ACLS
A 75 year old patient with a hx of emphysema is drowsy and is having difficulty
breathing with increased respiratory effort. Bilateral wheezing on auscultation, RR 38
bpm, SpO2 is 85% and PETCO2 is 49 mm Hg.
How would you categorize this patient's condition? - ANS - Respiratory failure
Identify the systolic blood pressure threshold for withholding fibrinolytic therapy to
otherwise eligible patients with acute ischemic stroke? - ANS - 185 mm Hg
The BLS assessment is a systematic approach to BLS for trained healthcare providers.
This approach stresses - ANS - early CPR and defibrilliation
The initial assessment reveals a conscious patient. The patient's airway is patent, and
an advanced airway is not indicated.
What action in the primary assessment should you perform next? - ANS - Administer
oxygen as needed
The length of a correctly sized nasopharyngeal airway is the same as the distance from
the tip of the patient's nose to the - ANS - earlobe
What action is not part of the acute stroke pathway? - ANS - seizure prophylaxis
What action is part of the secondary assessment of a conscious patient? - ANS -
Formulate a differential diagnosis
What additional questions help you determine next steps? - ANS - Do you take
medication?
When did the symptoms start?
Do you have any allergies?
What are signs of clinical deterioration that would prompt activation of the rapid
response system? - ANS - -unexplained agitation
-seizure
-symptomatic hypertension
A 75 year old patient with a hx of emphysema is drowsy and is having difficulty
breathing with increased respiratory effort. Bilateral wheezing on auscultation, RR 38
bpm, SpO2 is 85% and PETCO2 is 49 mm Hg.
How would you categorize this patient's condition? - ANS - Respiratory failure
Identify the systolic blood pressure threshold for withholding fibrinolytic therapy to
otherwise eligible patients with acute ischemic stroke? - ANS - 185 mm Hg
The BLS assessment is a systematic approach to BLS for trained healthcare providers.
This approach stresses - ANS - early CPR and defibrilliation
The initial assessment reveals a conscious patient. The patient's airway is patent, and
an advanced airway is not indicated.
What action in the primary assessment should you perform next? - ANS - Administer
oxygen as needed
The length of a correctly sized nasopharyngeal airway is the same as the distance from
the tip of the patient's nose to the - ANS - earlobe
What action is not part of the acute stroke pathway? - ANS - seizure prophylaxis
What action is part of the secondary assessment of a conscious patient? - ANS -
Formulate a differential diagnosis
What additional questions help you determine next steps? - ANS - Do you take
medication?
When did the symptoms start?
Do you have any allergies?
What are signs of clinical deterioration that would prompt activation of the rapid
response system? - ANS - -unexplained agitation
-seizure
-symptomatic hypertension
