ACLS Drugs dosages & uses exam with
verified answers
For |poor |perfusion |with |Bradycardia |Treat |with |which |first |line |treatment? |- |correct |answer |-Atropine
|1mg |IV
(repeat |to |a |total |of |3mg |IV)
For |poor |perfusion |with |Bradycardia |Treat, |if |the |first |line |of |treatment |is |ineffective, |what |should |be |
provided |and |what |med |should |be |given? |- |correct |answer |-Transcutaneous |pacing |
Dopamine |5-20mcg/kg/minute |infusion
OR
Epinephrine |2-10mcg/min |infusion
What |is |the |first |line |drug |for |acute |stable |bradycardia |and |how |do |you |administer |it? |- |correct |
answer |-Atropine |given |as |1mg |IV |q |3-5minutes |(up |to |3mg |IV)
Hoe |does |Atropine |work? |- |correct |answer |-Reverses |the |cholinergic-mediated |decreases |in |the |heart |
rate |and |AV |node |conduction
Which |two |AV |block |types |will |not |respond |to |Atropine? |- |correct |answer |-Mobitz |type |II |second-
degree |AV |block |and |third-degree |AV |block
What |is |the |preferred |treatment |for |Mobitz |type |II |second-degree |AV |block |and |third-degree |AV |
block? |- |correct |answer |-TCP |or |B-adrenergic |(dopamine, |epinephrine) |support |until |transcutaneous |
pacing |can |be |achieved
If |only |0.5mg |of |IV |Atropine |is |given |what |consequence |could |it |have? |- |correct |answer |-It |can |further
|lower |the |HR
, What |can |be |used |if |bradycardia |is |unresponsive |to |Atropine? |- |correct |answer |-B-adrenergic |
infusions |(dopamine |or |epinephrine)
What |must |you |consider |before |giving |B-adrenergic |infusions |in |bradycardia? |- |correct |answer |-The |
pt's |BP/intravascular |volume |status |for |hypovolemia
What |can |be |given |for |bradycardia |when |vasoconstriction |is |not |desired? |- |correct |answer |-
Dobutamine |(b-adrenergic |agonist)
Epinephrine |should |be |given |at |what |dose/rate |for |Bradycardia? |- |correct |answer |-2-10mcg/min
Dopamine |should |be |given |at |what |dose/rate |for |Bradycardia? |- |correct |answer |-5-20mcg/kg/min
How |does |Transcutaneous |Pacing |(TCP) |work |and |when |should |it |be |used? |- |correct |answer |-It |
delivers |pacing |impulses |to |the |heart |through |skin |via |cutaneous |electrodes. |
for |unstable |bradycardia |(hypotension, |AMS, |shock, |ischemic |chest |pain)
For |light |sedation |within |the |RN |scope |of |practice |give |which |3 |things |should |be |given |before |TCP |if |
the |pt's |condition |allows |for |it? |- |correct |answer |--Parenteral |narcotic
-Parenteral |benzodiazepine
-Chronotropic |infusion
How |much |of |a |safety |margin |(energy |above |the |dose |at |which |consistent |capture |is |observed) |
should |you |allow |when |using |the |transcutaneous |pacemaker? |- |correct |answer |-2 |mA
The |HR |that |takes |on |clinical |significance |and |is |more |likely |to |contribute |to |arrhythmia |in |tachycardia
|is |what |rate? |- |correct |answer |-150/min |or |greater
What |are |the |7 |rhythms |associated |with |unstable |tachycardia? |- |correct |answer |-1. |Sinus |Tachycardia
2. |Atrial |fibrillation |
verified answers
For |poor |perfusion |with |Bradycardia |Treat |with |which |first |line |treatment? |- |correct |answer |-Atropine
|1mg |IV
(repeat |to |a |total |of |3mg |IV)
For |poor |perfusion |with |Bradycardia |Treat, |if |the |first |line |of |treatment |is |ineffective, |what |should |be |
provided |and |what |med |should |be |given? |- |correct |answer |-Transcutaneous |pacing |
Dopamine |5-20mcg/kg/minute |infusion
OR
Epinephrine |2-10mcg/min |infusion
What |is |the |first |line |drug |for |acute |stable |bradycardia |and |how |do |you |administer |it? |- |correct |
answer |-Atropine |given |as |1mg |IV |q |3-5minutes |(up |to |3mg |IV)
Hoe |does |Atropine |work? |- |correct |answer |-Reverses |the |cholinergic-mediated |decreases |in |the |heart |
rate |and |AV |node |conduction
Which |two |AV |block |types |will |not |respond |to |Atropine? |- |correct |answer |-Mobitz |type |II |second-
degree |AV |block |and |third-degree |AV |block
What |is |the |preferred |treatment |for |Mobitz |type |II |second-degree |AV |block |and |third-degree |AV |
block? |- |correct |answer |-TCP |or |B-adrenergic |(dopamine, |epinephrine) |support |until |transcutaneous |
pacing |can |be |achieved
If |only |0.5mg |of |IV |Atropine |is |given |what |consequence |could |it |have? |- |correct |answer |-It |can |further
|lower |the |HR
, What |can |be |used |if |bradycardia |is |unresponsive |to |Atropine? |- |correct |answer |-B-adrenergic |
infusions |(dopamine |or |epinephrine)
What |must |you |consider |before |giving |B-adrenergic |infusions |in |bradycardia? |- |correct |answer |-The |
pt's |BP/intravascular |volume |status |for |hypovolemia
What |can |be |given |for |bradycardia |when |vasoconstriction |is |not |desired? |- |correct |answer |-
Dobutamine |(b-adrenergic |agonist)
Epinephrine |should |be |given |at |what |dose/rate |for |Bradycardia? |- |correct |answer |-2-10mcg/min
Dopamine |should |be |given |at |what |dose/rate |for |Bradycardia? |- |correct |answer |-5-20mcg/kg/min
How |does |Transcutaneous |Pacing |(TCP) |work |and |when |should |it |be |used? |- |correct |answer |-It |
delivers |pacing |impulses |to |the |heart |through |skin |via |cutaneous |electrodes. |
for |unstable |bradycardia |(hypotension, |AMS, |shock, |ischemic |chest |pain)
For |light |sedation |within |the |RN |scope |of |practice |give |which |3 |things |should |be |given |before |TCP |if |
the |pt's |condition |allows |for |it? |- |correct |answer |--Parenteral |narcotic
-Parenteral |benzodiazepine
-Chronotropic |infusion
How |much |of |a |safety |margin |(energy |above |the |dose |at |which |consistent |capture |is |observed) |
should |you |allow |when |using |the |transcutaneous |pacemaker? |- |correct |answer |-2 |mA
The |HR |that |takes |on |clinical |significance |and |is |more |likely |to |contribute |to |arrhythmia |in |tachycardia
|is |what |rate? |- |correct |answer |-150/min |or |greater
What |are |the |7 |rhythms |associated |with |unstable |tachycardia? |- |correct |answer |-1. |Sinus |Tachycardia
2. |Atrial |fibrillation |
