Advanced Cardiac Life Support- ACLS Test 1 Correct 100%

The primary ABCD survey - Answer 1. Circulation- give chest compression (hard and fast - 30:2 - 100-120/min - minimize interruptions) 2. Airway- open the airway 3. breathing- provide positive pressure ventilation (every 6 seconds or 10 bpm) Advanced cardiac life support secondary survey - Answer 1. Airway 2. Breathing 3. Circulation 4. Differential Diagnosis Algorithm - Answer a way to treat a broad range of patients on the basics of rhythms MEGACODE - Answer involve directing your team and making multiple decisions about assessment and management quickly Oxygen therapy - Answer oxygen is always appropriate for patients with acute cardiac disease or pulmonary distress No respiratory distress - Answer 2 L per cannula Mild respiratory distress - Answer 5-6 L per cannula Severe respiratory distress - Answer 100% NRB mask or consider advanced airway device with 100% O2 For patients with COPD (CO2 retainers) - Answer Venturi mask and titrate Barrier device - Answer pocket mask, face shield, and bag valve mask system Intubation - Answer 1. 5 point auscultation, chest rise 2. bulb or syringe aspiration approach 3. use of commercial tracheal tube holders rather than tape and tie technique Laryngeal Mask Airway (LMA) - Answer an airway adjunct with a cuffed, mask like projection at the distal end that is introduced in the pharynx and advanced until resistance is felt Ventilation (without a protected airway) - Answer attention is given to the need ti recent gastric inflation, thereby reducing the risk of aspiration. Rule of thumb is long and slow. Take at least 2 seconds to deliver breath. Best indictor is chest rise. Also, if CPR is being performed, you must pause compressions to deliver breath (30:2) ventilation (with a protected airway) - Answer can be more aggressive with ventilation. Rate 10-12 bpm or 1 breath every 5 or 6 seconds. check chest rise, tube placement, oxygen connection. once intubation complete ABGs PEA - Answer After ABCD's treatment in PEA centers on search for reversible cause Epinephrine- 1mg. repeat 3-5 minutes Atropine- 1 mg. repeat 3-5 minutes, up to a total of 3 mg Asystole - Answer after ABCS's, consider transcutaneous pacing Epinephrine-1mg/IV, repeat every 3-5 minutes *atropine-1 mg IV repeat every 3-5 min, up to total dose of 3 mg. CPR defibrillation - Answer the process of sending a direct current electrical shock through the patients heart