ACLS VERSION B EXAM QUESTIONS WITH
COMPLETE SOLUTIONS (RATED A+)
Primary Survey - Answer-ABCD
A-airway
B-breathing
C-circulation
D-defibrilation
Secondary Survey - Answer-IAID
I-intabate (if resp. arrest or can't get good venitlaiton)
A-access airway
I-IV/IO access for Drugs
D-differential diagnosis (H's & T's)
What do you do with a non responsive patient? - Answer-1st survey, then second
survey
Med Administration - Answer--IV access: large bore 18 g
-Site: AC
-always flush after med admin
What do you do if AED determines non-shockable rhythm? - Answer-continue chest
compressions
What is PEA? - Answer-Pulseless electrical activity
(ECG shows activity but there is no pulse felt in patient)
ACLS Survey - Answer-ABCD
A-airway
B-breathing
C-circulation
D-defibrilation
ACLS Airway Survey - Answer-SUPPLEMENTAL OXYGEN when indicated:
-100% for cardiac arrest
-titrate others to achieve >94% O2 sats
MONITOR VENTILATION EFFECTIVENESS by:
-chest rise/fall
-cyanosis
-O2 sats
-waveform capnography
AVOID EXCESSIVE VENTILATION
, How many ventilations do you provide when patient is in cardiac arrest? With an
advanced airway? In respiratory arrest only? - Answer-2 ventilations every 30
compressions
if advanced airway: 1 every 6-8 seconds
if respiratory arrest: 1 every 5-6 seconds
What do you do with a non-responsive patient? - Answer-1. Shout for help/Activate the
Emergency Response System (get AED)
2. Check for Pulse
3. Start CPR
What do you do for a patient who is stable and has chest pain? - Answer-Monitor-
support ABC
Be prepared to give CPR & Defib
Admin Aspirin (O2-sats<94%, Nitro, Morphine if needed)
Get 12 lead ECG
Cases NOT to give Nitro - Answer-hypotension (SBP < 90)
bradycardia (< 50/min)
tachycardia
Nitro Administration - Answer-1 tablet (or spray dose) every 3-5 min
up to total of 3 doses
H's - Answer-Hypovolemia
Hypoxia
Hypothermia
Hyper/Hypokalemia
Hydrogen ions (acidosis)
ECG Clues for Hypovolemia - Answer-Narrow complex
Rapid rate
Clues from History/Physical for Hypovolemia & Effective Intervention - Answer-Flat neck
veins
History of condition
*internal bleeding & severe dehydration*
Intervention: volume infusion
ECG Clues for Hypoxia - Answer-slow rate
Clues from History/Physical for Hypoxia & Effective Intervention - Answer-Cyanosis
ABG
Airway Problems
Intervention: O2, ventilation, advanced airway
COMPLETE SOLUTIONS (RATED A+)
Primary Survey - Answer-ABCD
A-airway
B-breathing
C-circulation
D-defibrilation
Secondary Survey - Answer-IAID
I-intabate (if resp. arrest or can't get good venitlaiton)
A-access airway
I-IV/IO access for Drugs
D-differential diagnosis (H's & T's)
What do you do with a non responsive patient? - Answer-1st survey, then second
survey
Med Administration - Answer--IV access: large bore 18 g
-Site: AC
-always flush after med admin
What do you do if AED determines non-shockable rhythm? - Answer-continue chest
compressions
What is PEA? - Answer-Pulseless electrical activity
(ECG shows activity but there is no pulse felt in patient)
ACLS Survey - Answer-ABCD
A-airway
B-breathing
C-circulation
D-defibrilation
ACLS Airway Survey - Answer-SUPPLEMENTAL OXYGEN when indicated:
-100% for cardiac arrest
-titrate others to achieve >94% O2 sats
MONITOR VENTILATION EFFECTIVENESS by:
-chest rise/fall
-cyanosis
-O2 sats
-waveform capnography
AVOID EXCESSIVE VENTILATION
, How many ventilations do you provide when patient is in cardiac arrest? With an
advanced airway? In respiratory arrest only? - Answer-2 ventilations every 30
compressions
if advanced airway: 1 every 6-8 seconds
if respiratory arrest: 1 every 5-6 seconds
What do you do with a non-responsive patient? - Answer-1. Shout for help/Activate the
Emergency Response System (get AED)
2. Check for Pulse
3. Start CPR
What do you do for a patient who is stable and has chest pain? - Answer-Monitor-
support ABC
Be prepared to give CPR & Defib
Admin Aspirin (O2-sats<94%, Nitro, Morphine if needed)
Get 12 lead ECG
Cases NOT to give Nitro - Answer-hypotension (SBP < 90)
bradycardia (< 50/min)
tachycardia
Nitro Administration - Answer-1 tablet (or spray dose) every 3-5 min
up to total of 3 doses
H's - Answer-Hypovolemia
Hypoxia
Hypothermia
Hyper/Hypokalemia
Hydrogen ions (acidosis)
ECG Clues for Hypovolemia - Answer-Narrow complex
Rapid rate
Clues from History/Physical for Hypovolemia & Effective Intervention - Answer-Flat neck
veins
History of condition
*internal bleeding & severe dehydration*
Intervention: volume infusion
ECG Clues for Hypoxia - Answer-slow rate
Clues from History/Physical for Hypoxia & Effective Intervention - Answer-Cyanosis
ABG
Airway Problems
Intervention: O2, ventilation, advanced airway
