ACLS

Question 1

What are the 2 non shockable rhythms?

Answer 1

1. Pulseless electrical activity
2. Asystole

Question 2

What are the 2 shockable rhythms?

Answer 2

1. Ventricular tachycardia
2. Ventricular Fibrillation

Question 3

What are the 3 medications used for VT/VF?

Answer 3

1. Epinephrine
2. Amiodarone
3. Lidocaine

Question 4

What medications are used for PEA/Asystole?

Answer 4

Epinephrine

Question 5

What dose of epinephrine is used for ACLS?

Answer 5

1 mg IV/IO every 3-5 minutes

Question 6

What are the two doses that are used for amiodarone in ACLS?

Answer 6

Dose 1: 300 mg IV/IO push
Dose 2: 150 mg IV/IO push

Question 7

What dose of lidocaine is used?

Answer 7

1-1.5 mg/kg

Question 8

What are 4 adjunctive medications?

Answer 8

1. Magnesium sulfate
2. Dextrose
3. Calcium chloride
4. Sodium bicarbonate

Question 9

What medication can be used for torsades de pointe?

Answer 9

Magnesium sulfate

Question 10

What medications can be used to treat hypoglycemia?

Answer 10

Dextrose

Question 11

What is calcium chloride used to treat?

Answer 11

Hypo/hyperkalemia

Question 12

What medications can treat severe acidosis, toxidromes, hyperkalemia?

Answer 12

Sodium bicarbonate

Question 13

After you start CPR and the rhythm isn’t shockable what should be done next?

Answer 13

Epinephrine is given ASAP

Question 14

After epinephrine is given for VT/VF what agents should be used next?

Answer 14

Amiodarone or lidocaine

Question 15

What are the 5 H’s (reversible factors)?

Answer 15

1. Hypovolemia
2. Hypoxia
3. Hydrogen ion
4. Hypo/hyperkalemia
5. Hypothermia

Question 16

What are the 5 T’s (reversible factors)?

Answer 16

1. Tension pneumothorax
2. Tamponade, Cardiac
3. Toxins
4. Thrombosis, pulmonary
5. Thrombosis, coronary

Question 17

If there’s no signs of return of spontaneous circulation (ROSC) what hemodynamic parameters do you look for?

Answer 17

1. Systolic BP >90
2. MAP >65
3. Temp. 32-36°C

Question 18

What are 5 causes of bradycardia?

Answer 18

1. Electrolyte abnormalities
2. Acute coronary syndrome
3. Toxidromes
4. Hypothermia
5. Hypothyroid

Question 19

When should you treat bradycardia?

Answer 19

If symptomatic

Question 20

What is first line treatment for bradycardia?

Answer 20

Atropine

Question 21

What are the doses of atropine?

Answer 21

Dose 1: 1 mg bolus
Repeat every 3-5 minutes
Max: 3 mg

Question 22

What should be used after atropine is ineffective in bradycardia?

Answer 22

1. Transcutaneous pacing
2. Dopamine infusion
3. Epinephrine infusion

Question 23

When should you treat tachycardia?

Answer 23

When it’s both symptomatic and asymptomatic

Question 24

If a patient has symptomatic tachycardia what should be done?

Answer 24

Synchronized cardioversion

Question 25

If a patient has symptomatic tachycardia with a wide QRS what should be used for treatment first?

Answer 25

Vagal maneuvers

Question 26

If a patient has asymptomatic tachycardia without a wide QRS what should be used for treatment second?

Answer 26

Adenosine

Question 27

What dose of adenosine is used for tachycardia?

Answer 27

Dose 1: 6 mg Dose 2: 12 mg

Question 28

If a patient has asymptomatic tachycardia with a wide QRS what should be used for treatment?

Answer 28

Consider antiarrhythmics

Question 29

What are the 3 antiarrhymics used for tachycardia?

Answer 29

1. Procainamide 2. Amiodarone 3. Sotalol

Question 30

What is the dose of amiodarone used for tachycardia?

Answer 30

150 mg over 10 minutes. Followed by a maintenance infusion of 1 mg/min for the first 6 hours