ACLS Heartcode 2025 (2025) comprehensive
questions and verified answers (elaborated) get it
100% accurate!!
how do you treat non-symptomatic bradycardia - ✔✔monitor and observe
what constitutes symptomatic bradycardia - ✔✔hypotension
altered mental status
signs of shock
chest pain
acute heart failure
how do you treat symptomatic bradycardia - ✔✔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 - ✔✔over 150 per minute
when do you consider cardioversion - ✔✔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 -
✔✔wide QRS?
greater than 0.12 seconds
If persistent tachycardia without symptoms DOES have a wide QRS what to do you do? -
✔✔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 - ✔✔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 - ✔✔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
, patient comes in with symptoms of ACS what do you do first - ✔✔chew 325mg aspirin
O2
nitro
morphine
get 12 lead EKG
IV access
IF ACS patient has EKG showing ST elevation and symptoms are less than 12 hours then what -
✔✔re-perfusion
door to balloon 90 minutes
door to needle 30 minutes
If ACS patient has EKG showing non ST elevation MI or high risk unstable angina then what -
✔✔early invasive strategy?
adjunctive treatment?
-nitroglycerin
-heparin
-beta blockers
-clopidogrel
-glycoprotein IIb / IIIa inhibitor
what are the contraindications to fibrinolytics in ACS treatment - ✔✔systolic > 180
diastolic > 100
right arm left arm systolic difference > 15
history of structural central nervous system disease
recent head/facial trauma
questions and verified answers (elaborated) get it
100% accurate!!
how do you treat non-symptomatic bradycardia - ✔✔monitor and observe
what constitutes symptomatic bradycardia - ✔✔hypotension
altered mental status
signs of shock
chest pain
acute heart failure
how do you treat symptomatic bradycardia - ✔✔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 - ✔✔over 150 per minute
when do you consider cardioversion - ✔✔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 -
✔✔wide QRS?
greater than 0.12 seconds
If persistent tachycardia without symptoms DOES have a wide QRS what to do you do? -
✔✔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 - ✔✔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 - ✔✔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
, patient comes in with symptoms of ACS what do you do first - ✔✔chew 325mg aspirin
O2
nitro
morphine
get 12 lead EKG
IV access
IF ACS patient has EKG showing ST elevation and symptoms are less than 12 hours then what -
✔✔re-perfusion
door to balloon 90 minutes
door to needle 30 minutes
If ACS patient has EKG showing non ST elevation MI or high risk unstable angina then what -
✔✔early invasive strategy?
adjunctive treatment?
-nitroglycerin
-heparin
-beta blockers
-clopidogrel
-glycoprotein IIb / IIIa inhibitor
what are the contraindications to fibrinolytics in ACS treatment - ✔✔systolic > 180
diastolic > 100
right arm left arm systolic difference > 15
history of structural central nervous system disease
recent head/facial trauma
