ACLS - Practical Application
A 35-12 months-vintage lady gives with a prime grievance of palpitations. She has no chest
soreness, shortness of breath, or mild-headedness. Her blood strain is a hundred and
twenty/78 mm Hg. Which intervention is indicated first?
A. Adenosine three mg IV bolus
B. Adenosine 12 mg IV slow push (over 1 to two minutes)
C. Metoprolol 5 mg IV and repeat if vital
D. Vagal maneuvers - ANS-D. Vagal maneuvers
A forty five-12 months-old woman with a records of palpitations develops mild-headedness
and palpitations. She has received adenosine 6 mg IV for the rhythm shown right here
(SVT), without conversion of the rhythm. She is n9ow extraordinarily anxious. Her blood
stress is 128/70 mm Hg. What is the next appropriate intervention?
A. Administer adenosine 12 mg IV
B. Perform unsynchronized cardioversion
C. Perform vagal maneuvers
D. Carry out synchronized cardioversion - ANS-A. Administer adenosine 12 mg IV
A affected person turns into unresponsive. You are uncertain if a faint pulse is gift. The
rhythm shown right here is visible at the cardiac monitor. An IV is in place. Which motion do
you're taking next?
A. Start transcutaneous pacing
B. Start fantastic CPR
C. Administer atropine 1 mg
D. Administer epinephrine 1 mg IV - ANS-B. Begin excellent CPR
A affected person has been resuscitated from cardiac arrest. During publish-ROSC remedy,
the patient becomes unresponsive, with the rhythm proven right here (polymorphic
ventricular tachycardia). Which motion is indicated next?
A. Give an instantaneous unsynchronized high-energy surprise
(defibrillation dose)
B. Give lidocaine 1 to one.5 mg/kg IV
C. Perform synchronized cardioversion
D. Repeat amiodarone three hundred mg IV - ANS-A. Deliver a direct unsynchronized
high-strength
surprise (defibrillation dose)
A 35-12 months-vintage lady gives with a prime grievance of palpitations. She has no chest
soreness, shortness of breath, or mild-headedness. Her blood strain is a hundred and
twenty/78 mm Hg. Which intervention is indicated first?
A. Adenosine three mg IV bolus
B. Adenosine 12 mg IV slow push (over 1 to two minutes)
C. Metoprolol 5 mg IV and repeat if vital
D. Vagal maneuvers - ANS-D. Vagal maneuvers
A forty five-12 months-old woman with a records of palpitations develops mild-headedness
and palpitations. She has received adenosine 6 mg IV for the rhythm shown right here
(SVT), without conversion of the rhythm. She is n9ow extraordinarily anxious. Her blood
stress is 128/70 mm Hg. What is the next appropriate intervention?
A. Administer adenosine 12 mg IV
B. Perform unsynchronized cardioversion
C. Perform vagal maneuvers
D. Carry out synchronized cardioversion - ANS-A. Administer adenosine 12 mg IV
A affected person turns into unresponsive. You are uncertain if a faint pulse is gift. The
rhythm shown right here is visible at the cardiac monitor. An IV is in place. Which motion do
you're taking next?
A. Start transcutaneous pacing
B. Start fantastic CPR
C. Administer atropine 1 mg
D. Administer epinephrine 1 mg IV - ANS-B. Begin excellent CPR
A affected person has been resuscitated from cardiac arrest. During publish-ROSC remedy,
the patient becomes unresponsive, with the rhythm proven right here (polymorphic
ventricular tachycardia). Which motion is indicated next?
A. Give an instantaneous unsynchronized high-energy surprise
(defibrillation dose)
B. Give lidocaine 1 to one.5 mg/kg IV
C. Perform synchronized cardioversion
D. Repeat amiodarone three hundred mg IV - ANS-A. Deliver a direct unsynchronized
high-strength
surprise (defibrillation dose)
