Advanced Life Support Exam Questions With Accurate
Answers.
What is the order of events in ALS - accurate answers-CPR
Attach defibrillator
Assess rhythm
Shock or don't shock
CPR 2minutes
Give meds as per protocol
Post resuscitation care
How do you assess rhythm with defib - accurate answers-Attach pads and
charge defib (while CPR continues)
Yell clear once defib charged and assess rhythm
Identify if shockable or not
What to do if rhythm is shockable - accurate answers-Defibrillate
Restart CPR for 2 minutes
Give IV adrenaline 1mg after second shock
Give IV amiodarone 300mg after 3rd shock
What to do if rhythm is not shockable? - accurate answers-Disarm defib
Ensure good quality CPR
Give IV adrenaline 1mg as soon as rhythm detected as not shockable and then
every second loop
Things to do during CPR - accurate answers-Give 100% 02
Consider airway adjuncts
Get IV or IO access
Monitor resuscitation with waveform capnography
Reversible causes of cardiac arrest - accurate answers-Hypoxia
Hypovolemia
Hyper/hypokalaemia
Hypo/hyperthermia
Tension pneumothorax
Tamponade
Toxins/drugs/poisons
Thrombosis- pulmonary- coronary
, What is ventricular tachycardia? - accurate answers-Abnormal tissues in
ventricles causing rapid and regular tachycardia (sometimes irregular)
no detectable cardiac output (pt unresponsive and not breathing normally)
Rate 180-190bpm (Upto 300 book)
What is ventricular fibrillation? - accurate answers-asynchronous chaotic
ventricular acitivuty that cannot produce cardiac output
DISORGANISED
rate= 300+
normal sinus rhythm - accurate answers-Electrical signal generated my sinus
node and travelling the normal conduction pathway of heart
rate- 60-100
Sinus Tachycardia - accurate answers-A fast sinus rhythm. Triggered by
something. Rate 100+
Sinus bradycardia - accurate answers-Rate below 60. Can be caused by
hypoglycaemia and raised ICP
Asystole - accurate answers-Absence of regular cardiac electrical activity
absence of contractions from myocardium so no cardiac output.
Rate: Absent
Narrow complex tachycardia - accurate answers-Also known as SVT
Originates I'm atria but not in control by SA node
Rate 140-220
Target saturations in post ROSC care - accurate answers-94-98
PEA - accurate answers-pulseless electrical activity. When there is an
organised electrical rhythm that's producing no cardiac output
Only valid reasons to interrupt chest compressions - accurate answers-
Endotracheal tube intubation
Rhythm analysis
Defibrillation
Answers.
What is the order of events in ALS - accurate answers-CPR
Attach defibrillator
Assess rhythm
Shock or don't shock
CPR 2minutes
Give meds as per protocol
Post resuscitation care
How do you assess rhythm with defib - accurate answers-Attach pads and
charge defib (while CPR continues)
Yell clear once defib charged and assess rhythm
Identify if shockable or not
What to do if rhythm is shockable - accurate answers-Defibrillate
Restart CPR for 2 minutes
Give IV adrenaline 1mg after second shock
Give IV amiodarone 300mg after 3rd shock
What to do if rhythm is not shockable? - accurate answers-Disarm defib
Ensure good quality CPR
Give IV adrenaline 1mg as soon as rhythm detected as not shockable and then
every second loop
Things to do during CPR - accurate answers-Give 100% 02
Consider airway adjuncts
Get IV or IO access
Monitor resuscitation with waveform capnography
Reversible causes of cardiac arrest - accurate answers-Hypoxia
Hypovolemia
Hyper/hypokalaemia
Hypo/hyperthermia
Tension pneumothorax
Tamponade
Toxins/drugs/poisons
Thrombosis- pulmonary- coronary
, What is ventricular tachycardia? - accurate answers-Abnormal tissues in
ventricles causing rapid and regular tachycardia (sometimes irregular)
no detectable cardiac output (pt unresponsive and not breathing normally)
Rate 180-190bpm (Upto 300 book)
What is ventricular fibrillation? - accurate answers-asynchronous chaotic
ventricular acitivuty that cannot produce cardiac output
DISORGANISED
rate= 300+
normal sinus rhythm - accurate answers-Electrical signal generated my sinus
node and travelling the normal conduction pathway of heart
rate- 60-100
Sinus Tachycardia - accurate answers-A fast sinus rhythm. Triggered by
something. Rate 100+
Sinus bradycardia - accurate answers-Rate below 60. Can be caused by
hypoglycaemia and raised ICP
Asystole - accurate answers-Absence of regular cardiac electrical activity
absence of contractions from myocardium so no cardiac output.
Rate: Absent
Narrow complex tachycardia - accurate answers-Also known as SVT
Originates I'm atria but not in control by SA node
Rate 140-220
Target saturations in post ROSC care - accurate answers-94-98
PEA - accurate answers-pulseless electrical activity. When there is an
organised electrical rhythm that's producing no cardiac output
Only valid reasons to interrupt chest compressions - accurate answers-
Endotracheal tube intubation
Rhythm analysis
Defibrillation
