ACLS AHA
Study online at https://quizlet.com/_5t9tpc
1. A patient has a rapid *irregular wide-complex tachy- a) Giving Adenosine: 6 mg
cardia*; IV bolus;
The ventricular rate is 138/min.; b) Giving Lidocaine: 1.5
It is asymptomatic, with a BP of 110/70 mmHG; mg IV bolus;
He has a h/o angina; c) Performing synchro-
What action is recommended next? nized cardioversion;
d) *Seeking expert con-
sultation *;
2. What tests should be performed for a patient with a non contrast CT scan of the
suspected stroke within 2 hours of arrival? head
3. SVT types 1) Atrial fibrillation
(A-fib);
2) Paroxysmal Supraven-
tricular Tachycardia
(PSVT):
3) Atrial Flutter (A-flutter);
4) Wolff-Parkinson-White
syndrome;
4. The patient is in *cardiac arrest*. *Epinephrine 1 mg IV/IO*
High-quality chest compressions are being given.
The patient is intubated, and an IV is being started.
The rhythm is *asystole*.
What is the first drug/dose to administer?
5. *Transcutaneous Pacing*
, ACLS AHA
Study online at https://quizlet.com/_5t9tpc
Aka external pacing: is a
temporary means of pac-
ing a patient's heart dur-
ing a medical emergency.
It is accomplished
by *gradually delivering
pulses* of electric current
(*50-100 mA*) through
the patient's chest until
capture is reached (usu-
ally at a selected rate of
70), which stimulates the
*heart to contract* at a
regular pace.
6. Which intervention is most appropriate for the treat- *Epinephrine*
ment of a patient in *asystole*?
7. A patient with sinus *bradycardia* and a heart rate *0.5 mg* of *Atropine*
of 42/min is diaphoretic and with a blood pressure of
80/60 mm Hg.
What is the *initial dose of atropine*?
8. A patient has sinus *bradycardia* with a heart rate of *Epinephrine infusion:
36/min. *Atropine* has been administered to a total 2-10 mcg/min*.
dose of 3 mg. A *transcutaneous pacing* has failed to
capture. The patient is confused, and her BP is *88/56
mmHg*. Which therapy is now indicated?
, ACLS AHA
Study online at https://quizlet.com/_5t9tpc
9. A monitored patient in the ICU developed a sudden Administer *adenosine 6
onset of *regular narrow-complex tachycardia* at a mg* IV push
rate of 220/min.
The patient's BP is 128/88 mm Hg, the PETCO2 is 38
mm Hg, and the pulse oximetry reading is 98%.
There is a vascular (IV) access in the left arm, and the
patient has not been given any basic active drugs.
A 12-lead ECG confirms *SVT* with no evidence of
ischemia or infraction.
The HR has not responded to vagal maneuvers.
What is your next action?
10. A patient with possible STEMI has ongoing chest dis- Use of a *phosphodi-
comfort. What is a *contraindication to nitrate* ad- esterase inhibitors* (eg.
ministration? Viagra) within the previ-
ous 24 hours
11. A patient is in *pulseless V-tach* (PEA). 2 shocks and *Amiodarone 300 mg*
1 dose of epinephrine have been given. (first dose)
Which drug should be given next?
12.
Study online at https://quizlet.com/_5t9tpc
1. A patient has a rapid *irregular wide-complex tachy- a) Giving Adenosine: 6 mg
cardia*; IV bolus;
The ventricular rate is 138/min.; b) Giving Lidocaine: 1.5
It is asymptomatic, with a BP of 110/70 mmHG; mg IV bolus;
He has a h/o angina; c) Performing synchro-
What action is recommended next? nized cardioversion;
d) *Seeking expert con-
sultation *;
2. What tests should be performed for a patient with a non contrast CT scan of the
suspected stroke within 2 hours of arrival? head
3. SVT types 1) Atrial fibrillation
(A-fib);
2) Paroxysmal Supraven-
tricular Tachycardia
(PSVT):
3) Atrial Flutter (A-flutter);
4) Wolff-Parkinson-White
syndrome;
4. The patient is in *cardiac arrest*. *Epinephrine 1 mg IV/IO*
High-quality chest compressions are being given.
The patient is intubated, and an IV is being started.
The rhythm is *asystole*.
What is the first drug/dose to administer?
5. *Transcutaneous Pacing*
, ACLS AHA
Study online at https://quizlet.com/_5t9tpc
Aka external pacing: is a
temporary means of pac-
ing a patient's heart dur-
ing a medical emergency.
It is accomplished
by *gradually delivering
pulses* of electric current
(*50-100 mA*) through
the patient's chest until
capture is reached (usu-
ally at a selected rate of
70), which stimulates the
*heart to contract* at a
regular pace.
6. Which intervention is most appropriate for the treat- *Epinephrine*
ment of a patient in *asystole*?
7. A patient with sinus *bradycardia* and a heart rate *0.5 mg* of *Atropine*
of 42/min is diaphoretic and with a blood pressure of
80/60 mm Hg.
What is the *initial dose of atropine*?
8. A patient has sinus *bradycardia* with a heart rate of *Epinephrine infusion:
36/min. *Atropine* has been administered to a total 2-10 mcg/min*.
dose of 3 mg. A *transcutaneous pacing* has failed to
capture. The patient is confused, and her BP is *88/56
mmHg*. Which therapy is now indicated?
, ACLS AHA
Study online at https://quizlet.com/_5t9tpc
9. A monitored patient in the ICU developed a sudden Administer *adenosine 6
onset of *regular narrow-complex tachycardia* at a mg* IV push
rate of 220/min.
The patient's BP is 128/88 mm Hg, the PETCO2 is 38
mm Hg, and the pulse oximetry reading is 98%.
There is a vascular (IV) access in the left arm, and the
patient has not been given any basic active drugs.
A 12-lead ECG confirms *SVT* with no evidence of
ischemia or infraction.
The HR has not responded to vagal maneuvers.
What is your next action?
10. A patient with possible STEMI has ongoing chest dis- Use of a *phosphodi-
comfort. What is a *contraindication to nitrate* ad- esterase inhibitors* (eg.
ministration? Viagra) within the previ-
ous 24 hours
11. A patient is in *pulseless V-tach* (PEA). 2 shocks and *Amiodarone 300 mg*
1 dose of epinephrine have been given. (first dose)
Which drug should be given next?
12.
