ACLS Heartcode Exam (2025) QUESTIONS AND
(elaborated) WITH COMPLETE SOLUTIONS
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Terms in this set (194)
in cardiac arrest when do after 2 rounds of CPR/shock
you first introduce medical after 2nd shock give 1 mg epinephrine every 3-5
intervention? which drug? minutes
when do you introduce after the 3rd shock give 300 mg bolus of amiodarone
amiodarone during if second dose is needed give 150mg as second dose
cardiac arrest?
what rhythms are VF
shockable in cardiac VT
arrest
what rhythms are not asystole
shockable in cardiac PEA
arrest
if you are in an 1mg epi every 3-5 minutes after 1st round of CPR
unshockable rhythm arrest
when do you give epi
maintain O2 sat at 94%
treat hypotension (fluids vasopressor)
what do you do after
12 lead EKG
return of spontaneous
if in coma consider hypothermia
circulation
if not in coma and ekg shows STEMI or AMI consider
re-perfusion
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,23/06/2025, 14:27 ACLS Heartcode Exam (2025) QUESTIONS AND (elaborated) WITH COMPLETE SOLUTIONS Flashcards | Quizlet
hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
what are the 5 h's and 5 t's
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non- monitor and observe
symptomatic bradycardia
hypotension
altered mental status
what constitutes
signs of shock
symptomatic bradycardia
chest pain
acute heart failure
1. give 0.5mg atropine every 3-5 mins to max of 3mg
how do you treat if that doesn't work try one of the following:
symptomatic bradycardia transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
what is considered a over 150 per minute
tachycardia requiring
treatment
if persistent tachycardia is causing:
hypotension
when do you consider altered mental status
cardioversion signs of shock
chest pain
acute heart failure
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, 23/06/2025, 14:27 ACLS Heartcode Exam (2025) QUESTIONS AND (elaborated) WITH COMPLETE SOLUTIONS Flashcards | Quizlet
if persistent tachycardia wide QRS?
does not present with greater than 0.12 seconds
symptoms what do you
need to consider
IV access and 12 lead if available
6mg adenosine followed by NS flush only IF regular
If persistent tachycardia
and monomorphic
without symptoms DOES
have a wide QRS what to
consider anti-arrhythmic infusion:
do you do?
- 20-50mg/min procainamide (max 17mg/kg)
- 150mg amiodarone over 10 minutes
- 100mg sotalol over 5 minutes
only amiodarone
which anti-arrhythmic
150mg over 10 minutes, repeat if VT occurs
drugs can be used if
follow by maintenance infusion 1mg/min for first 6
prolonged QT
hours
IV access and 12 lead EKG if available
if persistent tachycardia vagal maneuvers
without symptoms and
without wide QRS what do 6mg adenosine followed by NS flush only IF regular
you do
Beta blocker or calcium channel blocker
chew 325mg aspirin
O2
patient comes in with nitro
symptoms of ACS what do morphine
you do first
get 12 lead EKG
IV access
IF ACS patient has EKG re-perfusion
showing ST elevation and door to balloon 90 minutes
symptoms are less than 12 door to needle 30 minutes
hours then what
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