ACLS TEST
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.1-.5 mcg/kg/min (in 70kg adult: 7-35 mcg/min) - Dose for Epi IV infusion
.5mg (every 3-5 min), 3mg - A pt has *sinus bradycardia* and a HR of 42/min has diaphoresis and BP
of 80/60 mmHg. What is the initial dose of *Atropine*? What is the MRD in 24 hours? (*2*)
.5mg Atropine IV - Bradycardia tx:
(*Dose Drug Delivery*)
(2-20 mcg/kg/min) Dopamine - 2nd line drug for symptomatic bradycardia
(Hold ASA in case active hemorrhage?) -
(Severe) Bradycardia, Tachycardia, Hypotension, PDE inhibitors (Sildenafil), RV infarction (confirm
right vent infarction with 12 lead; hypotension, clear lungs, elevated JVD) - Contraindications for
Nitro: (5)
1-1.5 mg/kg - Initial dose of lidocaine
1-2L - To manage hypotension, give an IV Bolus of _____ normal saline or lactated Ringer's
10 - To avoid hyperventilation breaths should be provided at ___ breaths/min
10 L/min - O2 flow rate
10 sec - What is the max interval for *pausing* chest compressions?
100 - Tachycardia > ____ bpm
, 100-120 - What is the recommended *compression rate* for high-quality CPR
12mg Adenosine IV - Pt has received 6mg Adenosine and failed to convert. What is the next
appropriate intervention?
(*Dose Drug Delivery*)
15 mg/hr Diltiazem - Patient presents with a stable A Fib that has lasted <48 hours. What drug
should be delivered by infusion pump?
(Dose/time Drug)
150 - In the *tachycardia* with pulse algorithm, HR is typically ≥ ____ if tachyarrhythmia
150mg IV (push) - A patient is in refractory ventricular fibrillation and has received multiple
appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg
amidarone IV. The patient is intubated. A second does of amiodarone is now called for. The
recommended second dose of amiodarone is ______
(*Dose Delivery*)
160-325 - If a patient is suspected of ACS, have them chew ______(range) mg ASA
1mg Epi - A pt is in *refractory V Fib*. High quality CPR is in progress. One dose of *epinephrine*
was given after the *2nd shock*. An *antiarrthmic drug* was given immediately after the *3rd
shock*. You are the team leader. Which medication do you order next?
1mg Epi IV - You arrive on the scene to find CPR in progress. Pt was recovering from PE and suddenly
collapsed. 2 shocks have been delivered, and an IV has been initiated. What drug do you administer?
(*Dose Drug Delivery*)
2 inches - The recommended *depth* of chest compressions for an adult victim is at least _____
2.2 grams - MRD in 24hrs for Amiodarone
24 hours - Targeted temperature management (TTM) should be maintained for at least ______
-
-
.1-.5 mcg/kg/min (in 70kg adult: 7-35 mcg/min) - Dose for Epi IV infusion
.5mg (every 3-5 min), 3mg - A pt has *sinus bradycardia* and a HR of 42/min has diaphoresis and BP
of 80/60 mmHg. What is the initial dose of *Atropine*? What is the MRD in 24 hours? (*2*)
.5mg Atropine IV - Bradycardia tx:
(*Dose Drug Delivery*)
(2-20 mcg/kg/min) Dopamine - 2nd line drug for symptomatic bradycardia
(Hold ASA in case active hemorrhage?) -
(Severe) Bradycardia, Tachycardia, Hypotension, PDE inhibitors (Sildenafil), RV infarction (confirm
right vent infarction with 12 lead; hypotension, clear lungs, elevated JVD) - Contraindications for
Nitro: (5)
1-1.5 mg/kg - Initial dose of lidocaine
1-2L - To manage hypotension, give an IV Bolus of _____ normal saline or lactated Ringer's
10 - To avoid hyperventilation breaths should be provided at ___ breaths/min
10 L/min - O2 flow rate
10 sec - What is the max interval for *pausing* chest compressions?
100 - Tachycardia > ____ bpm
, 100-120 - What is the recommended *compression rate* for high-quality CPR
12mg Adenosine IV - Pt has received 6mg Adenosine and failed to convert. What is the next
appropriate intervention?
(*Dose Drug Delivery*)
15 mg/hr Diltiazem - Patient presents with a stable A Fib that has lasted <48 hours. What drug
should be delivered by infusion pump?
(Dose/time Drug)
150 - In the *tachycardia* with pulse algorithm, HR is typically ≥ ____ if tachyarrhythmia
150mg IV (push) - A patient is in refractory ventricular fibrillation and has received multiple
appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg
amidarone IV. The patient is intubated. A second does of amiodarone is now called for. The
recommended second dose of amiodarone is ______
(*Dose Delivery*)
160-325 - If a patient is suspected of ACS, have them chew ______(range) mg ASA
1mg Epi - A pt is in *refractory V Fib*. High quality CPR is in progress. One dose of *epinephrine*
was given after the *2nd shock*. An *antiarrthmic drug* was given immediately after the *3rd
shock*. You are the team leader. Which medication do you order next?
1mg Epi IV - You arrive on the scene to find CPR in progress. Pt was recovering from PE and suddenly
collapsed. 2 shocks have been delivered, and an IV has been initiated. What drug do you administer?
(*Dose Drug Delivery*)
2 inches - The recommended *depth* of chest compressions for an adult victim is at least _____
2.2 grams - MRD in 24hrs for Amiodarone
24 hours - Targeted temperature management (TTM) should be maintained for at least ______
