ACLS pharmacology
A 35 year vintage female has palpitations, light headedness, and a solid tachycardia. The
reveal suggests a ordinary slender-complex QRS at a fee of 180/min. Vagal maneuvers
have not been effective in terminating the rhythm. An IV has been set up. What drug ought
to be administered IV? - ANS-Adenosine 6 mg
A fifty seven yr vintage lady has palpitations, chest discomfort, and tachycardia. The screen
shows a ordinary huge-complex QRS at a charge of a hundred and eighty bpm. She turns
into diaphoretic and her blood stress is eighty/60 mm Hg. What is the following motion? -
ANS-Perform on the spot electrical cardioversion
A 62 year vintage guy unexpectedly skilled problem speakme and left-sided weakness. He
was introduced into the emergency department. He meets initial standards for fibrinolytic
therapy, and a CT experiment of the brain is ordered. What are the hints for antiplatelet and
fibrinolytic therapy? - ANS-Do now not deliver ASA for at least 24 hours if rtPA is run
A monitored pt inside the ICU advanced a sudden onset of narrow-complicated tach at
220/min. Pt bp is 128/fifty eight mmHg, PETCO2 38 mmHg and pulse oximetry 98%.
Vascular get right of entry to within the left arm and the pt has not been given any vasoactive
drugs. 12 lead ECG confirms supraventricular tachy without a proof of ischemia or infarction.
Hr has no longer spoke back to vagal maneuvers. What is your next action? -
ANS-adenosine 6mg IV push
A affected person has a rapid abnormal huge-complex tachycardia. The ventricular fee is
138/min. He is asymptomatic, with a blood stress of one hundred ten/70 mm Hg. He has a
history of angina. What should you do? - ANS-Seek expert session
A affected person has sinus bradycardia with a coronary heart price of 36/min. Atropine has
been administered to a total dose of three mg. A transcutaneous pacemaker has didn't
capture. The patient is burdened, and her blood pressure is a hundred/60 mm HG. What is
now indicated? - ANS-Epinephrine 2 to ten mcg/min
A patient is in cardiac arrest. High excellent chest compressions are being given. The patient
is intubated and an IV has been began. The rhythm is asystole. Which is the primary
drug/dose to administer? - ANS-Epinephrine 1 mg or vasopressin forty gadgets IV or IO
A patient is in cardiac arrest. Ventricular traumatic inflammation has been refractory to a 2nd
surprise. Which drug and dose have to be administered first by way of the IV/IO direction? -
ANS-Epinephrine 1 mg
A affected person is in cardiac arrest. Ventricular fibrillation has been refractory to an
preliminary shock. What is the encouraged route for drug administration at some stage in
CPR? - ANS-IV or IO
A 35 year vintage female has palpitations, light headedness, and a solid tachycardia. The
reveal suggests a ordinary slender-complex QRS at a fee of 180/min. Vagal maneuvers
have not been effective in terminating the rhythm. An IV has been set up. What drug ought
to be administered IV? - ANS-Adenosine 6 mg
A fifty seven yr vintage lady has palpitations, chest discomfort, and tachycardia. The screen
shows a ordinary huge-complex QRS at a charge of a hundred and eighty bpm. She turns
into diaphoretic and her blood stress is eighty/60 mm Hg. What is the following motion? -
ANS-Perform on the spot electrical cardioversion
A 62 year vintage guy unexpectedly skilled problem speakme and left-sided weakness. He
was introduced into the emergency department. He meets initial standards for fibrinolytic
therapy, and a CT experiment of the brain is ordered. What are the hints for antiplatelet and
fibrinolytic therapy? - ANS-Do now not deliver ASA for at least 24 hours if rtPA is run
A monitored pt inside the ICU advanced a sudden onset of narrow-complicated tach at
220/min. Pt bp is 128/fifty eight mmHg, PETCO2 38 mmHg and pulse oximetry 98%.
Vascular get right of entry to within the left arm and the pt has not been given any vasoactive
drugs. 12 lead ECG confirms supraventricular tachy without a proof of ischemia or infarction.
Hr has no longer spoke back to vagal maneuvers. What is your next action? -
ANS-adenosine 6mg IV push
A affected person has a rapid abnormal huge-complex tachycardia. The ventricular fee is
138/min. He is asymptomatic, with a blood stress of one hundred ten/70 mm Hg. He has a
history of angina. What should you do? - ANS-Seek expert session
A affected person has sinus bradycardia with a coronary heart price of 36/min. Atropine has
been administered to a total dose of three mg. A transcutaneous pacemaker has didn't
capture. The patient is burdened, and her blood pressure is a hundred/60 mm HG. What is
now indicated? - ANS-Epinephrine 2 to ten mcg/min
A patient is in cardiac arrest. High excellent chest compressions are being given. The patient
is intubated and an IV has been began. The rhythm is asystole. Which is the primary
drug/dose to administer? - ANS-Epinephrine 1 mg or vasopressin forty gadgets IV or IO
A patient is in cardiac arrest. Ventricular traumatic inflammation has been refractory to a 2nd
surprise. Which drug and dose have to be administered first by way of the IV/IO direction? -
ANS-Epinephrine 1 mg
A affected person is in cardiac arrest. Ventricular fibrillation has been refractory to an
preliminary shock. What is the encouraged route for drug administration at some stage in
CPR? - ANS-IV or IO
