ACLS Heartcode EXAM (updated 2025) Questions &
Answers | Latest Already Graded A+ UPDATE 2025|2026
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Terms in this set (194)
in cardiac arrest when do you first introduce after 2 rounds of CPR/shock
medical intervention? which drug? after 2nd shock give 1 mg epinephrine every 3-5 minutes
when do you introduce amiodarone during after the 3rd shock give 300 mg bolus of amiodarone
cardiac arrest? if second dose is needed give 150mg as second dose
what rhythms are shockable in cardiac arrest VF
VT
what rhythms are not shockable in cardiac asystole
arrest PEA
if you are in an unshockable rhythm arrest 1mg epi every 3-5 minutes after 1st round of CPR
when do you give epi
what do you do after return of spontaneous maintain O2 sat at 94%
circulation treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-
perfusion
, what are the 5 h's and 5 t's hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic monitor and observe
bradycardia
what constitutes symptomatic bradycardia hypotension
altered mental status
signs of shock
chest pain
acute heart failure
how do you treat symptomatic bradycardia 1. give 0.5mg atropine every 3-5 mins to max of 3mg
if that doesn't work try one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
what is considered a tachycardia requiring over 150 per minute
treatment
when do you consider cardioversion if persistent tachycardia is causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
if persistent tachycardia does not present wide QRS?
with symptoms what do you need to greater than 0.12 seconds
consider
If persistent tachycardia without symptoms IV access and 12 lead if available
DOES have a wide QRS what to do you do?
6mg adenosine followed by NS flush only IF regular and
monomorphic
consider anti-arrhythmic infusion:
- 20-50mg/min procainamide (max 17mg/kg)
- 150mg amiodarone over 10 minutes
- 100mg sotalol over 5 minutes
Answers | Latest Already Graded A+ UPDATE 2025|2026
Students also studied
C
Terms in this set (194)
in cardiac arrest when do you first introduce after 2 rounds of CPR/shock
medical intervention? which drug? after 2nd shock give 1 mg epinephrine every 3-5 minutes
when do you introduce amiodarone during after the 3rd shock give 300 mg bolus of amiodarone
cardiac arrest? if second dose is needed give 150mg as second dose
what rhythms are shockable in cardiac arrest VF
VT
what rhythms are not shockable in cardiac asystole
arrest PEA
if you are in an unshockable rhythm arrest 1mg epi every 3-5 minutes after 1st round of CPR
when do you give epi
what do you do after return of spontaneous maintain O2 sat at 94%
circulation treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-
perfusion
, what are the 5 h's and 5 t's hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic monitor and observe
bradycardia
what constitutes symptomatic bradycardia hypotension
altered mental status
signs of shock
chest pain
acute heart failure
how do you treat symptomatic bradycardia 1. give 0.5mg atropine every 3-5 mins to max of 3mg
if that doesn't work try one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
what is considered a tachycardia requiring over 150 per minute
treatment
when do you consider cardioversion if persistent tachycardia is causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
if persistent tachycardia does not present wide QRS?
with symptoms what do you need to greater than 0.12 seconds
consider
If persistent tachycardia without symptoms IV access and 12 lead if available
DOES have a wide QRS what to do you do?
6mg adenosine followed by NS flush only IF regular and
monomorphic
consider anti-arrhythmic infusion:
- 20-50mg/min procainamide (max 17mg/kg)
- 150mg amiodarone over 10 minutes
- 100mg sotalol over 5 minutes
