ACLS HEARTCODE EXAM WITH
VERIFIED SOLUTIONS
in tcardiac tarrest twhen tdo tyou tfirst tintroduce tmedical tintervention? twhich tdrug? t-
tcorrect tanswers t-after t2 trounds tof tCPR/shock
after t2nd tshock tgive t1 tmg tepinephrine tevery t3-5 tminutes
when tdo tyou tintroduce tamiodarone tduring tcardiac tarrest? t- tcorrect tanswers t-after
tthe t3rd tshock tgive t300 tmg tbolus tof tamiodarone
if tsecond tdose tis tneeded tgive t150mg tas tsecond tdose
what trhythms tare tshockable tin tcardiac tarrest t- tcorrect tanswers t-VF
VT
what trhythms tare tnot tshockable tin tcardiac tarrest t- tcorrect tanswers t-asystole
PEA
,if tyou tare tin tan tunshockable trhythm tarrest twhen tdo tyou tgive tepi t- tcorrect tanswers
t-1mg tepi tevery t3-5 tminutes tafter t1st tround tof tCPR
what tdo tyou tdo tafter treturn tof tspontaneous tcirculation t- tcorrect tanswers t-maintain
tO2 tsat tat t94%
treat thypotension t(fluids tvasopressor)
12 tlead tEKG
if tin tcoma tconsider thypothermia
if tnot tin tcoma tand tekg tshows tSTEMI tor tAMI tconsider tre-perfusion
what tare tthe t5 th's tand t5 tt's t- tcorrect tanswers t-hypovolemia
hypoxia
hydrogen tion t(acidosis)
hypo/hyperkalemia
hypothermia
tension tpneumothorax
tamponade, tcardiac
toxins
thrombosis, tpulmonary
thrombosis, tcoronary
how tdo tyou ttreat tnon-symptomatic tbradycardia t- tcorrect tanswers t-monitor tand
tobserve
what tconstitutes tsymptomatic tbradycardia t- tcorrect tanswers t-hypotension
altered tmental tstatus
signs tof tshock
chest tpain
acute theart tfailure
how tdo tyou ttreat tsymptomatic tbradycardia t- tcorrect tanswers t-1. tgive t0.5mg tatropine
tevery t3-5 tmins tto tmax tof t3mg
if tthat tdoesn't twork ttry tone tof tthe tfollowing:
transcutaneous tpacing
2-10mcg/kg t/ tminute tdopamine tinfusion
2-10mcg/minute tepinephrine tinfusion
what tis tconsidered ta ttachycardia trequiring ttreatment t- tcorrect tanswers t-over t150
tper tminute
when tdo tyou tconsider tcardioversion t- tcorrect tanswers t-if tpersistent ttachycardia tis
tcausing:
hypotension
, altered tmental tstatus
signs tof tshock
chest tpain
acute theart tfailure
if tpersistent ttachycardia tdoes tnot tpresent twith tsymptoms twhat tdo tyou tneed tto
tconsider t- tcorrect tanswers t-wide tQRS?
greater tthan t0.12 tseconds
If tpersistent ttachycardia twithout tsymptoms tDOES thave ta twide tQRS twhat tto tdo tyou
tdo? t- tcorrect tanswers t-IV taccess tand t12 tlead tif tavailable
6mg tadenosine tfollowed tby tNS tflush tonly tIF tregular tand tmonomorphic
consider tanti-arrhythmic tinfusion:
- t20-50mg/min tprocainamide t(max t17mg/kg)
- t150mg tamiodarone tover t10 tminutes
- t100mg tsotalol tover t5 tminutes
which tanti-arrhythmic tdrugs tcan tbe tused tif tprolonged tQT t- tcorrect tanswers t-only
tamiodarone
150mg tover t10 tminutes, trepeat tif tVT toccurs
follow tby tmaintenance tinfusion t1mg/min tfor tfirst t6 thours
if tpersistent ttachycardia twithout tsymptoms tand twithout twide tQRS twhat tdo tyou tdo t-
tcorrect tanswers t-IV taccess tand t12 tlead tEKG tif tavailable
vagal tmaneuvers
6mg tadenosine tfollowed tby tNS tflush tonly tIF tregular
Beta tblocker tor tcalcium tchannel tblocker
patient tcomes tin twith tsymptoms tof tACS twhat tdo tyou tdo tfirst t- tcorrect tanswers t-
chew t325mg taspirin
O2
nitro
morphine
get t12 tlead tEKG
IV taccess
IF tACS tpatient thas tEKG tshowing tST televation tand tsymptoms tare tless tthan t12
thours tthen twhat t- tcorrect tanswers t-re-perfusion
door tto tballoon t90 tminutes
door tto tneedle t30 tminutes
