ACLS Exam Practice Question & Co

ACLS Exam Practice Question & Correct Answer (100% Verified) Primary Survey - CORRECT ANSWER-ABCD A-airway B-breathing C-circulation D-defibrilation Secondary Survey - CORRECT 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? - CORRECT ANSWER-1st survey, then second survey Med Administration - CORRECT ANSWER--IV access: large bore 18 g -Site: AC -always flush after med admin What do you do if AED determines non-shockable rhythm? - CORRECT ANSWER-continue chest compressions What is PEA? - CORRECT ANSWER-Pulseless electrical activity (ECG shows activity but there is no pulse felt in patient) ACLS Survey - CORRECT ANSWER-ABCD A-airway B-breathing C-circulation D-defibrilation ACLS Airway Survey - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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 - CORRECT ANSWER-hypotension (SBP < 90) bradycardia (< 50/min) tachycardia Nitro Administration - CORRECT ANSWER-1 tablet (or spray dose) every 3-5 min up to total of 3 doses H's - CORRECT ANSWER-Hypovolemia Hypoxia Hypothermia Hyper/Hypokalemia Hydrogen ions (acidosis) ECG Clues for Hypovolemia - CORRECT ANSWER-Narrow complex Rapid rate Clues from History/Physical for Hypovolemia & Effective Intervention - CORRECT ANSWER-Flat neck veins History of condition *internal bleeding & severe dehydration* Intervention: volume infusion ECG Clues for Hypoxia - CORRECT ANSWER-slow rate Clues from History/Physical for Hypoxia & Effective Intervention - CORRECT ANSWER-Cyanosis ABG Airway Problems Intervention: O2, ventilation, advanced airway ECG Clues for Hydrogen Ions (acidosis) - CORRECT ANSWER-Smaller-amplitude QRS Complexes History/Physical Clues for Hydrogen Ions & Effective Intervention - CORRECT ANSWER-History of diabetes Bicarb responsive pre-existing acidosis Renal Failure Intervention: ventilation; sodium bicar