ACLS Practice Questions And Answers With Latest Updates

In cardiac arrest when do you first introduce medical intervention? Which drug? Correct answer: after 2 rounds of cpr/shock After 2nd shock give 1 mg epinephrine every 3-5 minutes When do you introduce amiodarone during cardiac arrest? Correct answer: after the 3rd shock give 300 mg bolus of amiodarone If second dose is needed give 150mg as second dose What rhythms are shockable in cardiac arrest correct answer: vf Vt What rhythms are not shockable in cardiac arrest correct answer: asystole Pea If you are in an unshakable rhythm arrest when do you give epi correct answer: 1mg epi every 3-5 minutes after 1st round of cpr What do you do after return of spontaneous circulation correct answer: maintain o2 sat at 94% 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 correct answer: hypovolemia Hypoxia Hydrogen ion (acidosis) Hypo/hyperkalemia Hypothermia Tension pneumothorax Tamponade, cardiac Toxins Thrombosis, pulmonary Thrombosis, coronary How do you treat non-symptomatic bradycardia correct answer: monitor and observe What constitutes symptomatic bradycardia correct answer: hypotension Altered mental status Signs of shock Chest pain Acute heart failure How do you treat symptomatic bradycardia correct answer: 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 infusio