ACLS Study Cards QUESTIONS AND ANSWERS 100% ACCURATE.
Primary Survey - ABCD
A-airway
B-breathing
C-circulation
D-defibrilation
Secondary Survey - IAID
I-intabate (if resp. arrest or can't get good venitlaiton)
A-access airway
I-IV/IO access for Drugs
D-differential diagnosis (H's & T's)
What do you do with a non responsive patient? - 1st survey, then second survey
Med Administration - -IV access: large bore 18 g
-Site: AC
-always flush after med admin
What do you do if AED determines non-shockable rhythm? - continue chest compressions
What is PEA? - Pulseless electrical activity
(ECG shows activity but there is no pulse felt in patient)
ACLS Survey - ABCD
A-airway
B-breathing
C-circulation
D-defibrilation
ACLS Airway Survey - SUPPLEMENTAL OXYGEN when indicated:
-100% for cardiac arrest
-titrate others to achieve >94% O2 sats
MONITOR VENTILATION EFFECTIVENESS by:
-chest rise/fall
-cyanosis
-O2 sats
-waveform capnography
AVOID EXCESSIVE VENTILATION
How many ventilations do you provide when patient is in cardiac arrest? With an advanced
airway? In respiratory arrest only? - 2 ventilations every 30 compressions
if advanced airway: 1 every 6-8 seconds
if respiratory arrest: 1 every 5-6 seconds
, What do you do with a non-responsive patient? - 1. Shout for help/Activate the Emergency
Response System (get AED)
2. Check for Pulse
3. Start CPR
What do you do for a patient who is stable and has chest pain? - Monitor-support ABC
Be prepared to give CPR & Defib
Admin Aspirin (O2-sats<94%, Nitro, Morphine if needed)
Get 12 lead ECG
Cases NOT to give Nitro - hypotension (SBP < 90)
bradycardia (< 50/min)
tachycardia
Nitro Administration - 1 tablet (or spray dose) every 3-5 min
up to total of 3 doses
H's - Hypovolemia
Hypoxia
Hypothermia
Hyper/Hypokalemia
Hydrogen ions (acidosis)
ECG Clues for Hypovolemia - Narrow complex
Rapid rate
Clues from History/Physical for Hypovolemia & Effective Intervention - Flat neck veins
History of condition
*internal bleeding & severe dehydration*
Intervention: volume infusion
ECG Clues for Hypoxia - slow rate
Clues from History/Physical for Hypoxia & Effective Intervention - Cyanosis
ABG
Airway Problems
Intervention: O2, ventilation, advanced airway
ECG Clues for Hydrogen Ions (acidosis) - Smaller-amplitude QRS Complexes
History/Physical Clues for Hydrogen Ions & Effective Intervention - History of diabetes
Bicarb responsive pre-existing acidosis
Renal Failure
Intervention: ventilation; sodium bicarb
ECG Clues for HyperKalemia or Hypokalemia - Hyper:
Primary Survey - ABCD
A-airway
B-breathing
C-circulation
D-defibrilation
Secondary Survey - IAID
I-intabate (if resp. arrest or can't get good venitlaiton)
A-access airway
I-IV/IO access for Drugs
D-differential diagnosis (H's & T's)
What do you do with a non responsive patient? - 1st survey, then second survey
Med Administration - -IV access: large bore 18 g
-Site: AC
-always flush after med admin
What do you do if AED determines non-shockable rhythm? - continue chest compressions
What is PEA? - Pulseless electrical activity
(ECG shows activity but there is no pulse felt in patient)
ACLS Survey - ABCD
A-airway
B-breathing
C-circulation
D-defibrilation
ACLS Airway Survey - SUPPLEMENTAL OXYGEN when indicated:
-100% for cardiac arrest
-titrate others to achieve >94% O2 sats
MONITOR VENTILATION EFFECTIVENESS by:
-chest rise/fall
-cyanosis
-O2 sats
-waveform capnography
AVOID EXCESSIVE VENTILATION
How many ventilations do you provide when patient is in cardiac arrest? With an advanced
airway? In respiratory arrest only? - 2 ventilations every 30 compressions
if advanced airway: 1 every 6-8 seconds
if respiratory arrest: 1 every 5-6 seconds
, What do you do with a non-responsive patient? - 1. Shout for help/Activate the Emergency
Response System (get AED)
2. Check for Pulse
3. Start CPR
What do you do for a patient who is stable and has chest pain? - Monitor-support ABC
Be prepared to give CPR & Defib
Admin Aspirin (O2-sats<94%, Nitro, Morphine if needed)
Get 12 lead ECG
Cases NOT to give Nitro - hypotension (SBP < 90)
bradycardia (< 50/min)
tachycardia
Nitro Administration - 1 tablet (or spray dose) every 3-5 min
up to total of 3 doses
H's - Hypovolemia
Hypoxia
Hypothermia
Hyper/Hypokalemia
Hydrogen ions (acidosis)
ECG Clues for Hypovolemia - Narrow complex
Rapid rate
Clues from History/Physical for Hypovolemia & Effective Intervention - Flat neck veins
History of condition
*internal bleeding & severe dehydration*
Intervention: volume infusion
ECG Clues for Hypoxia - slow rate
Clues from History/Physical for Hypoxia & Effective Intervention - Cyanosis
ABG
Airway Problems
Intervention: O2, ventilation, advanced airway
ECG Clues for Hydrogen Ions (acidosis) - Smaller-amplitude QRS Complexes
History/Physical Clues for Hydrogen Ions & Effective Intervention - History of diabetes
Bicarb responsive pre-existing acidosis
Renal Failure
Intervention: ventilation; sodium bicarb
ECG Clues for HyperKalemia or Hypokalemia - Hyper:
