Download ACLS Advanced Cardiovascular Life Support VERSION B 50 QUESTIONS AND ANSWERS 2023 and more Exams Cardiology in PDF only on Docsity! ACLS Advanced Cardiovascular Life Support VERSION B 50 QUESTIONS AND ANSWERS 2023 what should be done to minimize interruptions in chest compressions during CPR? - answer continue CPR while the defibrillator is charging what condition is an indication to stop of withhold resuscitative efforts? - answer safety to threat providers? After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation. The patient's lead II ECG appears below. What is your next action? - answer IV or IO access After verifying unresponsiveness and abnormal breathing, you activate the emergency response team. What is your next action? - answer check for a pulse what is the recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest? - answer not recommended for routine use? What survival advantages does CPR provide to a patient in ventricular fibrillation? - answer produces a small amount of blood flow to the heart what is the recommended compression rate for performing CPR? - answer at least 100 per minute EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR. After attaching a cardiac monitor, the responder observes the following rhythm strip. What is the most important early intervention? - answer defibrillation a patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. the next intervention is to: - answer administer a second shock what is the recommended next step after a defibrillation attempt? - answer begin CPR, starting with chest compressions which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest? - answer antecubital vein what is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation? - answer 300 mg IV/IO drug administration during CPR should be - answer given rapidly during compressions how often should the team leader switch chest compressors during a resuscitation attempt? - answer every 2 minutes which finding is a sign of ineffective CPR? - answer PETCO2 <10 mm Hg A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges when the medication is administered. What element of effective resuscitation team dynamics does this represent? - answer closed-loop communication how long should it take to perform a pulse check during the BLS survey? - answer 1 to 5 seconds Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he is unresponsive and notice that he is taking agonal breaths. What is the next step in your assessment and management of this patient? - answer apply the AED what is the purpose of a medical emergency team (MET) or rapid response team (RRT)? - answer improving patient outcomes by identifying and treating early clinical deterioration what is the recommended assisted ventilation rate for patients in respiratory arrest with a perfusing rythm? - answer 10 to 12 breaths per minute You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most important now? - answer obtaining a 12-lead ECG family members found a 45-year-old woman unresponsive in bed. the patient is unconscious and in respiratory arrest. what is the recommended initial airway management technique? - answer performing a head tilt-chin lift maneuver a patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents with the following lead II ECG rhythm: what is the appropriate intervention? - answer synchronized cardioversion a patient has a witnessed loss of consciousness. the lead II ECG reveals this rhythm: what is the appropriate intervention? - answer defibrillation what is the recommended energy dose for biphasic synchronized cardioversion of atrial fibrillation? - answer 120 to 200 j which of the following is an acceptable method of selecting an appropriately sized oropharyngeal airway (OPA)? - answer measure from the corner of the mouth to the angle of the mandible. which is a contraindication to nitroglycerin administration in the management of acute coronary syndromes? - answer heart rate greater than 80/min what is the recommended initial intervention for managing hypotension in the immediate period after return of spontaneous circulation (ROSC)? - answer atropine Bolus Which is an appropriate and important intervention to perform for a patient who achieves ROSC during an out-of-hospital resuscitation? - answer initiate antiarrhythmic infusion what is the immediate danger of excessive ventilation during the post-cardiac arrest period for patients who achieve ROSC? - answer decreased cerebral blood flow what is the recommended target temperature range for achieving therapeutic hypothermia after cardiac arrest? - answer 32 degrees C to 34 degrees C. what is the recommended duration of therapeutic hypothermia after reaching the target temperature? - answer 12 to 24 hours what is the danger of routinely administering high concentrations of oxygen during the post- cardiac arrest period for patients who achieve ROSC? - answer potential oxygen toxicity what is the recommended dose of epinephrine for the treatment of hypotension in a post- cardiac arrest patient who achieves ROSC? - answer o.1 to 0.5 mcg/kg per minute IV infusion