ACLS AHA Exam ( Updated 2024 ) Complete Questions & Answers (Solved) 100% Correct
- A patient has a rapid *irregular wide-complex tachycardia*; The ventricular rate is
138/min.; It is asymptomatic, with a BP of 110/70 mmHG; He has a h/o angina; What action is recommended next?
Answer:
a) Giving Adenosine: 6 mg IV bolus;
b) Giving Lidocaine: 1.5 mg IV bolus;
c) Performing synchronized cardioversion;
- *Seeking expert consultation *;
- What tests should be performed for a patient with a suspected stroke within 2 hours of
arrival?
Answer: non contrast CT scan of the head
- SVT types
Answer:
1) Atrial fibrillation (A-fib);
2) Paroxysmal Supraventricular Tachycardia (PSVT):
3) Atrial Flutter (A-flutter); 4) Wolff-Parkinson-White syndrome;
- The patient is in *cardiac arrest*.
High-quality chest compressions are being given. The patient is intubated, and an IV is being started. The rhythm is *asystole*.What is the first drug/dose to administer?
Answer: *Epinephrine 1 mg IV/IO*
- *Transcutaneous Pacing*
Answer: Aka external pacing: is a temporary means of pacing a patient's heart during a medical emergency.It is accomplished by *gradually delivering pulses* of electric current (*50-100 mA*) through the patient's chest until capture is reached (usually at a selected rate of 70), which stimulates the *heart to contract* at a regular pace.
- Which intervention is most appropriate for the treatment of a patient in
*asystole*?
Answer: *Epinephrine*
- A patient with sinus *bradycardia* and a heart rate of 42/min is diaphoretic and with a
blood pressure of 80/60 mm Hg. 1 / 2
What is the *initial dose of atropine*?
Answer: *0.5 mg* of *Atropine*
- A patient has sinus *bradycardia* with a heart rate of 36/min. *Atropine* has been
administered to a total dose of 3 mg. A *transcutaneous pacing* has failed to capture. The patient is confused, and her BP is *88/56 mmHg*. Which therapy is now indicated?Answer: *Epinephrine infusion: 2-10 mcg/min*.
- A monitored patient in the ICU developed a sudden onset of *regular narrow-complex
tachycardia* at a rate of 220/min.The patient's BP is 128/88 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%.There is a vascular (IV) access in the left arm, and the patient has not been given any basic active drugs.
A 12-lead ECG confirms *SVT* with no evidence of ischemia or infraction. The HR has not responded to vagal maneuvers.What is your next action?
Answer: Administer *adenosine 6 mg* IV push
- A patient with possible STEMI has ongoing chest discomfort. What is a
*contraindication to nitrate* administration?Answer: Use of a *phosphodiesterase inhibitors* (eg. Viagra) within the previous 24 hours
- A patient is in *pulseless V-tach* (PEA). 2 shocks and 1 dose of epinephrine have been
given.Which drug should be given next?
Answer: *Amiodarone 300 mg* (first dose)
- What is the indication for the use of *magnesium* in cardiac arrest?
Answer: Pulse- less V-tach associated with *Torsades des pointes*
- Which is one way to minimize interruptions in chest compressions during CPR?
Answer: Continue CPR while the defibrillator charges
- A 35-years-old woman has palpitations, light-headedness, and a stable
*tachycardia*.The monitor shows a *regular-narrow-monomorphic-complex QRS* at a rate of 180/minutes.Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established.Which drug should be administered?
Answer: *Adenosine 6 mg* (first dose)
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