ACLS Study Cards: 46 Questions with Complete Solutions for ACLS Exam, Exams of Nursing

Download ACLS Study Cards: 46 Questions with Complete Solutions for ACLS Exam and more Exams Nursing in PDF only on Docsity! ACLS Study Cards| 46 QUESTIONS| WITH COMPLETE SOLUTIONS Primary Survey correct answer: ABCD A-airway B-breathing C-circulation D-defibrilation Secondary Survey correct answer: IAID I-intabate (if resp. arrest or can't get good venitlaiton) A-access airway I-IV/IO access for Drugs D-differential diagnosis (H's & T's) What do you do with a non responsive patient? correct answer: 1st survey, then second survey Med Administration correct answer: -IV access: large bore 18 g -Site: AC -always flush after med admin What do you do if AED determines non-shockable rhythm? correct answer: continue chest compressions What is PEA? correct answer: Pulseless electrical activity (ECG shows activity but there is no pulse felt in patient) ACLS Survey correct answer: ABCD A-airway B-breathing C-circulation D-defibrilation ACLS Airway Survey correct answer: SUPPLEMENTAL OXYGEN when indicated: -100% for cardiac arrest -titrate others to achieve >94% O2 sats MONITOR VENTILATION EFFECTIVENESS by: -chest rise/fall -cyanosis -O2 sats -waveform capnography AVOID EXCESSIVE VENTILATION How many ventilations do you provide when patient is in cardiac arrest? With an advanced airway? In respiratory arrest only? correct answer: 2 ventilations every 30 compressions if advanced airway: 1 every 6-8 seconds if respiratory arrest: 1 every 5-6 seconds What do you do with a non-responsive patient? correct answer: 1. Shout for help/Activate the Emergency Response System (get AED) 2. Check for Pulse 3. Start CPR What do you do for a patient who is stable and has chest pain? correct answer: Monitor-support ABC Be prepared to give CPR & Defib Admin Aspirin (O2-sats<94%, Nitro, Morphine if needed) Get 12 lead ECG Cases NOT to give Nitro correct answer: hypotension (SBP < 90) bradycardia (< 50/min) tachycardia Nitro Administration correct answer: 1 tablet (or spray dose) every 3-5 min up to total of 3 doses H's correct answer: Hypovolemia Hypoxia Hypothermia Hyper/Hypokalemia Hydrogen ions (acidosis) ECG Clues for Hypovolemia correct answer: Narrow complex Rapid rate Clues from History/Physical for Hypovolemia & Effective Intervention correct answer: Flat neck veins History of condition *internal bleeding & severe dehydration* Intervention: volume infusion ECG Clues for Hypoxia correct answer: slow rate Clues from History/Physical for Hypoxia & Effective Intervention correct answer: Cyanosis ABG Airway Problems Intervention: O2, ventilation, advanced airway ECG Clues for Hydrogen Ions (acidosis) correct answer: Smaller-amplitude QRS Complexes History/Physical Cues for Thrombosis (Cardiac-MI) & Effective Intervention correct answer: history of condition cardiac markers good pulse with CPR INTERVENTION: none listed Amiodarone correct answer: VF/VT Cardiac Arrest (unresponsive to Shock, CPR & Vasopressor-epi) -first dose 300mg -second dose 150mg NON Arrest -150 mg Atropine correct answer: Bradycardia (with or without ACS) -0.5mg every 3-5 min not to exceed 3 mg Adenosine correct answer: stable, narrow complex SVT -first dose: 6 mg -second dose: 12mg given 1-2 min after 1st dose Vasopressin correct answer: Cardiac Arrest: -40 mg 1 time only -can be given instead of 1st or 2nd dose of EPI Dopamine correct answer: Bradycardia (used after atropine) use for hypotension <70 w/S&S of shock -2 to 20 mcg/kg per min Magnesium Sulfate correct answer: Cardiac Arrest (due to Hypomagnesemia OR Torsades de Pointes) -1 to 2 g diluted in 10mL of D5W IV/IO Torsades de Pointes w/Pulse or AMI with Hypomagnesemia -1 to 2 g mixed in 50-100mL of D5W over 5-160 min What is the desired PETCO2? correct answer: 35-40 > or = 10 means good compressions <10 means need to evaluate compressions When is synchronized cardioversion indicated? correct answer: Symptomatic or Unstable SVT VT with pulses What joules dose do you use during cardio version? correct answer: Atrial flutter and SVT: initial 50 J - 100 J Monomorphic VT with pulse: inital 100 J Unstable atrial fib: -monophasic dose 200 J -biphasic dose 120 J - 200 J Which drugs can be given through ET tube? correct answer: lidocaine vasopressin epi atropine