ACLS Drugs dosages & uses
A patient with a ventricular assist device (VAD) is not breathing, has signs of inadequate
perfusion, and is unconscious. You determine the VAD is functioning. After endotracheal
intubation, the patient has a PETCO2 of 12mm Hg.
What is your next action? - ANS - perform external chest compressions
A pt with suspected opioid poisoning is not breathing normally but has a pulse. What is
your next step? - ANS - Provide rescue breathing and give Naloxone
Adenosine can cause ____ so you should not give it to pt's with asthma or COPD. -
ANS - bronchospasm
Adenosine increased AV block and will terminate approx. ___% of reentry arrhythmias
within ___ minutes. - ANS - 90%
2 minutes
Adenosine is safe or unsafe during pregnancy? - ANS - SAFE
After ROSC start a cycle of ____breaths/minutes. - ANS - 10
Amiodarone should be given as a bolus dose of _____. Then consider 1 additional
____mg IV for shockable rhythms in VF/pVT specifically. - ANS - Amiodarone 300mg
IV bolus
150 mg IV
Antiarrhythmic drugs for tachy-arrhythmias: - ANS - -Procainamide 20-50mg/min IV
(max 17mg/kg IV)
-Amiodarone 150mg IV over 10 minutes
-Sotalol 100mg (1.5mg/kg) IV over 5 minutes
Depending on training and clinical circumstance, how can rescuers administer
maloxone? - ANS - IV, Intranasally, IM
Dopamine should be given at what dose/rate for Bradycardia? - ANS -
5-20mcg/kg/min
, During the management of a patient in cardiac arrest, you have initiated CPR, attached
the manual defibrillator, delivered the first shock, and immediately resumed CPR,
beginning with chest compressions.
What is your next intervention? - ANS - Establish IV/IO access
During the management of a pt in cardiac arrest, you have initiated CPR, attached, the
manual defibrillator, delivered the first shock, and immediately resumed CPR with chest
compressions. What is your next intervention? - ANS - Establish IV or IO access
During the post-cardiac arrest care period, the 12-lead EKG reveals an ST-segment
elevation MI.
What is the next step/highest priority action? - ANS - Coronary Angiography
Epinephrine should be given at what dose/rate for Bradycardia? - ANS - 2-10mcg/min
First dose amount for Antiarrhythmic drug Amiodarone: - ANS - 150mg IV over 10
minutes
First dose amount of Antiarrhythmic drug Procainamide: - ANS - 20-50mg/min IV
First dose amount of Antiarrhythmic drug Sotalol:
-dont give if prolonged QT is present - ANS - 100mg (1.5mg/kg) IV over 5 minutes
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? - ANS - -Parenteral narcotic
-Parenteral benzodiazepine
-Chronotropic infusion
For poor perfusion with Bradycardia Treat with which first line treatment? - ANS -
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? - ANS - Transcutaneous pacing
Dopamine 5-20mcg/kg/minute infusion
OR
Epinephrine 2-10mcg/min infusion
A patient with a ventricular assist device (VAD) is not breathing, has signs of inadequate
perfusion, and is unconscious. You determine the VAD is functioning. After endotracheal
intubation, the patient has a PETCO2 of 12mm Hg.
What is your next action? - ANS - perform external chest compressions
A pt with suspected opioid poisoning is not breathing normally but has a pulse. What is
your next step? - ANS - Provide rescue breathing and give Naloxone
Adenosine can cause ____ so you should not give it to pt's with asthma or COPD. -
ANS - bronchospasm
Adenosine increased AV block and will terminate approx. ___% of reentry arrhythmias
within ___ minutes. - ANS - 90%
2 minutes
Adenosine is safe or unsafe during pregnancy? - ANS - SAFE
After ROSC start a cycle of ____breaths/minutes. - ANS - 10
Amiodarone should be given as a bolus dose of _____. Then consider 1 additional
____mg IV for shockable rhythms in VF/pVT specifically. - ANS - Amiodarone 300mg
IV bolus
150 mg IV
Antiarrhythmic drugs for tachy-arrhythmias: - ANS - -Procainamide 20-50mg/min IV
(max 17mg/kg IV)
-Amiodarone 150mg IV over 10 minutes
-Sotalol 100mg (1.5mg/kg) IV over 5 minutes
Depending on training and clinical circumstance, how can rescuers administer
maloxone? - ANS - IV, Intranasally, IM
Dopamine should be given at what dose/rate for Bradycardia? - ANS -
5-20mcg/kg/min
, During the management of a patient in cardiac arrest, you have initiated CPR, attached
the manual defibrillator, delivered the first shock, and immediately resumed CPR,
beginning with chest compressions.
What is your next intervention? - ANS - Establish IV/IO access
During the management of a pt in cardiac arrest, you have initiated CPR, attached, the
manual defibrillator, delivered the first shock, and immediately resumed CPR with chest
compressions. What is your next intervention? - ANS - Establish IV or IO access
During the post-cardiac arrest care period, the 12-lead EKG reveals an ST-segment
elevation MI.
What is the next step/highest priority action? - ANS - Coronary Angiography
Epinephrine should be given at what dose/rate for Bradycardia? - ANS - 2-10mcg/min
First dose amount for Antiarrhythmic drug Amiodarone: - ANS - 150mg IV over 10
minutes
First dose amount of Antiarrhythmic drug Procainamide: - ANS - 20-50mg/min IV
First dose amount of Antiarrhythmic drug Sotalol:
-dont give if prolonged QT is present - ANS - 100mg (1.5mg/kg) IV over 5 minutes
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? - ANS - -Parenteral narcotic
-Parenteral benzodiazepine
-Chronotropic infusion
For poor perfusion with Bradycardia Treat with which first line treatment? - ANS -
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? - ANS - Transcutaneous pacing
Dopamine 5-20mcg/kg/minute infusion
OR
Epinephrine 2-10mcg/min infusion
