ACLS 2025 Final Exam Questions and Answers

ACLS Tachycardia with a Pulse Algorithm Assess clinical condition Look for signs of increased work of breathing Look for signs of hypoxemia ACLS Bradycardia with a Pulse Algorithm Assess appropriateness for clinical condition Indentify and treat underlying cause. If no symptoms, monitor and observe. If symptoms, give Atropine Transcutaneous pacing, Dopamine, or Epinephrine Consider expert consultation, transvenous pacing Bradyarrhythmia is typically a rate of less than 50 beats per minute Symptoms that require treatment Hypotension Acute altered mental status Signs of shock Ischemic chest discomfort Acute heart failure Identify and treat underlying cause Maintain patent airway; assist breathing as necessary If the patient is short of breath, administer oxygen Oxygen as indicated Cardiac monitor to ID rhythm; monitor BP and O2 sat IV access 12-lead EKG if available; don't delay therapy If persistent bradyarrhythmia is asymptomatic, what do you do? Monitor and observe If persistent bradyarrythmia causing symptoms, what do you do? Atropine 1 mg IV dose every 3-5 minutes, max 3 doses What 3 options are there if Atropine is ineffective? Transcutaneous pacing OR Dopamine IV infusion at 5-20 mcg/kg/minute OR Epinephrine IV infusion at 2-10 mcg per minute Longer, longer, longer, drop, then you have a Wenkebach(2nd degree AV block 1)