ACLS DRUGS DOSAGES & USES QUESTIONS
AND ANSWERS 2025
For,poor,perfusion,with,Bradycardia,Treat,with,which,first,line,treatment?,-
,ANSWER,Atropine,1mg,IV
(repeat,to,a,total,of,3mg,IV)
For,poor,perfusion,with,Bradycardia,Treat,,if,the,first,line,of,treatment,is,ineffective,,what,should
,be,provided,and,what,med,should,be,given?,-,ANSWER,Transcutaneous,pacing,
Dopamine,5-20mcg/kg/minute,infusion
OR
Epinephrine,2-10mcg/min,infusion
What,is,the,first,line,drug,for,acute,stable,bradycardia,and,how,do,you,administer,it?,-
,ANSWER,Atropine,given,as,1mg,IV,q,3-5minutes,(up,to,3mg,IV)
Hoe,does,Atropine,work?,-,ANSWER,Reverses,the,cholinergic-
mediated,decreases,in,the,heart,rate,and,AV,node,conduction
Which,two,AV,block,types,will,not,respond,to,Atropine?,-,ANSWER,Mobitz,type,II,second-
degree,AV,block,and,third-degree,AV,block
What,is,the,preferred,treatment,for,Mobitz,type,II,second-degree,AV,block,and,third-
degree,AV,block?,-,ANSWER,TCP,or,B-
adrenergic,(dopamine,,epinephrine),support,until,transcutaneous,pacing,can,be,achieved
If,only,0.5mg,of,IV,Atropine,is,given,what,consequence,could,it,have?,-
,ANSWER,It,can,further,lower,the,HR
, What,can,be,used,if,bradycardia,is,unresponsive,to,Atropine?,-,ANSWER,B-
adrenergic,infusions,(dopamine,or,epinephrine)
What,must,you,consider,before,giving,B-adrenergic,infusions,in,bradycardia?,-
,ANSWER,The,pt's,BP/intravascular,volume,status,for,hypovolemia
What,can,be,given,for,bradycardia,when,vasoconstriction,is,not,desired?,-
,ANSWER,Dobutamine,(b-adrenergic,agonist)
Epinephrine,should,be,given,at,what,dose/rate,for,Bradycardia?,-,ANSWER,2-10mcg/min
Dopamine,should,be,given,at,what,dose/rate,for,Bradycardia?,-,ANSWER,5-20mcg/kg/min
How,does,Transcutaneous,Pacing,(TCP),work,and,when,should,it,be,used?,-
,ANSWER,It,delivers,pacing,impulses,to,the,heart,through,skin,via,cutaneous,electrodes.,
for,unstable,bradycardia,(hypotension,,AMS,,shock,,ischemic,chest,pain)
For,light,sedation,within,the,RN,scope,of,practice,give,which,3,things,should,be,given,before,TCP,
if,the,pt's,condition,allows,for,it?,-,ANSWER,-Parenteral,narcotic
-Parenteral,benzodiazepine
-Chronotropic,infusion
How,much,of,a,safety,margin,(energy,above,the,dose,at,which,consistent,capture,is,observed),sh
ould,you,allow,when,using,the,transcutaneous,pacemaker?,-,ANSWER,2,mA
The,HR,that,takes,on,clinical,significance,and,is,more,likely,to,contribute,to,arrhythmia,in,tachyca
rdia,is,what,rate?,-,ANSWER,150/min,or,greater
AND ANSWERS 2025
For,poor,perfusion,with,Bradycardia,Treat,with,which,first,line,treatment?,-
,ANSWER,Atropine,1mg,IV
(repeat,to,a,total,of,3mg,IV)
For,poor,perfusion,with,Bradycardia,Treat,,if,the,first,line,of,treatment,is,ineffective,,what,should
,be,provided,and,what,med,should,be,given?,-,ANSWER,Transcutaneous,pacing,
Dopamine,5-20mcg/kg/minute,infusion
OR
Epinephrine,2-10mcg/min,infusion
What,is,the,first,line,drug,for,acute,stable,bradycardia,and,how,do,you,administer,it?,-
,ANSWER,Atropine,given,as,1mg,IV,q,3-5minutes,(up,to,3mg,IV)
Hoe,does,Atropine,work?,-,ANSWER,Reverses,the,cholinergic-
mediated,decreases,in,the,heart,rate,and,AV,node,conduction
Which,two,AV,block,types,will,not,respond,to,Atropine?,-,ANSWER,Mobitz,type,II,second-
degree,AV,block,and,third-degree,AV,block
What,is,the,preferred,treatment,for,Mobitz,type,II,second-degree,AV,block,and,third-
degree,AV,block?,-,ANSWER,TCP,or,B-
adrenergic,(dopamine,,epinephrine),support,until,transcutaneous,pacing,can,be,achieved
If,only,0.5mg,of,IV,Atropine,is,given,what,consequence,could,it,have?,-
,ANSWER,It,can,further,lower,the,HR
, What,can,be,used,if,bradycardia,is,unresponsive,to,Atropine?,-,ANSWER,B-
adrenergic,infusions,(dopamine,or,epinephrine)
What,must,you,consider,before,giving,B-adrenergic,infusions,in,bradycardia?,-
,ANSWER,The,pt's,BP/intravascular,volume,status,for,hypovolemia
What,can,be,given,for,bradycardia,when,vasoconstriction,is,not,desired?,-
,ANSWER,Dobutamine,(b-adrenergic,agonist)
Epinephrine,should,be,given,at,what,dose/rate,for,Bradycardia?,-,ANSWER,2-10mcg/min
Dopamine,should,be,given,at,what,dose/rate,for,Bradycardia?,-,ANSWER,5-20mcg/kg/min
How,does,Transcutaneous,Pacing,(TCP),work,and,when,should,it,be,used?,-
,ANSWER,It,delivers,pacing,impulses,to,the,heart,through,skin,via,cutaneous,electrodes.,
for,unstable,bradycardia,(hypotension,,AMS,,shock,,ischemic,chest,pain)
For,light,sedation,within,the,RN,scope,of,practice,give,which,3,things,should,be,given,before,TCP,
if,the,pt's,condition,allows,for,it?,-,ANSWER,-Parenteral,narcotic
-Parenteral,benzodiazepine
-Chronotropic,infusion
How,much,of,a,safety,margin,(energy,above,the,dose,at,which,consistent,capture,is,observed),sh
ould,you,allow,when,using,the,transcutaneous,pacemaker?,-,ANSWER,2,mA
The,HR,that,takes,on,clinical,significance,and,is,more,likely,to,contribute,to,arrhythmia,in,tachyca
rdia,is,what,rate?,-,ANSWER,150/min,or,greater
