ACLS COMPLETE 2021
https://www.youtube.com/watch?v=qQTpqjvvduI&list=PLy60DSDPg9urf_l5ss1FLakrRQDKOkTZj
This is a good starting point for Jose (big Megacode at end):
https://www.youtube.com/watch?v=8OB7OreUjy0 . Use the feedback after failing to get closer and
closer to passing! - answers✔✔BEST PLAYLIST I'VE FOUND FOR ALL HEART.ORG ACLS CODES!
Hypotension - answers✔✔In which situation does bradycardia require treatment?
Epinephrine - answers✔✔Which intervention is most appropriate for the treatment of a patient in
asystole?
Establish IV or IO access - answers✔✔You arrive on the scene with the code team. High-quality CPR is in
progress. An AED has previousy advised "no shock indicated." A rhythm check now finds asystole. After
resuming high-quality compressions, which action do you take next?
Administer adenosine 6mg IV push - answers✔✔A monitored patient in the ICU developed a sudden
onset of narrow-complex tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm
Hg, the PETCO2 is 38mm Hg, and the pulse oximetry reading is 98%. There is vascular access in the left
arm, and the patient has not been given any vasoactive drugs. A 12-lead ECG confirm a supraventricular
tachycardia with no evidence of ischemia or infarction. The heart rate has not responded to vagal
maneuvers. what is your next action?
Epinephrine 2 to 10 mcg/min - answers✔✔A patient has sinus bradycardia with a heart rate of 36/min.
Atropine has been administered to a toal does of 3 mg. A transcutaneous pacemaker has failed to
capture. The patient is confused, and her blood pressure is 88/56 mm Hg. Which therapy is now
indicated?
Epinephrine 1 mg IV/IO - answers✔✔A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Which drug should be administered first?
,Hold aspirin for at least 24 hours if rtPA is administered - answers✔✔A 62-year-old man suddenly
experienced difficulty speaking and left-sided weakness. He meets initial criteria for fibrinolytic therapy,
and a CT scan of the brain si ordered. Which best describes the guidelines for antiplatelet and
fibrinolytic therapy?
150 mg IV push - answers✔✔A patient is in refractory ventricular fibrillation and has received multiple
appropriate defribillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300mg
IV. The patient is intubated. Which best describe the recommended second does of amiodarone for this
patient?
0.5mg - answers✔✔A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a
blood pressure of 80/60mm Hg. What is the initial does of atropine?
Adenosine 6mg - answers✔✔A 35-year-old woman has palpitations, light-headedness, and a stable
tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers
have not been effective in terminating the rhythm. An IV has been established. Which drug should be
administered?
IV or IO - answers✔✔A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial
shock. If no pathway for medication administration is in place, which method is preferred?
Pulseless ventricular tachycardia-associated torsades de pointes - answers✔✔What is the indication for
the use of magnesium in cardiac arrest?
Seeking expert consultation - answers✔✔A patient has a rapid irregular wide-complex tachycardia. The
ventricular rate is 138/min. He is asymptomatic, with a blood pressure of 110/70 mm Hg. He has a
history of angina. What action is recommended next?
Epinephrine 1mg IV/IO - answers✔✔A patient is in cardiac arrest. High-quality chest compressions are
being given. The patient is intubated, and an IV has been started. The rhythm is asystole. What is the
first drug/dose to administer?
Epinephrine 1 mg - answers✔✔A patient is in refractory ventricular fibrillation. High-quality CPR is in
progress. One does of epinephrine was given after the second shock. An antiarrhythmic drug was given
immediately after the third shock. You are the team leader. Which medication do you order next.
,Use of a phosphodiestrase inhibitor within the previous 24 hours - answers✔✔A patient with possible
STEMI has ongoing chest discomfort. What is a contraindication to nitrate administration?
Perform electrical cordioversion - answers✔✔A 57-year-old woman has palpitation, chest discomfort,
and tachycardia. The monitor shows a regular wide-QRS at a rate of 180/min. She becomes diaphoretic,
and her blood pressure is 80/60 mm HG/ Which action do you take next?
Give aspirin 160-325 mg to chew - answers✔✔A patient with STEMI has ongoing chest discomfort.
Heparin 4000 units IV bolus and a heparin infusion of 1000 units per hour are being administered. The
patient did not take aspirin because he has a history of gastritis, with was treated 5 years ago. What is
your next action?
Aspirin - answers✔✔You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The CT scan is negative for
hemorrhage. The patient is receiving oxygen via nasal cannula at 2L/min, and an IV has been
established. His blood pressure is 180/100mm Hg. Which drug do you anticipate giving to this patient?
Amiodarone 300mg - answers✔✔A patient is in pulseless ventricular tachycardia. Two shocks and 1
dose of epinephrine have been given. Which drug should be given next?
10 seconds - answers✔✔What is the maximum interval for pausing chest compressions?
