Monday, August 25, 2014

ACLS Questions

Answer the following questions.

1.






What is the recommended dose of vasopressin that can be used to treat this rhythm?
a. 1 mg IV push.  May repeat every 3 - 5 minutes
b. 40 mg IV push as a one time dose
c. 300 mg IV push, may repeat at 150 mg for refractory rhythm
d. 40 units IV once before epinephrine or as a second dose to epinephrine

2.






A 21 year old college student is brought in to the ER with a palpations, dizziness, restlessness, and weakness. She reports taking some "pills" that her friend gave her to help her study for her final examine. Her initial Heart rhythm: NSR at 180 bpm, BP 188/ 101. Temp 100.2. Skin is hot and dry. What is the recommended treatment?
a. Adenosine 6 mg IV push, may repeat at 12 mg if needed
b. Benzodiazepines and external temperature cooling
c. Beta blockers and Tylenol for the fever
d. Cardioversion at 50 joules. Increase joules if needed

3.







What is the recommended joule setting for elective cardioversion of this rhythm?
a. 50- 100 joules
b. 100 - 150 joules
c. 120 - 200 joules
d. 300 joules

4.











A 60 year old man comes to the ER with complaints of intermittent shortness of breath, weakness, exertional dyspnea, and dizziness over the last 3 days. Triage VS: HR: 180, RR: 25, BP 92/60, SPO2: 94% on room air. What is the recommended treatment approach for this rhythm?
a. Convert the rhythm: Cardioversion 120 - 200 J
b. Manage the rate: Cardizem 0.25mg/kg IV push
c. Convert the rhythm: Amiodarone 150mg infused over 10 minutes
d. Manage the rate: Digoxin 0.25mg IV

5.







A 48 year old female comes to the ER with complaints of shortness of breath, dizziness, and syncope over the last 8 hours. Triage VS: BP: 94/58. HR: 188. RR: 28. SPO2: 93% on room air. When she is placed on the monitor the following rhythm is seen. The MD opts to try a trial dose of adenosine as the patient is being prepared for cardioversion. What is the correct initial dose of adenosine?
a. 1mg/kg
b. 6mg
c. 12 mg
d. 0.25mg/kg

Answers

1. d. 40 units IV once before epinephrine or as a second dose to epinephrine
2. b. Benzodiazepines and external temperature cooling
3. a. 50- 100 joules
4. d. Manage the rate: Digoxin 0.25mg IV
5. b. 6mg

No comments:

Post a Comment