ACLS Rhythm Identification
1. : Atrial Flutter
2. : Pulseless Electrical Activity
3. : Sinus Bradycardia
4. A pt. with *regular* narrow-complex QRS at a rate >150bpm in which vagal
maneuvers are ineffective should be given 6mg adenosine IV
Synchronized cardioversion is indicated if the pt. is hypotensive, AMS, shock,
ischemic CP, or acute HF: Sinus Tachycardia
5. Sinus bradycardia can be treated with atropine at an initial dose of 0.5mg
*Not ALL cases of sinus brady needed to be treated with atropi ne! If pt. is
symptomatic (chest pain, SOB) it requires treatment.: Sinus Bradycardia
6. : Monomorphic Ventricular Tachycardia
7. : Second Degree Heart Block (Mobitz II)
8. VFib should be treated with defibrillation followed by 1mg epi if neces-
sary...and of course CPR: Fine Ventricular Fibrillation
9. Asystole is treated with high quality CPR and epi 1mg or vasopressin 40mg
IV/IO: Agonal Rhythm/Asystole
10. : Reentry Supraventricular Tachycardia
11. : Reentry Supraventricular Tachycardia
12. : Normal Sinus Rhythm
13. : Second Degree Heart Block (Mobitz I)
14. : Polymorphic Ventricular Tachycardia
15. : Second Degree Heart Block (Mobitz II)
16. : Reentry Supraventricular Tachycardia
17. : Third Degree AV Block
18. : Coarse Ventricular Fibrillation
19. : Atrial Fibrillation
20. : Coarse Ventricular Fibrillation
21. Which of the following statements about the use of magnesium in cardiac
arrest is most accurate?: Magnesium is indicated for VF/pulseless VT associated
with torsades de pointes.
22. A patient with ST-segment elevation MI has ongoing chest discomfort.
Fibrinolytic therapy has been ordered. Heparin 4000 units IV bolus was admin-
istered, and a heparin infusion of 1000 units per hour is being administered.
Aspirin was not taken by the patient because he had a history of gastritis
treated 5 years ago. Your next action is to:: Give aspirin 160 to 325 mg chewed
immediately.
23. A patient has sinus bradycardia with a heart rate of 36/min. Atropine has
been administered to a total of 3 mg. A transcutaneous pacemaker has failed
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1. : Atrial Flutter
2. : Pulseless Electrical Activity
3. : Sinus Bradycardia
4. A pt. with *regular* narrow-complex QRS at a rate >150bpm in which vagal
maneuvers are ineffective should be given 6mg adenosine IV
Synchronized cardioversion is indicated if the pt. is hypotensive, AMS, shock,
ischemic CP, or acute HF: Sinus Tachycardia
5. Sinus bradycardia can be treated with atropine at an initial dose of 0.5mg
*Not ALL cases of sinus brady needed to be treated with atropi ne! If pt. is
symptomatic (chest pain, SOB) it requires treatment.: Sinus Bradycardia
6. : Monomorphic Ventricular Tachycardia
7. : Second Degree Heart Block (Mobitz II)
8. VFib should be treated with defibrillation followed by 1mg epi if neces-
sary...and of course CPR: Fine Ventricular Fibrillation
9. Asystole is treated with high quality CPR and epi 1mg or vasopressin 40mg
IV/IO: Agonal Rhythm/Asystole
10. : Reentry Supraventricular Tachycardia
11. : Reentry Supraventricular Tachycardia
12. : Normal Sinus Rhythm
13. : Second Degree Heart Block (Mobitz I)
14. : Polymorphic Ventricular Tachycardia
15. : Second Degree Heart Block (Mobitz II)
16. : Reentry Supraventricular Tachycardia
17. : Third Degree AV Block
18. : Coarse Ventricular Fibrillation
19. : Atrial Fibrillation
20. : Coarse Ventricular Fibrillation
21. Which of the following statements about the use of magnesium in cardiac
arrest is most accurate?: Magnesium is indicated for VF/pulseless VT associated
with torsades de pointes.
22. A patient with ST-segment elevation MI has ongoing chest discomfort.
Fibrinolytic therapy has been ordered. Heparin 4000 units IV bolus was admin-
istered, and a heparin infusion of 1000 units per hour is being administered.
Aspirin was not taken by the patient because he had a history of gastritis
treated 5 years ago. Your next action is to:: Give aspirin 160 to 325 mg chewed
immediately.
23. A patient has sinus bradycardia with a heart rate of 36/min. Atropine has
been administered to a total of 3 mg. A transcutaneous pacemaker has failed
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