Atropine 0.5mg IV - answers✔✔Your patient is a 56-year-old woman with a history of type 2 diabetes
who reports feeling dizzy. She is pale and diaphoretic. Her blood pressure is 80/66mm Hg. The cardiac
monitor documents the rhythm shown here. She is receiving oxygen at 4L/min by nasal cannula, and an
Iv has been established. What do you administer next?
Vagal maneuvers - answers✔✔A 35-year-old woman presents with a chief complaint of palpitations. She
has no chest discomfort, shortness of breath, or light-headedness. Her blood pressure is 120/78mm Hg.
Which intervention is indicated first?
Resume chest compressions - answers✔✔Which action should you take immediately after providing an
AED shock?
, Ventilating until you see the chest rise - answers✔✔What action minimizes the risk of air entering the
victim's stomach during-bag mask ventilation?
About every 5-6 seconds - answers✔✔You are providing bag-mask ventilations to a patient in
respiratory arrest. How often should you provide ventilation?
Give epinephrine 1mg IV/IO - answers✔✔After initiation of CPR and 1 shock for ventricular fibrillation,
this rhythm is present on the next rhythm check. A second shock is given, and chest compressions are
resumed immediately. An IV is in place, and no drugs have been given. Bag-mask ventilations are
producing visible chest rise. What is your next intervention?
Repersfusion therapy - answers✔✔A patient's 12-lead ECG is transmitted by the paramedics and shows
a STEMI. When the patient arrives in the emergency department, the rhythm shown here is seen on the
cardiac monitor. The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual
nitroglycerin. Blood pressure is 104/70mm Hg. Which intervention is most important in reducing this
patient's in-hospital and 30-day mortality rate?
Resume high quality chest compressions - answers✔✔A patient was in refractory ventricular fibrillation.
A thrid shock has just been administered. Your team looks to you for instructions. What is your next
action?
Ventilating too quickly - answers✔✔Which action is likely to cause air to enter the victim's stomach
(gastric inflation) during bag-mask ventilation?
Administer adenosine 12 mg IV - answers✔✔A 45-year-old woman with a history of palpitations
develops light-headedness and palpitations. She has received adensoine 6mg IV for the rhythm shown
here (SVT), without conversion of the rhythm. She is now extremely apprehensive. Her blood pressure si
128/70mm Hg. What is the next appropriate intervention?
Start rescue breathing - answers✔✔Your patient is not responsive and is not breathing, You can palpate
a carotid pulse. Which action do you take next?
https://www.youtube.com/watch?v=qQTpqjvvduI&list=PLy60DSDPg9urf_l5ss1FLakrRQDKOkTZj
This is a good starting point for Jose (big Megacode at end):
https://www.youtube.com/watch?v=8OB7OreUjy0 . Use the feedback after failing to get closer and
closer to passing! - answers✔✔BEST PLAYLIST I'VE FOUND FOR ALL HEART.ORG ACLS CODES!
Hypotension - answers✔✔In which situation does bradycardia require treatment?
Epinephrine - answers✔✔Which intervention is most appropriate for the treatment of a patient in
asystole?
Establish IV or IO access - answers✔✔You arrive on the scene with the code team. High-quality CPR is in
progress. An AED has previousy advised "no shock indicated." A rhythm check now finds asystole. After
resuming high-quality compressions, which action do you take next?
Administer adenosine 6mg IV push - answers✔✔A monitored patient in the ICU developed a sudden
onset of narrow-complex tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm
Hg, the PETCO2 is 38mm Hg, and the pulse oximetry reading is 98%. There is vascular access in the left
arm, and the patient has not been given any vasoactive drugs. A 12-lead ECG confirm a supraventricular
tachycardia with no evidence of ischemia or infarction. The heart rate has not responded to vagal
maneuvers. what is your next action?
Epinephrine 2 to 10 mcg/min - answers✔✔A patient has sinus bradycardia with a heart rate of 36/min.
Atropine has been administered to a toal does of 3 mg. A transcutaneous pacemaker has failed to
capture. The patient is confused, and her blood pressure is 88/56 mm Hg. Which therapy is now
indicated?
Epinephrine 1 mg IV/IO - answers✔✔A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Which drug should be administered first?
,Hold aspirin for at least 24 hours if rtPA is administered - answers✔✔A 62-year-old man suddenly
experienced difficulty speaking and left-sided weakness. He meets initial criteria for fibrinolytic therapy,
and a CT scan of the brain si ordered. Which best describes the guidelines for antiplatelet and
fibrinolytic therapy?
150 mg IV push - answers✔✔A patient is in refractory ventricular fibrillation and has received multiple
appropriate defribillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300mg
IV. The patient is intubated. Which best describe the recommended second does of amiodarone for this
patient?
0.5mg - answers✔✔A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a
blood pressure of 80/60mm Hg. What is the initial does of atropine?
