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