ACLS practice questions

when you use the bag mask device, you should deliver approximately 500 to .........mL tidal volume

600

a 49yo arrives with chest discomfort, palpitations for past several hours, cold sweaty and weakinitial steps

ABC monitor rhythm and vital signs IV access 12 lead EKG

Which are examples of mutual respect? Select all that apply: Acknowledging correctly completed task in a positive way Requesting a clear response and eye contact from the team member Giving drugs only after verbally confirming the order Ensuring that only 1 person talks at a time

Acknowledging correctly completed tasks in a positive way Ensuring that only one person talks at a time

What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival? Activation of emergency response Defibrillation Advanced resuscitation High-quality CPR

Activation of emergency reponse

What is the recommended window after symptoms onset for early fibrinolytic therapy or direct catheter based reperfusion for patients ST segment elevation myocardial infarction and no contraindications? Within 18 hours Within 12 hours Within 24 hours Within 48 hours

Within 12 hours

What do fibrinolytic meds end in?

"ase"

What are the contraindications of nitroglycerin?

-If patient has a confirmed inferior wall stemi or right ventricular infarction -avoid nitro if patient has hypotension, bradycardia, or tachycardia -if patient recently has taken sildenafil, vardenafil, or tadalafil in the past 24-48 hrs

What roles does ECPR (ECMO) fill in the management of cardiac arrest?

-Provides vital organ support while treating reversible causes-Sevrves as a bridge for Left ventricular assist device implantation

What is the recommended norepinephrine dose for hypotensive pts during the post-cardiac arrest phase?

0.1-0.5 mcg/kg/min

what is the recommended dose for epinephrine during a resuscitation effort?

1 mg IV every 3-5 mins

first doe IV/IO dose of lidocaine in VF/pVT?

1 to 1.5 mg/kg

What is the recommended fluid bolus dose for pts who are hypotensive during the post-cardiac arrest phase?

1-2 L NS or lR

What is the time goal for how quickly you should complete a fibrinolytic checklist once the patient arrives in the emergency department? 30 min 10 min 20 min 15 min

10 min

What is the time goal for how quickly you should complete a fibrinolytic checklist once the patient arrives in the emergency department?

10 minutes

What is the maximum amount of time you should simultaneously perform pulse and breathing checks? 10 seconds 5 seconds 20 seconds 15 seconds

10 seconds

What is the lower heart rate limit for a patient with sinus tachycardia?

100

What is the lowest heart rate limit for a patient with sinus tachycardia?

100/min

Identify the diastolic blood pressure threshold for withholding fibrinolytic therapy to otherwise eligible patients with acute ischemic stroke. 110 105 115 100

110

Obtaining a what is the most important assessment tool for a patient displaying signs and symptoms of acute coronary syndrome?

12 lead ekg

what is the average respiration rate for an adult at rest

12- 20/min

What is the upper heart rate limit for a patient with sinus tachycardia? 200/min 130 180 150

130

What is the recommended first dose of amiodarone for the management of stable wide-complex tachycardia?

150 mg IV

Generally speaking, electrical cardioversion is not recommended as the initial therapy for patients unless the heart rate is above............?

150/min

What blood glucose level should trigger administration of IV or subq insulin for a patient with acute ischemic stroke? 170 160 150 180

180

Identify the systolic blood pressure threshold for withholding fibrinolytic therapy to otherwise eligible patients with acute ischemic stroke.

185 180 177 190

How long should the second rescuer squeeze the bag mask device when providing 2-rescuer ventilation? 1 sec 3 sec 4 sec 2 sec

1sec

What is the recommended starting IV infusion dose of epinephrine for pts in cardiac arrest who achieve ROSC and need vasopressor support?

2-10 mcg/min

What is the time for neurological assessment by the stroke team or designee and noncontrast computed tomography or magnetic resonance imaging performed after the hospital arrival? 20 min 25 min 15 min 10 min

20 min

What is the maximum time for last known normal when endovascular therapy can be performed? 3hrs 12hrs 6hrs 24hrs

24hrs

What is the longest acceptable emergency door to needle time when fibrinolysis is the indented reperfusion strategy? 15 min 30 min 45 min 60 min

30 min

IV/IO dose of amiodarone for patient in cardiac arrest with VF/pVT that is unresponsive to defibrllation?

