ACLS Heartcode Questions & Answers 2024
in cardiac arrest when do you first introduce medical intervention? which drug? - correct answer after 2
rounds of CPR/shock
after 2nd shock give 1 mg epinephrine every 3-5 minutes
when do you introduce amiodarone during cardiac arrest? - correct answer after the 3rd shock give 300
mg bolus of amiodarone
if second dose is needed give 150mg as second dose
what rhythms are shockable in cardiac arrest - correct answer VF
VT
what rhythms are not shockable in cardiac arrest - correct answer asystole
PEA
if you are in an unshockable rhythm arrest when do you give epi - correct answer 1mg epi every 3-5
minutes after 1st round of CPR
what do you do after return of spontaneous circulation - correct answer maintain O2 sat at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
what are the 5 h's and 5 t's - correct answer hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
, ACLS Heartcode Questions & Answers 2024
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic bradycardia - correct answer monitor and observe
what constitutes symptomatic bradycardia - correct answer hypotension
altered mental status
signs of shock
chest pain
acute heart failure
how do you treat symptomatic bradycardia - correct answer 1. give 0.5mg atropine every 3-5 mins to
max of 3mg
if that doesn't work try one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
what is considered a tachycardia requiring treatment - correct answer over 150 per minute
when do you consider cardioversion - correct answer if persistent tachycardia is causing:
hypotension
altered mental status
signs of shock