Monday, September 22, 2014

ACLS Questions

Answer the following questions.

1.
After defibrillating your patient, you observe the monitor and note that there is no change in the rhythm. CPR is in progress. What medication is recommended to treat this rhythm?






a. Amiodarone 150 mg IV/IO push
b. Epinephrine 40 units IV/IO q3 - 5 minutes
c. Magnesium 1 - 2 grams IV/IO
d. Lidocaine 1 - 1.5 mg IV/IO

2.
You have responded to a rapid response call on the surgical unit. The patient was complaining of nausea, vomiting, weakness, and shortness of breath. BP 88/42. Sats 90 on 2 L/min. He is placed on the monitor and a complete heart block is noted. Transcutaneous pacing is initiated. As you observe the monitor the following rhythm is noted. What should you do?





a. Stop pacing attempts and administer Atropine 0.5 mg IV
b. Continue to increase the miliamps until electrical capture is obtained
c. Put the pacing on hold and begin Dopamine at 5 mcg/kg/min
d. Increased to pacing rate to 100 bpm.

3.
During a code you have just given an initial shock to a patient found to be in ventricular fibrillation (pre shock rhythm). You observe the monitor and note that their is no change in the rhythm (post shock rhythm). CPR is in progress with adequate positive pressure ventilations. What antiarrhythmic medication is recommended to treat this rhythm?





a. Lidocaine 0.5 - 0.75 mg/kg IV/IO
b. Epinephrine 1 mg IV push
c. Procainamide 50mg/kg IV push
d. Amiodarone 300 mg IV/IO

4.
What is the recommended joule setting for cardioversion of this narrow complex, irregular rhythm





a. 50 - 100 joules biphasic
b. 120 - 200 joules biphasic
c. 200 - 300 joules biphasic
d. 360 joules biphasic

5.
You are attempting to pace an 60 year old who was brought in to the ER with history of a heart transplant. As you are increasing the miliamps and observe the monitor and the following rhythm is seen. What would be the next appropriate action by the health care provider?






a. Assess for mechanical capture by checking for a pulse and blood pressure
b. Assess for electrical capture by increasing the gain on the monitor
c. Administer analgesics for pain
d. Administer atropine 1 mg IV

Answers.

1. c. Magnesium 1 - 2 grams IV/IO
2. b. Continue to increase the miliamps until electrical capture is obtained
3. d. Amiodarone 300 mg IV/IO
4. b. 120 - 200 joules biphasic
5. a. Assess for mechanical capture by checking for a pulse and blood pressure

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