300 mg

Normal PetCO2 range

35-45 mmgHg

Evidence suggest that there is a higher likelihood of good to excellent functional outcome when alteplase is given to adults with an acute ischemic stroke within what time frame? 12 hours 3 hours 24 hours 6 hours

3hrs

When adjusting ventilation rates, which PETCO2 value lies within the recommended range for a pt who achieves return of spontaneous circulation?

40 mm Hg

What is the time goal for initiation of fibrinolytic therapy for patients w/o contraindications after hospital arrival

45 min

What is the time goal for initiation of fibrinolytic therapy in appropriate patients without contraindications after hospital arrival? 30 min 45 min 35 min 40 min

45 min

what is the time goal for initiation of fibrinolytic therapy in appropriate pts without contraindications after hospital arrival?

45 mins

How quickly should resuscitation team leaders consider perimortem cesarean delivery after beginning resuscitation efforts if return of spontaneous circulation has not been acheived?

5 mins

Patient with perfusing rhythms should receive ventilation once every ..... seconds?

6

What is the max time from last known normal when intra-arterial thrombolysis for select patients can be used for treatment

6 hrs

What tidal volume typically maintains normal oxygenation and elimination of carbon dioxide? 12-14 ml/kg 6-8 ml/kg 9-11 ml/kg 3-5 ml/kg

6-8

appropriate demand rate

60 -80

what is the door-to-needle time goal for 85% or more of acute ischemic stroke pts treated with IV thrombolytics?

60 mins

What is the mean arterial pressure target when adminsitering epinephrinie to pts in cardiac arrest who achieve ROSC and need vasopressor support?

65 mmHg

What is the maximum time from last known normal when intra arterial thrombolysis for select patients can be used for treatment? 12hrs 3hrs 6hrs 4hrs

6hrs

How quickly does the chance of survival decline for every minute of defibrillation delay in patients with ventricular fibrillation who do receive bystander CPR? 3-4% 5-6% 11-13% 7-10%

7-10%

How long should you wait to determine the neurologic prognosis of a patient treated with TTM after normothermia

72 hrs

The presence of 1 finding on the CPSS has an estimated probability of ___%

72%

What is the estimated probability of the prehospital stroke scale with 1 abnormal finding when scored by prehospital providers? 72% 88% 80% 50%

72%

What is the door-to device time for direct-arriving patients with acute ischemic stroke treated with endovascular therapy?

90 min

What is the goal for first medical contact-to-balloon inflation time for a patient receiving percutaneous coronary intervention? 120 min 45 min 30 min 90 min

90 min

What is the door-to-device time goal for direct arriving patients with acute ischemic stroke treated with endovascular therapy 70 mins 100 min 80 mins 90 mins

90 mins

Oxygen should be delivered to a patient who has obvious signs of heart failure if the oxygen saturation is less than?

90%

Within the first 10 minutes, on the basis of the patient showing symptoms suggestive of myocardial ischemia, what will your first actions include? Select all that apply Administer epinephrine 1 mg IV Administer a blood thinner Administer aspirin Assess airway, breathing, and circulation (ABCs) If considering prehospital fibrinolysis, use fibrinolytic checklist Provide prehospital notification to the receiving hospital Consider oxygen, nitroglycerin, and morphine if needed Obtain a 12 lead ECG

Administer aspirin (blood thinner) Assess ABCs If considering prehospital fibrinolysis, perform fibrinolytic checklist Provide prehospital notification to the reveiving hospital Consider 02, nitro and morphine Obtain a 12 lead ECG

If someone starts developing hypotension after giving morphine or nitroglycerin?

Administer fluids

The initial assessment reveals a conscious patient. The patients airway is patent and an advanced airway is not indicated. Which action in the primary assessment should you perform next? Remove clothing to perform a physical examination Check for neuro function Administer oxygen as needed Check for the presence of a pulse

Administer oxygen as needed

How do you calculate Coronary Perfusion Pressure (CPP)?

Aortic diastolic pressure "minus" Right Atrial Diastolic Pressure

WHen is the recommended point to administer epinephrine to a pt with asystole?

As soon as IV access is available

When should resuscitation team leaders activate the protocol for perimortem cesarean delviery?

