American Red Cross ACLS Final Exam Answers/ ACLS Final Exam Updated 2023-2024
What are complications associated with TTM? --------- Correct Answer --------- - CV issues
- Hyperglycemia
- Electrolyte disorders
- Bleeding
- Altered drug metabolism
- Risk of infection
When someone had had opioid overdose what is the drug of choice? - --------- Correct Answer -------- naloxone
What do you want to know if bradycardia is causing? - --------- Correct Answer -------- hypotension, acutely altered mental status, signs of shock, ischemic chest discomfort, acute heart failure
If bradycardia is causing one of those what do you want to do? - --------- Correct Answer -------- atropine and if that is not working consider transvenous pacing
How much and how often do you give atropine? - --------- Correct Answer -------- first dose 0.5mg with a maximum of 3 mg repeat every 3-5 minutes
What other things can you give besides atropine for bradycardia? - --------- Correct Answer -------- dopamine or epinephrine infusion
What do you want to know if tachycardia is causing? - --------- Correct Answer -------- hypotension, acute altered mental status, signs of shock, ischemic chest discomfort, acute heart failure
If there is one of those things tachycardia is causing what do you want to do? - --------- Correct Answer -------- consider synchronized cardioversion
If tachycardia is not causing one of those things what do you do? - --------- Correct Answer -------- Determine if there is a wide QRS
If there is a wide QRS what do you do? - --------- Correct Answer -------- IV access and 12 lead EKG, consider adenosine if regular, consider antiarrhythmic infusion
If there is not a wide QRS what do you do? - --------- Correct Answer -------- IV access and 12 lead EKG, vagal maneuvers, adenosine, b-blocker or calcium channel blocker
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in ROSC how do you wan to optimize ventilation and oxygenation? - --------- Correct Answer -------- maintain oxygen saturation >94%, consider advanced airway and waveform capnography, do not hyperventilate
In ROSC how do you want to treat hypotension? - --------- Correct Answer -------- IV/OV bolus, vasopressor infusion, consider treatable cause
What are your vasopressor infusions? - --------- Correct Answer -------- epinephrine (0.1- 0.5mcg/kg/min), dopamine (5-10 mcg/kg/min), norepinephrine (0.1-0.5 mcg/kg/min
In ROSC what two things do you need to find out? - --------- Correct Answer -------- was it a STEMI and do they follow commands
if it was a STEMI what do you do? - --------- Correct Answer -------- coronary reperfusion and then find out if they follow commands
If they do not follow commands what do you do? - --------- Correct Answer -------- do hypothermia protocol
What are the 6 roles in ACLS? - --------- Correct Answer -------- compressor, AED/monitor/defibrillator, airway, team leader, IV/OV/medication, timer/recorder
What is considered quality compressions? - --------- Correct Answer -------- 100-120 compressions a minute, 2 inches in depth, allow complete chest recoil
What are the H's in the H's and T's? - --------- Correct Answer -------- hypovolemia, hypoxia, hydrogen ions, hypo/hyper kalemia, hypothermia
What are the T's in the H's and T's? - --------- Correct Answer -------- Tension pneumothorax, tamponade, toxins, thrombosis pulmonary, thrombosis coronary
How do you fix hypovolemia? - --------- Correct Answer -------- fluid bolus
How do you fix hypoxia? - --------- Correct Answer -------- O2
How do you fix hyperkalemia? - --------- Correct Answer -------- insulin and D50, kayexalate
How do you fix hypokalemia? - --------- Correct Answer -------- K run
What do you do first when someone is in cardiac arrest? - --------- Correct Answer -------- Start CPR, give oxygen and attach to monitor and defibrillator
What rhythms are shockable? - --------- Correct Answer -------- VF/pVT
What are non shockable rhythms? - --------- Correct Answer -------- asystole and PEA
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