ACLS Heartcode
Questions & Answers
Updated Latest (Verified Answers)
1. in cardiac arrest when do you first introduce medical intervention? which drug?
ANSWER after 2 rounds of CPR/shock
after 2nd shock give 1 mg epinephrine every 3-5 minutes
2. when do you introduce amiodarone during cardiac arrest?
ANSWER after the 3rd shock give 300 mg bolus of amiodarone
if second dose is needed give 150mg as second dose
3. what rhythms are shockable in cardiac arrest
ANSWER VF VT
4. what rhythms are not shockable in cardiac arrest
ANSWER asystole PEA
5. if you are in an unshockable rhythm arrest when do you give epi
ANSWER 1mg epi every 3-5 minutes after 1st round of CPR
6. what do you do after return of spontaneous circulation
,ANSWER maintain O2 sat at 94%
treat hypotension (fluids vasopressor) 12
lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
7. what are the 5 h's and 5 t's
ANSWER hypovolemia hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac toxins
thrombosis, pulmonary
thrombosis, coronary
8. how do you treat non-symptomatic bradycardia
ANSWER monitor and observe
9. what constitutes symptomatic bradycardia
ANSWER hypotension altered mental status
,signs of shock chest
pain
acute heart failure
10. how do you treat symptomatic bradycardia
ANSWER 1. give 0.5mg atropine every 3-5 mins to max of 3mg
if that doesn't work try one of the following
ANSWER
, transcutaneous pacing
2-10mcg/kg / minute dopamine infusion 2-
10mcg/minute epinephrine infusion
11. what is considered a tachycardia requiring treatment
ANSWER over 150 per minute
12. when do you consider cardioversion
ANSWER if persistent tachycardia is causing
ANSWER hypotension
altered mental status signs
of shock
chest pain
acute heart failure
13. if persistent tachycardia does not present with symptoms what do you need to
consider
ANSWER wide QRS?
greater than 0.12 seconds
14. If persistent tachycardia without symptoms DOES have a wide QRS what to do you
do?
Questions & Answers
Updated Latest (Verified Answers)
1. in cardiac arrest when do you first introduce medical intervention? which drug?
ANSWER after 2 rounds of CPR/shock
after 2nd shock give 1 mg epinephrine every 3-5 minutes
2. when do you introduce amiodarone during cardiac arrest?
ANSWER after the 3rd shock give 300 mg bolus of amiodarone
if second dose is needed give 150mg as second dose
3. what rhythms are shockable in cardiac arrest
ANSWER VF VT
4. what rhythms are not shockable in cardiac arrest
ANSWER asystole PEA
5. if you are in an unshockable rhythm arrest when do you give epi
ANSWER 1mg epi every 3-5 minutes after 1st round of CPR
6. what do you do after return of spontaneous circulation
,ANSWER maintain O2 sat at 94%
treat hypotension (fluids vasopressor) 12
lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
7. what are the 5 h's and 5 t's
ANSWER hypovolemia hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac toxins
thrombosis, pulmonary
thrombosis, coronary
8. how do you treat non-symptomatic bradycardia
ANSWER monitor and observe
9. what constitutes symptomatic bradycardia
ANSWER hypotension altered mental status
,signs of shock chest
pain
acute heart failure
10. how do you treat symptomatic bradycardia
ANSWER 1. give 0.5mg atropine every 3-5 mins to max of 3mg
if that doesn't work try one of the following
ANSWER
, transcutaneous pacing
2-10mcg/kg / minute dopamine infusion 2-
10mcg/minute epinephrine infusion
11. what is considered a tachycardia requiring treatment
ANSWER over 150 per minute
12. when do you consider cardioversion
ANSWER if persistent tachycardia is causing
ANSWER hypotension
altered mental status signs
of shock
chest pain
acute heart failure
13. if persistent tachycardia does not present with symptoms what do you need to
consider
ANSWER wide QRS?
greater than 0.12 seconds
14. If persistent tachycardia without symptoms DOES have a wide QRS what to do you
do?
