ACLS Heartcode Test Questions With 100% All Correct Answers
in cardiac arrest when do you first introduce medical intervention? which drug? - CORRECT ANSWERS after 2 rounds of CPR/shock after 2nd shock give 1 mg epinephrine every 3-5 minutes
when do you introduce amiodarone during cardiac arrest? - CORRECT ANSWERS after the 3rd shock give 300 mg bolus of amiodarone if second dose is needed give 150mg as second dose
what rhythms are shockable in cardiac arrest - CORRECT ANSWERS VF VT
what rhythms are not shockable in cardiac arrest - CORRECT ANSWERS asystole PEA
if you are in an unshockable rhythm arrest when do you give epi - CORRECT ANSWERS 1mg epi every 3-5 minutes after 1st round of CPR
what do you do after return of spontaneous circulation - CORRECT ANSWERS maintain O2 sat at 94% treat hypotension (fluids vasopressor) 12 lead EKG if in coma consider hypothermia if not in coma and ekg shows STEMI or AMI consider re-perfusion
what are the 5 h's and 5 t's - CORRECT ANSWERS hypovolemia hypoxia hydrogen ion (acidosis) hypo/hyperkalemia hypothermia
tension pneumothorax tamponade, cardiac toxins 1 / 3
thrombosis, pulmonary thrombosis, coronary
how do you treat non-symptomatic bradycardia - CORRECT ANSWERS monitor and observe
what constitutes symptomatic bradycardia - CORRECT ANSWERS hypotension altered mental status signs of shock chest pain acute heart failure
how do you treat symptomatic bradycardia - CORRECT ANSWERS 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 - CORRECT ANSWERS over 150 per minute
when do you consider cardioversion - CORRECT ANSWERS 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
- CORRECT ANSWERS wide QRS?
greater than 0.12 seconds
If persistent tachycardia without symptoms DOES have a wide QRS what to do you do?
- CORRECT ANSWERS 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
- / 3
which anti-arrhythmic drugs can be used if prolonged QT - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS early invasive strategy?adjunctive treatment?-nitroglycerin -heparin -beta blockers -clopidogrel -glycoprotein IIb / IIIa inhibitor
what are the contraindications to fibrinolytics in ACS treatment - CORRECT ANSWERS systolic > 180 diastolic > 100 right arm left arm systolic difference > 15 history of structural central nervous system disease recent head/facial trauma stroke more than 3 hours or less then 3 months ago recent trauma, surgery or bleed any history of intracranial hemorrhage bleeding, clotting problem or on blood thinners
- / 3