ACLS Heartcode Practice Exam
Questions And All Correct Answers.
in cardiac arrest when do you first introduce medical intervention? which drug? - 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? - 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 - Answer VF
VT
what rhythms are not shockable in cardiac arrest - Answer asystole
PEA
if you are in an unshockable rhythm arrest when do you give epi - Answer 1mg epi every 3-5 minutes
after 1st round of CPR
what do you do after return of spontaneous circulation - 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 - 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 - Answer monitor and observe
what constitutes symptomatic bradycardia - Answer hypotension
altered mental status
signs of shock
chest pain
acute heart failure
how do you treat symptomatic bradycardia - 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 infusion
2-10mcg/minute epinephrine infusion
what is considered a tachycardia requiring treatment - Answer over 150 per minute
when do you consider cardioversion - Answer if persistent tachycardia is causing:
hypotension
, altered mental status
signs of shock
chest pain
acute heart failure
if persistent tachycardia does not present with symptoms what do you need to consider - Answer wide
QRS?
greater than 0.12 seconds
If persistent tachycardia without symptoms DOES have a wide QRS what to do you do? - Answer IV
access and 12 lead if available
6mg adenosine followed by NS flush only IF regular and monomorphic
consider anti-arrhythmic infusion:
- 20-50mg/min procainamide (max 17mg/kg)
- 150mg amiodarone over 10 minutes
- 100mg sotalol over 5 minutes
which anti-arrhythmic drugs can be used if prolonged QT - Answer only amiodarone
150mg over 10 minutes, repeat if VT occurs
follow by maintenance infusion 1mg/min for first 6 hours
if persistent tachycardia without symptoms and without wide QRS what do you do - Answer IV access
and 12 lead EKG if available
vagal maneuvers
6mg adenosine followed by NS flush only IF regular
Beta blocker or calcium channel blocker
Questions And All Correct Answers.
in cardiac arrest when do you first introduce medical intervention? which drug? - 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? - 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 - Answer VF
VT
what rhythms are not shockable in cardiac arrest - Answer asystole
PEA
if you are in an unshockable rhythm arrest when do you give epi - Answer 1mg epi every 3-5 minutes
after 1st round of CPR
what do you do after return of spontaneous circulation - 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 - 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 - Answer monitor and observe
what constitutes symptomatic bradycardia - Answer hypotension
altered mental status
signs of shock
chest pain
acute heart failure
how do you treat symptomatic bradycardia - 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 infusion
2-10mcg/minute epinephrine infusion
what is considered a tachycardia requiring treatment - Answer over 150 per minute
when do you consider cardioversion - Answer if persistent tachycardia is causing:
hypotension
, altered mental status
signs of shock
chest pain
acute heart failure
if persistent tachycardia does not present with symptoms what do you need to consider - Answer wide
QRS?
greater than 0.12 seconds
If persistent tachycardia without symptoms DOES have a wide QRS what to do you do? - Answer IV
access and 12 lead if available
6mg adenosine followed by NS flush only IF regular and monomorphic
consider anti-arrhythmic infusion:
- 20-50mg/min procainamide (max 17mg/kg)
- 150mg amiodarone over 10 minutes
- 100mg sotalol over 5 minutes
which anti-arrhythmic drugs can be used if prolonged QT - Answer only amiodarone
150mg over 10 minutes, repeat if VT occurs
follow by maintenance infusion 1mg/min for first 6 hours
if persistent tachycardia without symptoms and without wide QRS what do you do - Answer IV access
and 12 lead EKG if available
vagal maneuvers
6mg adenosine followed by NS flush only IF regular
Beta blocker or calcium channel blocker