Adenosine 6mg - answers✔✔A 35-year-old woman has palpitations, light-headedness, and a stable
tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers
have not been effective in terminating the rhythm. An IV has been established. Which drug should be
administered?
IV or IO - answers✔✔A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial
shock. If no pathway for medication administration is in place, which method is preferred?
Pulseless ventricular tachycardia-associated torsades de pointes - answers✔✔What is the indication for
the use of magnesium in cardiac arrest?
Seeking expert consultation - answers✔✔A patient has a rapid irregular wide-complex tachycardia. The
ventricular rate is 138/min. He is asymptomatic, with a blood pressure of 110/70 mm Hg. He has a
history of angina. What action is recommended next?
Epinephrine 1mg IV/IO - answers✔✔A patient is in cardiac arrest. High-quality chest compressions are
being given. The patient is intubated, and an IV has been started. The rhythm is asystole. What is the
first drug/dose to administer?
Epinephrine 1 mg - answers✔✔A patient is in refractory ventricular fibrillation. High-quality CPR is in
progress. One does of epinephrine was given after the second shock. An antiarrhythmic drug was given
immediately after the third shock. You are the team leader. Which medication do you order next.
,Use of a phosphodiestrase inhibitor within the previous 24 hours - answers✔✔A patient with possible
STEMI has ongoing chest discomfort. What is a contraindication to nitrate administration?
Perform electrical cordioversion - answers✔✔A 57-year-old woman has palpitation, chest discomfort,
and tachycardia. The monitor shows a regular wide-QRS at a rate of 180/min. She becomes diaphoretic,
and her blood pressure is 80/60 mm HG/ Which action do you take next?
Give aspirin 160-325 mg to chew - answers✔✔A patient with STEMI has ongoing chest discomfort.
Heparin 4000 units IV bolus and a heparin infusion of 1000 units per hour are being administered. The
patient did not take aspirin because he has a history of gastritis, with was treated 5 years ago. What is
your next action?
Aspirin - answers✔✔You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The CT scan is negative for
hemorrhage. The patient is receiving oxygen via nasal cannula at 2L/min, and an IV has been
established. His blood pressure is 180/100mm Hg. Which drug do you anticipate giving to this patient?
Amiodarone 300mg - answers✔✔A patient is in pulseless ventricular tachycardia. Two shocks and 1
dose of epinephrine have been given. Which drug should be given next?
10 seconds - answers✔✔What is the maximum interval for pausing chest compressions?
Atropine 0.5mg IV - answers✔✔Your patient is a 56-year-old woman with a history of type 2 diabetes
who reports feeling dizzy. She is pale and diaphoretic. Her blood pressure is 80/66mm Hg. The cardiac
monitor documents the rhythm shown here. She is receiving oxygen at 4L/min by nasal cannula, and an
Iv has been established. What do you administer next?
Vagal maneuvers - answers✔✔A 35-year-old woman presents with a chief complaint of palpitations. She
has no chest discomfort, shortness of breath, or light-headedness. Her blood pressure is 120/78mm Hg.
Which intervention is indicated first?
Resume chest compressions - answers✔✔Which action should you take immediately after providing an
AED shock?
, Ventilating until you see the chest rise - answers✔✔What action minimizes the risk of air entering the
victim's stomach during-bag mask ventilation?
About every 5-6 seconds - answers✔✔You are providing bag-mask ventilations to a patient in
respiratory arrest. How often should you provide ventilation?
Give epinephrine 1mg IV/IO - answers✔✔After initiation of CPR and 1 shock for ventricular fibrillation,
this rhythm is present on the next rhythm check. A second shock is given, and chest compressions are
resumed immediately. An IV is in place, and no drugs have been given. Bag-mask ventilations are
producing visible chest rise. What is your next intervention?
Repersfusion therapy - answers✔✔A patient's 12-lead ECG is transmitted by the paramedics and shows
a STEMI. When the patient arrives in the emergency department, the rhythm shown here is seen on the
cardiac monitor. The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual
nitroglycerin. Blood pressure is 104/70mm Hg. Which intervention is most important in reducing this
patient's in-hospital and 30-day mortality rate?
Resume high quality chest compressions - answers✔✔A patient was in refractory ventricular fibrillation.
A thrid shock has just been administered. Your team looks to you for instructions. What is your next
action?
Ventilating too quickly - answers✔✔Which action is likely to cause air to enter the victim's stomach
(gastric inflation) during bag-mask ventilation?
Administer adenosine 12 mg IV - answers✔✔A 45-year-old woman with a history of palpitations
develops light-headedness and palpitations. She has received adensoine 6mg IV for the rhythm shown
here (SVT), without conversion of the rhythm. She is now extremely apprehensive. Her blood pressure si
128/70mm Hg. What is the next appropriate intervention?
Start rescue breathing - answers✔✔Your patient is not responsive and is not breathing, You can palpate
a carotid pulse. Which action do you take next?
