FREE AND STUDY GAMES ABOUT ACLS FINAL EXAM EXAM

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FREE AND STUDY GAMES ABOUT ACLS FINAL EXAM EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -42 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: unstable tachycardi

Answer:

exists when the heart rate is too fast for the patients condition and the heart rate causes symptoms or an unstable condition because: heart is beating so fast CO is reduced, causing pulmonary edema, coronary ischemia or reduced blood flow to vital organ

Question 2: Things to avoid during ventilation

Answer:

avoid excessive ventilation. When securing and advanced airway avoid using ties that pass circumstantially around the patients neck, because it can obstruct venous return from the brain

Question 3: What types of rhythms require synchronized cardioversion

Answer:

unstable supraventricular tachycardia, atrial flutter.

Question 4: endotracheal route of drug administration

Answer:

this route is poor and optimal drug dosing is not known.

Question 5: tachycardia or tachyarrhythmia

Answer:

heart rate greater than 100/min

Question 6: recommended epinephrine dose for hypotension

Answer:

.5-1 mcg/kg/minute infusion.

Question 7: breaths for an advanced airway

Answer:

If patient has a pulse and compressions aren't needed, give one breath Q5-6s (10-12 per minute). If compressions are needed, give asynchronized ventilations Q6-8x (8-10 per minute)

Question 8: Ventilations during cardiac arrest

Answer:

bag-mask (ambu): 2 per 30 compressions. Advanced airway: 1 ventilation per 6-8s (8-10 breaths per minute)

Question 9: High quality CPR

Answer:

Compress chest hard and fast. Allow complete chest recoil after each compression. Minimize interruptions in compressions (10s or less). switch providers Q 2 minutes, avoid excessive ventilation

Question 10: resuming CPR while manual defibrillator is charging

Answer:

to reduce the interruptions in the compressions while using a manual defibrillator it is recommended to continue compressions while the defibrillator is charging.Question 11: what is the most reliable method of confirming and monitoring correct placement of an endotracheal tube

Answer:

continuous waveform capnography

Question 12: Routes of drug administration in order of priority... pg 78 ACLS provider manual

Answer:

IV route, IO route, endotracheal route

Question 13: what to do when defibrilating

Answer:

announce clearing. Ensure O2 isn't blowing over the patient. Ensure that no one is touching the patient.

Question 14: Ventilations during respiratory arrest

Answer:

• ventilation every 5-6 seconds. (10-12 per minute)

Question 15: unstable tachy signs and symptoms

Answer:

hypotension, acutely altered mental status, signs of shock, ischemic chest discomfort, acute heart failure.

Question 16: drugs for bradycardia

Answer:

atropine, epinephrine infusion and dopamine infusion

Question 17: tips for drug administration through IV route during CPR

Answer:

give drug by bolus unless otherwise specified. Follow with 20 ml bolus of IV fluids. Elevate extremitiy for about 10-20s to facilitate delivery of the drug to the central circulation. usually may take several cycles of CPR to get drug in system

Question 18: Paddles vs. Pads

Answer:

No existing data suggests ones better than the other. However, pads reduce risk of arching, allow monitoring of the patient's rhythm and permit the rapid delivery of a shock if necessary

Question 19: Reasons to stop resuscitative efforts

Answer:

Rigor mortis (muscle stiffening), Indicators of DNAR, threat to safety of providers.

Question 20: What is the recommended duration of therapeutic hypothermia after reaching the target temperature

Answer:

12-24 hours.

Question 21: step after defibrilation

Answer:

cpr starting with chest compressions.

Question 22: IV route of drug administration

Answer:

preffered unless central line is already present. Establishing a peripheral line doesn't interrupt CPR.Giving drugs through peripheral line takes 1-2 minutes to reach central circulation Question 23: whats the usual post cardiac arrest range for PETCO2 when ventilating someone who achieves ROSC (return of spontaneous circulation)?

Answer:

35-40mm Hg. The main determinant of PETCO2 during CPR is blood delivery to the lungs. If PETCO2 abruptly increases to a normal value of 35-40mm Hg its reasonable to consider this an indicator of ROSC.Question 24: What is the immediate danger of excessive ventilation during the post-cardiac arrest period of a patient who achieves ROSC

Answer:

Decreased cerebral blood flow. Excessive ventilation can cause adverse hemodynamic effects due to increased intrathoracic pressures and decrease in cerebral blood flow.

Question 25: What is acute coronary syndrome

Answer:

severe cardiac ischemia

Question 26: What is a sign of effective CPR

Answer:

PETCO2 greater than or equal to 10. This value steadily will increase as blood flow circulate due to compressions.