ACLS (Advanced Cardiac Life Support) Med Surg Quiz With Correct Answers

ACLS - Answer -Early detection and access to advanced care Goal: To optimize outcomes for cardiac arrest CPR info - Answer -Victim is unresponsive -Check pulse 5 seconds, no more than 10 seconds -Compressions first (30); greater than 2 inches -Bag (every 5-6 seconds); 2 breaths btw rounds of compressions) -Pulse but not breathing = Rescue breathing every 5-6 sec Monitor/defibrillator - Answer -IV/IO access -Advanced airway IO access - Answer Intraosseous route; drill Capnography - Answer -Monitoring of the concentration or partial pressure of carbon dioxide (CO 2) in the respiratory gases -Detects air movement -CO2 production from cellular metabolism -Blood flow to the lungs to excrete CO2 -Detects immediate loss (or return) of circulation -If compressions are working -CO2 greater than 15 = good -Less than 10 = inadequate Reversible causes of cardiac arrest (will not be on quiz) - Answer Hypovolemia, Hypoxia, Hydrogen ion (acidosis), Hyper/hypokalemia, Hypothermia Toxins (drug overdose), Tamponade, cardiac, Tension pneumothorax, Thrombosis, pulmonary, Thrombosis, coronary (massive myocardial infarction) Systematic approach to arrhythimia - Answer -Regular or irregular? -Rate fast or slow? -P-waves -PR interval -QRS complex Calculating HR - Answer -3 second marks NSR - Answer Regular rate - 60-100 P-wave before q QRS complex -PRI: 0.12-0.20 sec QRS: Less than 0.12 seconds Sinus Brady and treatment - Answer Regular rate - less than 60 bpm P wave before every QRS complex PRI: 0.12-0.20 sec QRS: Less than 0.12 seconds