AMERICAN RED CR OSS ACLS FINAL EXAM -

AMERICAN RED CR OSS ACLS FINAL EXAM -

280 QUESTIONS AND CORRECT

DETAILED ANSWERS ( ANSWERS )

After delivering three shocks, the team leader orders the administration of amiodarone to a patient in cardiac arrest. What is the dose? - ANSWER- 300 mg

Current recommendations suggest that hypotension should be treated in a post-cardiac arrest patient when the systolic blood pressure is less than

90 mmHg or the mean arterial pressure (MAP) is less than: - ANSWER-

65 mmHg

A post-cardiac arrest patient who experienced in-hospital cardiac arrest is unable to follow verbal commands. Which interventions would be appropriate for this patient? - ANSWER- Obtain brain imaging

Initiate targeted temperature management (TTM)

Establish EEG monitoring

Review the rhythm shown here and then decide how Dr. Ruiz should direct the team's immediate next actions. - ANSWER- "Kirron, please continue compressions." 1 / 4

"Charmar, please charge the defibrillator."

What are the team's appropriate next actions? - ANSWER- Obtain Vascular access

Provide 2 minutes of CPR

After 2 minutes of CPR, the rhythm remains the same. What interventions are appropriate at this time? - ANSWER- Epinephrine

Shock

CPR

What is the correct dose of epinephrine to give? - ANSWER- 1 mg

At what interval can the epinephrine dose be repeated? - ANSWER- 3 to

• minutes

At the third rhythm check, the rhythm remains the same. Which actions are appropriate at this time? - ANSWER- Administer amiodarone

Deliver a third shock 2 / 4

Resume compressions

What is the correct initial dose of amiodarone to give? - ANSWER- 300 mg

If necessary, what is the correct second dose of amiodarone to give? - ANSWER- 150 mg

In searching for Hs and Ts, which of the following diagnostic tests would be appropriate to order at this time? - ANSWER- Arterial blood gases

Serum Electrolyte panel

Based on the rhythm shown on the monitor, what is the appropriate next action? - ANSWER- check for a pulse

Which of the following actions would be appropriate as care continues?

• ANSWER- Provide 2 minutes of CPR

Continue searching for reversible cuase

What should the team do next? After achieving ROSC - ANSWER- Assess and support the patient's airway, breathing and circulation 3 / 4

How should Dr. Ruiz direct the team's immediate next actions? - ANSWER- Endotracheal intubation to facilitate ventilation

Vitals

Laboratory data

12-lead ECG

Initial assessment findings for Mrs. Coleman are as follows:

Blood pressure: 65/52 mmHg

Pulse: 124 bpm

Pulse oximetry: 83%ETCO2: 22 mmHg Based on these initial assessment findings, what should the team do next? - ANSWER- IV fluid bolus

Oxygen therapy should be tit to achieve an oxygen saturation of 94% to 99%.

Ventilation support starting at a rate of 10breaths/min

Depending on how Mrs. Coleman responds to fluid therapy, the team may need to initiate vasopressor infusion with epinephrine,

• / 4