Monday, January 5, 2015

ACLS Questions

Answer the following questions.


All of the following medications are indicated in the treatment of this rhythm EXCEPT:
a. Epinephrine 1mg (1:10,000) IV q3 - 5 minutes
b. Magnesium 1 - 2 gms IV
c. Lidocaine 1 - 1.5 mg/kg IV bolus
d. Amiodarone 300 mg IV push


What antiarrhythmic medication can be given to a patient who has symptomatic VT?
a. Lidocaine 3.0 mg/kg IV push
b. Procainamide 20 mcg/kg/min until arrhythmia suppressed
c. Amiodarone 150 mg IV over 30 minutes
d. Cardizem 5 - 10 mg/hr, watch for hypotension


In the absence of vascular access, what antiarrhythmic can be given via the ET tube?
a. Amiodarone
b. Lidocaine
c. Magnesium
d. Epinephrine


Atrial fibrillation with a slow rate may also lead to a drop in cardiac output leading to signs and symptoms of shock. While immediate transcutaneous pacing is recommended, beta adrenergic medication may serve as a “bridge: to transcutaneous pacing. Of the following medications, what beta adrenergic agent might be ordered?
a. Dobutamine 2 – 10 mg/min
b. Dopamine 2 – 10 mcg/kg/min
c. Epinephrine 1 mg (1:1000) IV q 3 – 5 minutes
d. Sotalol 1.5 mg/kg over 5 minutes


What is the dose of magnesium that can be given to a 35 year old male who is found to be in cardiac arrest and displays this rhythm on the monitor?
 a. 150 mg IV/IO
 b. 0.5 - 0.75 mg/kg IV/IO
 c. 1 - 2 grams IV/IO
 d. 12 mg IV/IO

1. b. Magnesium 1 - 2 gms IV
2. c. Amiodarone 150 mg IV over 30 minutes
3. b. Lidocaine
4. b. Dopamine 2 – 10 mcg/kg/min
5.  c. 1 - 2 grams IV/IO


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