ACLS review

181.  What is the recommended dose of Aspirin for a patient admitted with STEMI?

The recommended dose is 160 to 325 mg

182.  Name four absolute contraindications for receiving reperfusion therapy

Any prior intracranial hemorrhage

Known structural cerebral vascular lesion (eg, AVM)

Known malignant intracranial neoplasm (primary or metastatic)

Ischemic stroke within 3 months EXCEPT acute ischemic stroke within 3 hours

Suspected aortic dissection

Active bleeding or bleeding diathesis (excluding menses)

Significant closed head trauma or facial trauma within 3 months

183.  What is the dose of sublingual nitroglycerine for a patient who complains of chest pain?

Nitroglycerine 0.3 to 0.4 mg, may repeat every 5 minutes

184.  What are two indications for giving morphine sulfate to a patient who is experiencing chest pain associated with a STEMI?

Chest pain and anxiety associated with AMI or cardiac ischemia

Acute cardiogenic pulmonary edema (if blood pressure is adequate)

185.  Match the following medications with the correct dosage

Adenosine                                                                          0.5mg

Amiodarone                                                                       2.5-5mg

Lidocaine                                                                           300mg

Verapamil                                                                          2-20mcg/kg/min

Magnesium                                                                        1mg

Atropine                                                                            325mg

Dopamine                                                                         1-1.5mg/kg

Epinephrine                                                                       1-2gm

Aspirin                                                                              6mg

Verapamil                                                                          



Answer

185.  Match the following medications with the correct dosage

Adenosine                                                                          6mg

Amiodarone                                                                       300mg

Lidocaine                                                                           1-1.5mg/kg

Magnesium                                                                        1 - 2 gm

Atropine                                                                            0.5mg 

Dopamine                                                                         2-20mcg/kg/min

Epinephrine                                                                       1mg 

Aspirin                                                                              325mg 

Verapamil                                                                         2.5-5mg

Revieweeed 2/28/16