As soon as cardiac arrest is identified in a pregnant patient

Which is an example of knowledge sharing by a team leader? Changing a treatment strategy when supported by new information Maintaining an ongoing record of treatments Asking for suggestions about interventions Asking the compressor to decrease or increase rate

Asking for suggestions about interventions

What is the first line treatment for unstable tachycardia? Lidocaine Cardioversion Amiodarone Adenosine

Cardioversion

What is the benefit of morphine when given for management of acute coronary syndrome? Increases left ventricular preload Vasoconstriction Central nervous system preload Increases systemic vascular resistance

Central nervous system analgesic

What is the most appropriate destination for patients with suspected acute ischemic stroke? Certified stroke center Trauma center Hospital catheterization lab Closest emergency department

Certified stroke center

What is the highest level of stroke center certification? Comprehensive stroke center Thrombectomy-capable stroke center Primary stroke center Acute stroke ready hospital

Comprehensive stroke center

What are the components of high quality CPR? Select all that apply: Synchronous ventilation with chest compressions Avoiding excessive ventilation Compression rate around 10/min Complete chest recoil after each compression Interruptions limited to less than or equal to 10 seconds Low coronary perfusion pressure Switching compressors every 2 minutes Compression depth of at least 2 inches (5cm)

Compression depth of at least 2 inches (5cm) Switching compressors every 2 minutes Avoiding excessive ventilation Complete chest recoil after each compression Interruption limited to under 10 seconds

which of the following are immediately available as feedback from CPR performance monitors

Compression rate, depth, recoil

Which clinical findings represents a contraindication to the administration of nitroglycerin? Anterior wall infarction Posterior wall infarction Lateral wall infarction Confirmed right ventricular infarction

Confirmed right ventricular infarction

Which is a step of closed-loop communication? Confirming task completion before assigning another task Encouraging all team members to speak clearly Abandoning ego Using distinctive speech and a controlled voice

Confirming task completion before assigning another task

in which of the following patients can nasopharyngeal airways be used

Conscious Unconscious Semiconscious

What is a contraindication of the use of an oropharyngeal airway? Bag mask ventilation Conscious patient Pediatric patient Absent gag reflex

Conscious patient

During the post-cardiac arrest care period, the 12-lead EKG reveals an ST-segment elevation MI. What is the next step/highest priority action?

Coronary Angiography

How do interruptions in chest compressions negatively impact survival after cardiac arrest? Increase intracranial pressure Decrease coronary perfusion pressure Reduce right ventricular period Increase intrathoracic pressure

Decrease coronary perfusion pressure

In addition to decreased IHCA, what are some other benefits of implementing a rapid response system? Select all that apply Decreased ICU length of stay Decreased emergency department admissions Increased ICU admissions Increased Hospital Length of Stay Decreased in total hospital length of stay

Decreased ICU length of stay, Decreased in total hospital length of stay

While performing the BLS Assessment, you initiate high- quality CPR and assist ventilation with a bag mask device. The AED does not recommend a shock. Which action in the Primary assessment should you perform first? Determine if the patients airway is patent Asses the patients oxygen status Perform fluid resuscitation Attach a quantitative waveform capnography device

Determine is the patients airway is patent

How do you calculate the chest compression fraction (CCF)? What is ideal percentage?

Divide chest compression time by total code time. You want this at least 60% but ideally greater than 80%

Which is the main advantage of effective teamwork? Early defibrillation Division of tasks Mastery or resuscitation skills Immediate CPR

Division of tasks

What additional questions help you determine the next steps?

Do you take any med? When did the sx start? Any allergies?

You obtain a 12-lead ECG in a patient with retrosternal chest pain. Which ECG finding is suggestive of high risk non-ST-segment elevation acute coronary syndrome? ST-depression less than 0.5mm New left Bundle branch block ST-segment elevation Dynamic T-wave inversion

Dynamic t wave inversion????

what is the only CPR monitor typically available for measuring a physiologic end point outside of a hospital setting

ETCO2

What is the only intervention that can restore an organized rhythm in patients with ventricular fibrillation (VF)?

