AHA ACLS Study Test with Detailed Solutions
When is a pulse check rhythm check done?
Regardless of a shock, when the compressor is switched out (next 2 minute mark)
Reversible causes in cardiac arrest (H's)
Hypovolemia
Hypoxia
Hydrogen Ion (acidosis)
Hypo/Hyperkalemia
Hypothermia
Reversible causes in cardiac arrest (T's)
Tension pneumothorax
Tamponade, cardiac
Toxins
Thrombosis, pulmonary
Thrombosis, coronary
Ventilatory rate w/o advanced airway
30:2
Ventilatory rate w/ advanced airway
1 breath every 5/6 seconds
Initial Dose for narrow regular tach, synchronized cardioversion
, 50-100J
Initial dose for narrow irregular tach, synchronized cardioversion
120-200J
Initial dose for wide regular tach, cardioversion
100J
Initial dose for wide irregular tach,
defibrillation
When would you choose cardioversion over chemical therapy?
If the patient is unstable
With wide complex tach when would you consider adenosine?
Only if regular and monomorphic
Unstable presentation (5 items)
Hypotension, Systolic less than 90
Acute AMS
S/S of shock
Ischemic Chest discomfort
Acute Heart Failure
Anti arrhythmic infusions for stable wide tach
Procainamide 20-50mg/min, max 17mg/kg
Amioderone 150 mg/10min. Repeat as needed
Sotalol 100mg(1.5mg/kg) over 5min, contra: prolonged QT
What is the keyword for adenosine in tachycardia?
When is a pulse check rhythm check done?
Regardless of a shock, when the compressor is switched out (next 2 minute mark)
Reversible causes in cardiac arrest (H's)
Hypovolemia
Hypoxia
Hydrogen Ion (acidosis)
Hypo/Hyperkalemia
Hypothermia
Reversible causes in cardiac arrest (T's)
Tension pneumothorax
Tamponade, cardiac
Toxins
Thrombosis, pulmonary
Thrombosis, coronary
Ventilatory rate w/o advanced airway
30:2
Ventilatory rate w/ advanced airway
1 breath every 5/6 seconds
Initial Dose for narrow regular tach, synchronized cardioversion
, 50-100J
Initial dose for narrow irregular tach, synchronized cardioversion
120-200J
Initial dose for wide regular tach, cardioversion
100J
Initial dose for wide irregular tach,
defibrillation
When would you choose cardioversion over chemical therapy?
If the patient is unstable
With wide complex tach when would you consider adenosine?
Only if regular and monomorphic
Unstable presentation (5 items)
Hypotension, Systolic less than 90
Acute AMS
S/S of shock
Ischemic Chest discomfort
Acute Heart Failure
Anti arrhythmic infusions for stable wide tach
Procainamide 20-50mg/min, max 17mg/kg
Amioderone 150 mg/10min. Repeat as needed
Sotalol 100mg(1.5mg/kg) over 5min, contra: prolonged QT
What is the keyword for adenosine in tachycardia?