ACLS Questions

Answer the following questions.

1.

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


2.

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

3.

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

4.

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

5.

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

Answers
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