ACLS review

110.  Explain how to technique for performing a Valsalva maneuverer

Document the dysrhythmia before treating

Explain the procedure to the patient

Instruct the patient to inhale and hold their breath and

Bear down as if to have a bowel movement, and to hold this position for 20-30 seconds

Document any rhythm changes on the monitor.

111.  During CPR how long should the rescuer check the carotid pulse?

The pulse check should be checked for a least 5 seconds but no more than 10 seconds.

112.  What are some complications that can occur from using bag-mouth ventilation?

Gastric inflation

Regurgitation

Aspiration

Pneumonia

113.  What are some contraindications for performing carotid sinus massage?

Avoid in elderly

Carotid bruits

History of CVA

Recent MI or myocardial ischemia

114.  When are the acceptable times for interrupting chest compressions during a pulseless arrest?

During pauses for ventilations

During rhythm checks

During delivery of actual shocks

115.  What is the maintenance dosage of Amiodarone in the post arrest setting?

Begin with an IV loading dose of 150mg IV over 10 minutes

Follow by a slow infusion of 360mg IV over the next 6 hrs.  (1mg/min)

Follow this with a maintenance infusion of 540mg IV over the next 18 hours (0.5mg/min)