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ACLS version A study guide 2024- identifying and treating early clinical deterioration Choose matching term 1 An activated AED does not promptly analyze the rhythm. What is your next action? 2 what is the primary purpose of a medical emergency team (MET) or rapid response team (RRT)? 3 what is the first treatment priority for a patient who achieves ROSC? 4 what action is a component of high-quality chest compressions? Don't know? Terms in this set (50) Original you find an unresponsive patient who is not breathing. after activating the emergency response system, you determine that there is no pulse. what is your next action? start chest compressions at a rate of at least 100/min.
We have an expert-written solution to this problem! you are evaluating a 58-year-old man with chest pain. the blood pressure is 92/50 mm hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. what assessment step is most important now? obtaining 12-lead ecg. what is the preferred method of access for epinephrine administration during cardiac arrest in most patients? peripheral intravenous We have an expert-written solution to this problem! An activated AED does not promptly analyze the rhythm. What is your next action? begin chest compressions. You have completed 2 min of CPR. The ECG monitor displays the lead below and the pt. has no pulse. another member resumes chest compressions and an IV is in place. What management step is your next priority? administer one mg of epinephrine
which situation BEST describes pulseless electrical activity? sinus rhythm without a pulse What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway in place? provide continuous chest compressions without pauses and 10 ventilations per minute. We have an expert-written solution to this problem! Three minutes after witnessing a cardiac arrest, one member of your team inserts an endotracheal tube while another performs continuous chest compressions. During subsequent ventilation, you notice the presence of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of this finding? chest compressions may not be effective the use of quantitative capnography in intubated patients allows for monitoring of cpr quality For the past 25 min, EMS crews have attempted resuscitation of a pt who originally presented with ventricular fibrillation. After the 1st shock, the ECG screen displayed asystole, which has persisted despite 2 doses of epi, a fluid bolus, and high quality CPR. What is your next treatment?
consider terminating resuscitative efforts after consulting medical control. We have an expert-written solution to this problem! Which is a safe and effective practice within the defibrillation sequence? be sure oxygen is now blowing over the patient's chest during the shock During your assessment, your pt suddenly loses consciousness. After calling for help and determining that the pt. is not breathing, you are unsure whether the pt. has a pulse. What is your next action? Begin chest compressions what is the advantage of using hands-free defibrillation pads instead of defibrillation paddles? hands-free pads allow for a more rapid defibrillation We have an expert-written solution to this problem! What action is recommended to help minimize interruptions in chest compressions during CPR? continue CPR while charging the defibrillator We have an expert-written solution to this problem!
1 breath every 5 to 6 seconds We have an expert-written solution to this problem! a patient presents to the emergency department with new onset of dizziness and fatigue. on examination, the patient's heart rate is 35/min, the blood pressure is 70/50 mm hg, the respiratory rate is 22 breaths/min, and oxygen saturation is 95%. what is the appropriate first medication? atropine 0.5 mg We have an expert-written solution to this problem! a patient presents to the emergency department with dizziness and shortness of breath with a sinus bradycardia of 40/min. the initial atropine dose was ineffective, and your monitor/defibrillator is not equipped with a transcutaneous pacemaker. what is the appropriate dose of dopamine for this patient? 2 to 10 mcg/kg per minute We have an expert-written solution to this problem! a patient has sudden onset of dizziness. the patients heart rate is 180/min, blood pressure is 110/70 mm hg, respiratory rate is 18
breaths/min, and pulse oximetry reading is 98% on room air. the lead II ecg is shown below: what is the appropriate intevention? vagal maneuvers a monitored patient in the ICU developed a sudden onset of narrow- complex tachycardia at a rate of 220/min. the patient/s blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm hg, and the pulse oximetry reading is 98%. there is vascular access at the left internal jugular vein, and the tachycardia with no evidence of ischemia or infarction. the heart rate has not responded to vagal maneuvers. what is the next recommended intervention. adenosine 6mg IV push We have an expert-written solution to this problem! You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. The hospital CT scanner is not working at this time. What should you do in this situation? divert the patient to a hospital 15 minutes away with ct capabilities Choose an appropriate inidication to stop or withhold resuscitive efforts.
a 68-year-old woman experienced a sudden onset of right arm weakness. EMS personnel measure a blood pressure of 140/90 mm Hg, a heart rate of 78/min, a nonlabored respiratory rate at 14 breaths/min, and a pulse oximetry reading of 97%. the lead II ECG displays sinus rhythm. what is the most appropriate action for the ems team to perform best? cincinnati prehospital stroke scale assessment We have an expert-written solution to this problem! EMS is transporting a patient with a positive prehospital stroke assessment. Upon arrival in the emergency department, the initial blood pressure is 138/78 mm Hg, the pulse rate is 80/min, the respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95% on room air. The lead II ECG displays sinus rhythm. The blood glucose level is within normal limits. What intervention should you perform next? head CT scan We have an expert-written solution to this problem!
what is the proper ventilation rate for a patient in cardiac arrest who has an advanced airway in place? 8 to 10 breaths per minute a 62-year-old man in the emergency department says that his heart is beating fast. he says he has no chest pain or shortness of breath. the blood pressure is 142/98 mm Hg, the pulse is 200/min, the respiratory rate is 14 breaths/min, and pulse oximetry is 95% on room air. what intervention should you perform next? obtain a 12-lead ECG We have an expert-written solution to this problem! You are evaluating a 48 y/o male with crushing sub-sternal pain. He is cool, pale, diaphretic, and slow to respond to your questions. BP is 58/32, pulse is 190/min, resp rate is 18, and you are unable to obtain an 02 sat due to no radial pulse. The ECG shows a wide complex tach rythm. What intervention should be next? synchronized cardioversion What is the initial priority for an unconscious pt. with any tachycardia on the monitor? determine whether pulses are present Which rythm requires synchronized cardioversion? unstable supraventricular tachycardia
We have an expert-written solution to this problem! what is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose for a patient who achieves ROSC but is hypotensive during the post-cardiac arrest period? 1 to 2L what is the minimum systolic blood pressure one should attempt to achieve with fluid, inotropic, or vasopressor administration in a hypotensive post-cardiac arrest patient who achieves ROSC? 90 mm Hg We have an expert-written solution to this problem! what is the first treatment priority for a patient who achieves ROSC? optimizing ventilation and oxygenation
