AHA ACLS Exam Review Questions and Answers
What is your priority in care for a pulseless patient?
High quality CPR
Early and rapid defibrillation
What is the compression to ventilation ratio for the pulseless patient without advanced
airway?
30 compressions to 2 breaths
How often do we switch CPR compressors?
Every 2 minutes (or 5 cycles)
This helps improve the quality of the compression and eliminates rescuer exhaustion.
How soon should compressions be started in the pulseless patient? How long is the pulse
check?
w/in 10 sec of recognition of cardiac arrest
No longer then 10 sec but atleast 5 sec
What is the maximum off chest time for the pulseless patient?
A common error in CPR is....
maximum 10 seconds
Not doing chest compressions is a common CPR error
How do you know how much air to ventilate your patient?
Watch for chest rise
, Enough to make chest rise, 500-600 ml
Obvious gentle chest rise (half a bag)
Short-term: decreased cardiac output
Long-term: decreased cerebral perfusion
what is the primary focus of the CPR Coach?
what role can be combined with the CPR Coach?
Quality CPR
Defibrillation
What is CCF?
What is the CCF goal?
What action affects CCF the most?
What action on the monitor/defibrillator can increase CCF?
Chest compression fraction
Total time pt does not have a pulse divided by how long we do chest compressions
Goal: 80% or better
How do we maximize CCF: start defibrillation charge 15 sec prior to rhythm check
how often can you defibrillate a pt?
what rhythms can be defibrillated?
Every 2 min (if appropriate)
V-fib, pulseless V-tach
What is your priority in care for a pulseless patient?
High quality CPR
Early and rapid defibrillation
What is the compression to ventilation ratio for the pulseless patient without advanced
airway?
30 compressions to 2 breaths
How often do we switch CPR compressors?
Every 2 minutes (or 5 cycles)
This helps improve the quality of the compression and eliminates rescuer exhaustion.
How soon should compressions be started in the pulseless patient? How long is the pulse
check?
w/in 10 sec of recognition of cardiac arrest
No longer then 10 sec but atleast 5 sec
What is the maximum off chest time for the pulseless patient?
A common error in CPR is....
maximum 10 seconds
Not doing chest compressions is a common CPR error
How do you know how much air to ventilate your patient?
Watch for chest rise
, Enough to make chest rise, 500-600 ml
Obvious gentle chest rise (half a bag)
Short-term: decreased cardiac output
Long-term: decreased cerebral perfusion
what is the primary focus of the CPR Coach?
what role can be combined with the CPR Coach?
Quality CPR
Defibrillation
What is CCF?
What is the CCF goal?
What action affects CCF the most?
What action on the monitor/defibrillator can increase CCF?
Chest compression fraction
Total time pt does not have a pulse divided by how long we do chest compressions
Goal: 80% or better
How do we maximize CCF: start defibrillation charge 15 sec prior to rhythm check
how often can you defibrillate a pt?
what rhythms can be defibrillated?
Every 2 min (if appropriate)
V-fib, pulseless V-tach
