ACLS Final Exam Study Guide: Questions & Answer: Updated A+ Guide

Dosing of epinephrine in the setting of VF/pVT and asystole/PEA (Ans- 1 mg every 3-5 minutes Dosing of amiodarone (first and second dose) in the setting of cardiac arrest (Ans- 300mg first dose 150mg second dose after 3-5 min Dosing of lidocaine (first and second dose) in the setting of cardiac arrest (Ans- 1-1.5mg/kg first dose 0.5-0.75 mg/kg second dose, repeat in 5-10 min What is the maximum dose of lidocaine? (Ans- 3 doses or 3mg/kg ROSC is typically signified by a PETCO2 of what? (Ans- 40 mm Hg or more The "Hs" of reversible causes of cardiac arrest (Ans- 1. Hypovolemia 2. Hypoxia 3. Hydrogen ions (acidosis) 4. Hypo/hyperkalemia 5. Hypothermia The "Ts" of reversible causes of cardiac arrest (Ans- 1. Tension pneumothorax 2. Tamponade, cardiac 3. Toxins 4. Thrombosis, pulmonary 5. Thrombosis, coronary In the setting of cardiac arrest, once an advanced airway is in place, 1 breath should be given every ______ seconds. Should chest compressions be interrupted once an advanced airway is in place? (Ans- 6-8 seconds (8-10 breaths/min) with continuous chest compressions If PETCO2 falls below ______, attempts should be made to improve chest compressions (Ans- 10 If intra-arterial pressure monitoring is being utilized during a resuscitation attempt, if the diastolic pressure falls below ___mm Hg, attempts should be made to improve chest compressions (Ans- 20 depth of adequate chest compressions (Ans- 2 inches rate of adequate chest compressions (Ans- 100-120/min If no advanced airway is in place, what is the ratio of chest compressions to ventilations? (Ans- 30:2 Shock energy that should be used on a biphasic machine for defibrillation (Ans- 120-200 J, if recommended setting not known, use maximum available Shock energy that should be used on a monophasic machine for defibrillation (Ans- 360J