American Red Cross - Advanced Life Support Final Exam| Compile Q&A| A level

American Red Cross - Advanced Life Support Final Exam| Compile Q&A| A level A patient is found unresponsive with a pulse. The cardiac monitor shows a wide complex tachycardia. What is the first step in the management of this patient? Synchronized cardioversion. A patient presents with ventricular tachycardia and has stable vital signs. What is the preferred initial treatment? Administer antiarrhythmic medication, such as amiodarone. What is the most critical indicator that a patient with ventricular tachycardia requires immediate intervention? The presence of symptoms such as chest pain, hypotension, or altered mental status. In a patient with sustained ventricular tachycardia and a pulse, what is the appropriate action if the patient becomes unstable? Perform synchronized cardioversion. What is a common cause of ventricular tachycardia in patients with structural heart disease? Myocardial ischemia or previous myocardial infarction. 2 A patient with a history of atrial fibrillation presents with a rapid heart rate and palpitations. What is the initial treatment option for rate control? Administer beta-blockers or calcium channel blockers. What is the primary concern when treating a patient with atrial fibrillation? The risk of thromboembolic events, particularly stroke. What is the recommended duration of anticoagulation therapy for a patient with new-onset atrial fibrillation and no history of stroke? At least 3-4 weeks prior to any elective cardioversion. What is a potential complication of atrial fibrillation that healthcare providers must monitor for? The development of atrial thrombus leading to stroke. In a patient in cardiac arrest, what does the presence of PEA indicate about the heart's electrical activity? The heart has organized electrical activity but is not effectively pumping blood. What is the most important first step in managing a patient with PEA? Initiate high-quality CPR immediately. During PEA, which of the following is a reversible cause that should be addressed? 3 Hypovolemia. What is the recommended drug therapy for a patient in PEA? Administer epinephrine every 3-5 minutes during resuscitation. In a patient with both atrial fibrillation and a history of ventricular tachycardia, what is the most important management priority? Control the ventricular rate and monitor for signs of hemodynamic instability. A patient with a history of atrial fibrillation suddenly develops cardiac arrest and shows PEA on the monitor. What should be your immediate action? Begin CPR and ensure advanced airway management as soon as possible. What is the appropriate response if a patient in ventricular tachycardia suddenly progresses to PEA? Immediately initiate CPR and call for advanced cardiac life support