Download ACLS Written Exam 2 Questions with answers and more Exams Nursing in PDF only on Docsity! ACLS Written Exam 2 Questions with answers Pulseless V tach or V Fib algorithm ✔CPR 2 min, Shock at 120 Jewels, CPR 2 min, Shock at 120 Jewels, give 40 units of vasopressin, CPR 2 min, 300 mg Amiodarone, CPR 2 min, 1 mg epinephrine, CPR 2 min, 150 mg Amiodarone When you see a suspected asystole or PEA what are the first actions that you need to take in order to ensure that is the rthythm you see ✔increase gain on monitor, check leads to make sure none have fallen off Asystole/PEA ✔CPR 2 minutes, 1 mg every 3-5 minutes, CPR 2 minutes, treat possible causes What are the 5 H's and 5 T's ✔Hypovolemia, Hypoxia, Hydrogen ion, HYpo/Hyperkalemia, Hypothermia 5 T's: Toxins, Tamponade, Tension pneumothorax, thrombosis (coronary or pulmonary) What is the treatment if a patient is dead and in acidosis ✔1 meq/kg Bicarb What is the treatment for Hyperkalemia ✔amp of calcium, bicarb, insulin (10 units) and glucose What are some causes of a patient going in to Metabolic ACidosis ✔aspirin, antifreeze What is the treatment for Hypokalemia ✔give potassium What is the treatment for Hypothermia ✔warm saline rapid infuser, bear hugger, increase temp on vent What is the reversal drug for opiates and the dosage ✔Narcan 0.4-2 mg What is the reversal drug for benzodiazepiens ✔Romazincon 0.2 mg, 0.3, then 0.5 till a max dose of 3 mg What are signs of a patient being in cardiac tamponade ✔JVD< purple from nipple line up What is a good diagnostic tool to determine if a patient is in cardiac tamponade ✔Echo machine to see if there's fluid Wht is the treatment for Cardiac Tamponade ✔Pericardial centesis ( 5th intercostal space midclavicular line, needle in to drain line) What are the symptoms of your patient having a tension pneumothorax ✔tracheal deviation, JVD, difficulty bagging, Low 02 sat What is the treatment for a tension pneumothorax ✔needle in 2nd intercostal space midclavicular line What are some signs of a patient having a pulmonary embolus ✔low sats, JVD What is the treatment for Pulmonary embolus ✔thorombolytic and take to cath lab ( typically not a good prognosis) What is the most common cause of a PEA and what is the best treatment ✔hypovolemia, hang fluid Bradycardia with a pulse ✔Atropine 0.5 mg IV 1 3-5 minutes, reassess, atropine 0.5 mg, place pads on for pacing, GIve 1 mg versed to sedate once you start shocking, If atropine is not working, and you want to continue with drugs, Dopamine infusion 2-10 mcg/kg per minute or epinephrine 2-10mcg/minute Which drug should be used during Unstable Bradycardia with a pulse in the presence of MI ✔Dopamine, and transcutaneous pacing What is the treatment for Tachycardia with a pulse
