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Acls, ECG, Tachycardia, Bradycardia
Acls, ECG, Tachycardia, Bradycardia
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You have performed vagal maneuvers and there is no change in the patients heart
rate and rhythm. What is your next step?
1.
push
2.
rapid IV push.
o
3.
4.
sinus rhythm
Correct
You give 6mg Adenosine rapid IV push with no effect. 12mg Adenosine rapid IV
push is then given. The patient develops severe chest pain and his vital signs are: HR 220,
BP (not obtainable), and weak pulse. The patient also has LOC changes. Your next step
should be?
o
1.
2.
3.
4.
Correct
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2.
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4.
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2.
Give 1mg Epinephrine IV push (repeat the epinephrine every 3-5 minutes)
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4.
After completing 5 cycles of CPR, your rhythm check indicates a second shock.
You shock a second time with 200 J. You resume CPR. While completing the cycle of CPR
what else should be done?
o
1.
2.
3.
4.
Either 1 or 2 is correct
You have given the epinephrine or vasopressin and completed the 5 cycles of
CPR. A rhythm check reveals no change. You attempt at third defibrillation. What will be
your defibrillator setting?
(In all scenarios, assume that the biphasic defibrillator shock setting can be from 50-360
Joules. The shock selection on many biphasic defibrillators can vary.)
o
1.
300 Joules
2.
200 Joules
3.
160 Joules
4.
50 Joules
The third shock is delivered and you restart CPR (5 cycles). What medication
should be given after the 3rd shock during CPR?
o
1.
Amiodarone
2.
Lopressor
3.
Atropine
4.
Dopamine
What is the correct dosing for amiodarone in the Pulseless Arrest Algorithm?
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2.
200mg IV once.
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You give amiodarone 300 mg (first dose) and finish the cycle of CPR. Upon a
rhythm check, you see, the patient has converted to a normal sinus rhythm and has a pulse
(ROSC). As you begin the post-arrest phase, the patient has a short run of VT. In light of
the continued arrhythmia, you are instructed to start an amiodarone drip for postresuscitation maintenance therapy. What is maximum cumulative dose for amiodarone in
a 24 hour period?
o
1.
2.2 grams
2.
3.2 grams
3.
1.5 grams
4.
5.6 grams
Great Job! You saved the patient He has been stabilized and intubated, but does
not respond to verbal commands. He is transported to the hospitals ICU. Since the
patient is not responsive what would be the most important intervention in the post-cardiac
arrest phase.
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