VERIFIED SOLUTIONS
in tcardiac tarrest twhen tdo tyou tfirst tintroduce tmedical tintervention? twhich tdrug? t-
tcorrect tanswers t-after t2 trounds tof tCPR/shock
after t2nd tshock tgive t1 tmg tepinephrine tevery t3-5 tminutes
when tdo tyou tintroduce tamiodarone tduring tcardiac tarrest? t- tcorrect tanswers t-after
tthe t3rd tshock tgive t300 tmg tbolus tof tamiodarone
if tsecond tdose tis tneeded tgive t150mg tas tsecond tdose
what trhythms tare tshockable tin tcardiac tarrest t- tcorrect tanswers t-VF
VT
what trhythms tare tnot tshockable tin tcardiac tarrest t- tcorrect tanswers t-asystole
PEA
,if tyou tare tin tan tunshockable trhythm tarrest twhen tdo tyou tgive tepi t- tcorrect tanswers
t-1mg tepi tevery t3-5 tminutes tafter t1st tround tof tCPR
what tdo tyou tdo tafter treturn tof tspontaneous tcirculation t- tcorrect tanswers t-maintain
tO2 tsat tat t94%
treat thypotension t(fluids tvasopressor)
12 tlead tEKG
if tin tcoma tconsider thypothermia
if tnot tin tcoma tand tekg tshows tSTEMI tor tAMI tconsider tre-perfusion
what tare tthe t5 th's tand t5 tt's t- tcorrect tanswers t-hypovolemia
hypoxia
hydrogen tion t(acidosis)
hypo/hyperkalemia
hypothermia
tension tpneumothorax
tamponade, tcardiac
toxins
thrombosis, tpulmonary
thrombosis, tcoronary
how tdo tyou ttreat tnon-symptomatic tbradycardia t- tcorrect tanswers t-monitor tand
tobserve
what tconstitutes tsymptomatic tbradycardia t- tcorrect tanswers t-hypotension
altered tmental tstatus
signs tof tshock
chest tpain
acute theart tfailure
how tdo tyou ttreat tsymptomatic tbradycardia t- tcorrect tanswers t-1. tgive t0.5mg tatropine
tevery t3-5 tmins tto tmax tof t3mg
if tthat tdoesn't twork ttry tone tof tthe tfollowing:
transcutaneous tpacing
2-10mcg/kg t/ tminute tdopamine tinfusion
2-10mcg/minute tepinephrine tinfusion
what tis tconsidered ta ttachycardia trequiring ttreatment t- tcorrect tanswers t-over t150
tper tminute
when tdo tyou tconsider tcardioversion t- tcorrect tanswers t-if tpersistent ttachycardia tis
tcausing:
hypotension
, altered tmental tstatus
signs tof tshock
chest tpain
acute theart tfailure
if tpersistent ttachycardia tdoes tnot tpresent twith tsymptoms twhat tdo tyou tneed tto
tconsider t- tcorrect tanswers t-wide tQRS?
greater tthan t0.12 tseconds
If tpersistent ttachycardia twithout tsymptoms tDOES thave ta twide tQRS twhat tto tdo tyou
tdo? t- tcorrect tanswers t-IV taccess tand t12 tlead tif tavailable
6mg tadenosine tfollowed tby tNS tflush tonly tIF tregular tand tmonomorphic
consider tanti-arrhythmic tinfusion:
- t20-50mg/min tprocainamide t(max t17mg/kg)
- t150mg tamiodarone tover t10 tminutes
- t100mg tsotalol tover t5 tminutes
which tanti-arrhythmic tdrugs tcan tbe tused tif tprolonged tQT t- tcorrect tanswers t-only
tamiodarone
150mg tover t10 tminutes, trepeat tif tVT toccurs
follow tby tmaintenance tinfusion t1mg/min tfor tfirst t6 thours
if tpersistent ttachycardia twithout tsymptoms tand twithout twide tQRS twhat tdo tyou tdo t-
tcorrect tanswers t-IV taccess tand t12 tlead tEKG tif tavailable
vagal tmaneuvers
6mg tadenosine tfollowed tby tNS tflush tonly tIF tregular
Beta tblocker tor tcalcium tchannel tblocker
patient tcomes tin twith tsymptoms tof tACS twhat tdo tyou tdo tfirst t- tcorrect tanswers t-
chew t325mg taspirin
O2
nitro
morphine
get t12 tlead tEKG
IV taccess
IF tACS tpatient thas tEKG tshowing tST televation tand tsymptoms tare tless tthan t12
thours tthen twhat t- tcorrect tanswers t-re-perfusion
door tto tballoon t90 tminutes
door tto tneedle t30 tminutes
