ACLS Review 1st semester

What amount of time should ACLS providers minimize interruptions during chest compressions?

• 10 seconds

• 20 seconds

• 30 seconds

• 60 seconds

Which is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation?

• 1.5 mg/kg

• 0.75 mg/kg

• 300 mg

• 150 mg

What is the recommended next step after a defibrillation attempt?

• Intubation

• IV/IO access

• 1 mg epinephrine IVP

• Resume CPR, starting with chest compressions.

Three minutes into a cardiac resuscitation attempt, one member of your team inserts an endotracheal tube while another performs chest compressions. Capnography shows a persistent waveform and a PETCO2 of 8 mmHg. Which is the significance of this finding?

• Chest compressions may not be effective.

• The patient will need to be immediately defibrillated

• The patient has regained a pulse.

• Amiodarone would be contraindicated.

You are performing chest compressions during an adult resuscitation attempt. Which rate should you use to perform the compressions?

• >100/min

• 100-120/min

• 60-100/min

• 120-150/min

A patient in stable narrow-complex tachycardia with a peripheral IV in place is refractory to the first dose of adenosine. Which dose would you administer next?

• 6 mg

• 12 mg

• 18 mg

• 24 mg

What is the minimum systolic blood pressure one should attempt to achieve with fluid administration or vasoactive agents in a hypotensive post-cardiac arrest patient who achieves return of spontaneous circulation?

• 80 mmHg

• 90 mmHg

• 100 mmHg

• 110 mmHg

You have completed 2 minutes of CPR. The ECG monitor displays PEA. Another member of your team resumes chest compressions, and an IV is in place. What do you do next?

• defibrilate

• administer 300 mg amiodarone

• administer 1 mg epinephrine

• administer 50 meq sodium bicarbonate

Despite 2 Defibrillation attempts, the patient remains in ventricular fibrillation. Which drug and dose should you administer first to this patient?

• epinephrine 1 mg 1:10,000

• epinephrine 1 mg 1:1000

• amiodarone 150 mg

• amiodarone 300 mg

Despite the drug provided above and continued CPR, the patient remains in ventricular fibrillation. Which other drug should be administered next?

• naloxone 2 mg

• magnesium sulfate 2 grams

• amiodarone 300 mg

• sodium bicarbonate 50 meq