ACLS TEST

Question 1

Stable vs Unstable Rhythm?
Is defined by…?

Answer 1

acute s/s
common miscon: w/ consistency

Question 2

Transfering pt to acute care hospital, best intervention to reduce time to tx?

Answer 2

Provide prehospital notification

Question 3

STEMI: goal (minutes) contact to balloon inflation?

Answer 3

90 minutes

Question 4

Pulse check length? (seconds)

Answer 4

5 - 10

Question 5

Aspirin dose?

Answer 5

162 - 325mg

Question 6

Adenosine
is it for tach or brad?
1st and 2nd dose?

Answer 6

Tach
6 then 12mg

Question 7

BEST method to verify ET tube placement?

Answer 7

Continuous Waveform Capnography (etCO2)

Question 8

BEST way to increase compression fraction during a code

Answer 8

Charge Defib

Question 9

Acute Coronary Syndrome indicative symptom

Answer 9

CRUSHING chest discomfort

Question 10

Amiodarone
For shock or unshock?
1st and 2nd dose

Alternative med?
1st and 2nd dose

Answer 10

For shockable
300 then 150mg

Lidocaine
1-1.5 mg/kg then 0.5-0.75mg/kg

Question 11

4/5 Interventions s/p ROSC Comatose

what if wake?

Answer 11

Targeted Temperature Management
Brain CT
then EEG Monitoring
Critical Care (just this if awake)
if STEMI (cath lab)

Question 12

Targeted Temperature Management goal temp

Answer 12

32 - 36 celcius

Question 13

Rescue Breaths for intubated pt (how frequently, seconds)

Answer 13

q 6 seconds

Question 14

Result of EXCESSIVE ventilation?

Answer 14

lower cardiac output d/t competing intrathoracic pressures

Question 15

VT with Pulse?

Answer 15

if still awake treat as Tachy pre-code

Question 16

Minimum SBP desired

Answer 16

90 mmHg

Question 17

Purpose of Rapid Response Team

Answer 17

Identify/Tx early deterioration

Question 18

How to measure oropharyngea airway prior to insertion

Answer 18

Corner of mouth to angle of mandible

Question 19

TTM (at least) how long? (hrs)

Answer 19

24

Question 20

Possible Stroke? First Scan?

Answer 20

CT head

Question 21

If EtCO2 read is low?
Inverse to ZERO

Answer 21

It means poor compressions
ZERO = in the tummy

Question 22

Team Leader best action to prevent ineffeciencies.

Answer 22

Clearly delegate tasks

Question 23

Best tx for stroke pt, no concern for hemorrhage

Answer 23

Fibrolytic Therapy

Question 24

If team member sucks…?

Answer 24

Let em know immediately

Question 25

Atropine Tach or brad dose, frequency, max dosage

Answer 25

Brad 1mg q3-5min max at 3mg

Question 26

Electric choice for… Brad vs Tach

Answer 26

Transcutaneous Pacing vs Synch Cardioversion

Question 27

2 least invasive tx of Tachy

Answer 27

Vagal maneuvers and Betablockers