ACLS HEARTCODE WITH VERIFIED ANSWERS
1. in cardiac arrest when do you first in- after 2 rounds of CPR/shock
troduce medical intervention? which after 2nd shock give 1 mg epineph-
drug? rine every 3-5 minutes
2. when do you introduce amiodarone after the 3rd shock give 300 mg
during cardiac arrest? bolus of amiodarone
if second dose is needed give
150mg as second dose
3. what rhythms are shockable in cardiac VF
arrest VT
4. what rhythms are not shockable in asystole
cardiac arrest PEA
5. if you are in an unshockable rhythm 1mg epi every 3-5 minutes after 1st
arrest when do you give epi round of CPR
6. what do you do after return of sponta- maintain O2 sat at 94%
neous circulation treat hypotension (fluids vasopres-
sor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STE-
MI or AMI consider re-perfusion
7. what are the 5 h's and 5 t's hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
8. how do you treat non-symptomatic monitor and observe
bradycardia
, ACLS HEARTCODE WITH VERIFIED ANSWERS
9. what constitutes symptomatic brady- hypotension
cardia altered mental status
signs of shock
chest pain
acute heart failure
10. how do you treat symptomatic brady- 1. give 0.5mg atropine every 3-5
cardia mins to max of 3mg
if that doesn't work try one of the
following:
transcutaneous pacing
2-10mcg/kg / minute dopamine in-
fusion
2-10mcg/minute epinephrine infu-
sion
11. what is considered a tachycardia re- over 150 per minute
quiring treatment
12. when do you consider cardioversion if persistent tachycardia is causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
13. if persistent tachycardia does not pre- wide QRS?
sent with symptoms what do you need greater than 0.12 seconds
to consider
14. If persistent tachycardia without IV access and 12 lead if available
symptoms DOES have a wide QRS
what to do you do? 6mg adenosine followed by NS
flush only IF regular and monomor-
phic
consider anti-arrhythmic infusion:
- 20-50mg/min procainamide (max
, 17mg/kg)
- 150mg amiodarone over 10 min-
utes
- 100mg sotalol over 5 minutes
15. which anti-arrhythmic drugs can be only amiodarone
used if prolonged QT 150mg over 10 minutes, repeat if
VT occurs
follow by maintenance infusion
1mg/min for first 6 hours
16. if persistent tachycardia without IV access and 12 lead EKG if avail-
symptoms and without wide QRS able
what do you do vagal maneuvers
6mg adenosine followed by NS
flush only IF regular
Beta blocker or calcium channel
blocker
17. patient comes in with symptoms of chew 325mg aspirin
ACS what do you do first O2
nitro
morphine
get 12 lead EKG
IV access
18. IF ACS patient has EKG showing ST re-perfusion
elevation and symptoms are less than door to balloon 90 minutes
12 hours then what door to needle 30 minutes
19. If ACS patient has EKG showing non early invasive strategy?
ST elevation MI or high risk unstable adjunctive treatment?
angina then what -nitroglycerin
-heparin
-beta blockers
-clopidogrel
-glycoprotein IIb / IIIa inhibitor
1. in cardiac arrest when do you first in- after 2 rounds of CPR/shock
troduce medical intervention? which after 2nd shock give 1 mg epineph-
drug? rine every 3-5 minutes
2. when do you introduce amiodarone after the 3rd shock give 300 mg
during cardiac arrest? bolus of amiodarone
if second dose is needed give
150mg as second dose
3. what rhythms are shockable in cardiac VF
arrest VT
4. what rhythms are not shockable in asystole
cardiac arrest PEA
5. if you are in an unshockable rhythm 1mg epi every 3-5 minutes after 1st
arrest when do you give epi round of CPR
6. what do you do after return of sponta- maintain O2 sat at 94%
neous circulation treat hypotension (fluids vasopres-
sor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STE-
MI or AMI consider re-perfusion
7. what are the 5 h's and 5 t's hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
8. how do you treat non-symptomatic monitor and observe
bradycardia
, ACLS HEARTCODE WITH VERIFIED ANSWERS
9. what constitutes symptomatic brady- hypotension
cardia altered mental status
signs of shock
chest pain
acute heart failure
10. how do you treat symptomatic brady- 1. give 0.5mg atropine every 3-5
cardia mins to max of 3mg
if that doesn't work try one of the
following:
transcutaneous pacing
2-10mcg/kg / minute dopamine in-
fusion
2-10mcg/minute epinephrine infu-
sion
11. what is considered a tachycardia re- over 150 per minute
quiring treatment
12. when do you consider cardioversion if persistent tachycardia is causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
13. if persistent tachycardia does not pre- wide QRS?
sent with symptoms what do you need greater than 0.12 seconds
to consider
14. If persistent tachycardia without IV access and 12 lead if available
symptoms DOES have a wide QRS
what to do you do? 6mg adenosine followed by NS
flush only IF regular and monomor-
phic
consider anti-arrhythmic infusion:
- 20-50mg/min procainamide (max
, 17mg/kg)
- 150mg amiodarone over 10 min-
utes
- 100mg sotalol over 5 minutes
15. which anti-arrhythmic drugs can be only amiodarone
used if prolonged QT 150mg over 10 minutes, repeat if
VT occurs
follow by maintenance infusion
1mg/min for first 6 hours
16. if persistent tachycardia without IV access and 12 lead EKG if avail-
symptoms and without wide QRS able
what do you do vagal maneuvers
6mg adenosine followed by NS
flush only IF regular
Beta blocker or calcium channel
blocker
17. patient comes in with symptoms of chew 325mg aspirin
ACS what do you do first O2
nitro
morphine
get 12 lead EKG
IV access
18. IF ACS patient has EKG showing ST re-perfusion
elevation and symptoms are less than door to balloon 90 minutes
12 hours then what door to needle 30 minutes
19. If ACS patient has EKG showing non early invasive strategy?
ST elevation MI or high risk unstable adjunctive treatment?
angina then what -nitroglycerin
-heparin
-beta blockers
-clopidogrel
-glycoprotein IIb / IIIa inhibitor
