high-quality CPR directly affects chest compression fraction? - Interruptions Lesson6: Airway Management. pg 103. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? - Once every 6 seconds Lesson6: Airway Management. pg 103. Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? - Measure from the corner of the mouth to the angle of the mandible Lesson6: Airway Management. pg 103. Which action is likely to cause air to enter the victim's stomach (gastric inflation) during bag-mask ventilation? - Ventilating too quickly Lesson6: Airway Management. pg 103. In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of an endotracheal tube? - Continuous waveform capnography Lesson 7: Recognition: Signs of Clinical Deterioration. pgs27-28.What are the 3 signs of clinical deterioration that would cause activation of a rapid response system? - Symptomatic hypertension, unexplained agitation, seizure Lesson 7: Recognition: Signs of Clinical Deterioration. pgs27-28.What is the purpose of a rapid response team (RRT) or medical emergency team (MET)? - Identify and treat early clinical deterioration Lesson 8: Acute Coronary Syndromes Part 1. pg.29. What is the difference between stable angina and unstable angina? - Stable angina involves chest discomfort during exertion Lesson 8: Acute Coronary Syndromes Part 1. What is a classic symptom of acute ischemic chest discomfort? - Pain radiating down the left arm Lesson 8: Acute Coronary Syndromes Part 1. What is the most common symptom of myocardial ischemia and infarction? - Retrosternal chest pain Lesson 8: Acute Coronary Syndromes Part 2. What is one goal of therapy for patients with ACS? - Relief of ischemic chest discomfort . Lesson 8: Acute Coronary Syndromes Part 2. What is the recommended dose of aspirin if not contraindicated? - 162-325 mg Lesson 8: Acute Coronary Syndromes Part 2. Which is a contraindication to the administration of aspirin for the management of a patient with ACS? - Recent GI bleed Lesson 8: Acute Coronary Syndromes Part 3.What is the initial drug therapy for ACS? - Oxygen (if needed), aspirin, nitroglycerin, morphine (if needed) Lesson 8: Acute Coronary Syndromes Part 3.A patient without dyspnea has signs of ACS. There are no obvious signs of heart failure. You assess a noninvasively monitored oxyhemoglobin saturation. Which patient should receive supplemental oxygen? - 88% Lesson 8: Acute Coronary Syndromes Part 3.Which clinical finding represents a contraindication to the administration of nitroglycerin? - Systolic blood pressure of 84 Lesson 9: Stroke Part 1. What is one major sign of a patient having a stroke? - facial droop Lesson 9: Stroke Part 1. What are the major types of stroke? - Ischemic and hemorrhagic Lesson 9: Stroke Part 1. What is the most common type of stroke? - Ischemic stroke Lesson 9: Stroke Part 2.What stroke screen was used in the stroke video? - CPSS Lesson 9: Stroke Part 2.Which is a sign or symptom of stroke? - Trouble speaking Lesson 9: Stroke Part 2.Why is it important for EMS personnel to alert the receiving facility stroke team as soon as possible? - Reduce the time interval to definitive care Lesson 9: Stroke Part 3. What is the highest priority once the patient has reached the emergency department/hospital? - CT Scan Lesson 9: Stroke Part 3.What is the time goal for neurologic assessment by the stroke team or designee and non-contrast CT or MRI performed after hospital arrival? - 20 mins Lesson 9: Stroke Part 3. What is the primary time window for the administration of fibrinolytic therapy, timed from the onset of systems? - Within 3 hrs Lesson 10: Bradycardia. pg66. In which situation does bradycardia require treatment? - Hypotension • Acutely altered mental status • Signs of shock • Ischemic chest discomfort • Acute heart failure Lesson 11: Tachycardia. A patient in stable narrow-complex tachycardia with a peripheral IV in place is refractory to the first dose of adenosine. Which dose would you administer next? - 12mg Lesson 11: Tachycardia.A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180/min. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Which action do you take next? - Perform electrical cardio version Lesson 12: Cardiac Arrest. A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock. Which drug should be administered first? - Epinephrine 1 mg IV/IO Lesson 12: Cardiac Arrest. A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given. Which drug should be given next? - Amiodarone 300 mg Lesson 12: Cardiac Arrest. A patient has been resuscitated from cardiac arrest. During post-ROSC treatment, the patient becomes unresponsive, with a polymorphic ventricular tachycardia on the monitor. Which action is indicated next? - Give an immediate unsynchronized high dose energy shock (defibrillation dose) Lesson 13: Post-Cardiac Arrest Care. What is the recommended range from which a temperature should be selected and maintained constantly to achieve targeted temperature management after cardiac arrest? - 32 - 36 C Lesson 13: Post-Cardiac Arrest Care. During post-cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct temperature range? - at least 24 hrs