Early and effective defibrillation

What is the only intervention that can restore an organized rhythm in patients with ventricular fibrillation (VF)? High-quality CPR Epinephrine administration Early and effective defibrillation Advanced airway insertion

Early and effective defibrillation

Math the treatment for hypotension

Epi:2-10mcg/min norepi: 0.1-0.5mcg/kg/min dopamine: 5-20mcg/kg/min normal saline: 1-2L

During the management of patient in cardiac arrest, you have initiated CPR, attached the manual defibrillation, delivered the first shock and immediately resumed high quality CPR, beginning with chest compression. What is your next intervention?

Establish IV or IO access

Which of the following patients can NPAs be used in? Unconscious Patient with nasal trauma Conscious Semiconscious

Everything but nasal trauma

What are the 3 components of the Cincinnati Prehospital stroke scale?

Facial droop Arm drift Abnormal speech

Which demographic group experiencing acute coronary syndromes is more likely to present without chest pain? Smokers Patients taking B-blockers Females Adolescents

Females

Which action is part of the secondary assessment of a conscious patient? Attach a monitor/defibrillator Formulate a different diagnosis Determines patients LOC Give IV/IO fluids if needed

Formulate a different diagnosis

Which action is part of secondary assessment of a conscious patient? Give IV/IO fluids if needed Formulate a differential diagnosis Determine the patients level of consciousness Attach a monitor defibrillator

Formulate a differential diagnosis

Which action is part of the secondary assessment of a conscious patient? Determine the patients LOC Formulate a differential diagnosis Give IV/IO fluids if needed Attach a monitor/defibrillator

Formulate a differential diagnosis

If a patient with stable ventricular tachycardia does not response to vagal maneuvers, what drug and dose regimen is to be given?

Give Adenosine 6mg over 1 second followed by a flush in a large vein and elevate arm quickly after If they don't response in 1-2 minutes, Administer 12 mg IV followed by a flush and elevate arm quickly

What is the first line treatment for bradycardia?

Give atropine 1mg IV may repeat for a total does of 3mg IV If this is ineffective provide transcutaneous pacing and/or dopamine 5 to 20 mcg/kg per minute or epinephrine 2 to 10 mcg/min

What type of stroke occurs when a blood vessel in the brain suddenly ruptures into the surrounding tissue? Hemorrhagic stroke Transient ischemic attack Cryptogenic stroke Ischemic stroke

Hemorrhagic stroke

Treating patient with heart rate of 186ppm. Which symptom suggest an unstable tachycardia?

Hypotension

You are treating a patient with a heart rate of 186/min. Which symptom (if present) suggest unstable tachycardia? SOB Weakness Hypotension Fatigue

Hypotension

Which of the following are the "H's" causes of reversible cardiac arrest? Select all that apply: Hyperkalemia/hypokalemia Hypertensive crisis Acidosis HELLP syndrome Hyperventilation Hypoxia Hypothermia Heydes syndrome Hypocalcemia Hypovolemia

Hypothermia Hypoxia Hyperkalemia/hypokalemia Hypovolemia Acidosis

When should oxygen be administered?

If the patient is dyspneic or hypoxemic, has obvious signs of heart failure, or has an arterial o2 saturation that is less than 90% or unknown.

When is morphine indicated?

In STEMI patients with severe chest discomfort that does not respond to nitrates

What is the primary purpose of the CPR coach on a resuscitation team? Recording CPR data Resolving team conflicts Increasing CPR quality Giving encouragement

Increasing CPR quality

Which is an example of summarizing and reevaluating? "1mg of epinephrine given" Questioning a colleague who is about to make a mistake "Compressions are at a good rate" Increasing monitoring if the patients condition deteriorates

Increasing monitoring of the pati

What is the first step in the systematic approach to patient assessment? BLS assessment Initial impression Primary assessment Secondary assessment

Initial impression

What is the most common type of stroke?

Ischemic stroke

What is the primary advantage of using a stroke severity tool? It helps identify large vessel occlusion stroke It helps determine the last known normal time It helps identify level of weakness It helps EMS providers identify signs of a stroke

It helps identify large vessel occlusion stroke

What is an advantage of primary percutaneous coronary intervention in a catheterization lab for pts with cardiac arrest secondary to coronary artery occlusion once they achieve ROSC?

It restores blood flow in an infarction-related artery

When performing the jaw-thrust maneuver on patients with suspected cervical spine injury, where should you place your fingers? Just under the angle of the lower jaw Behind the patients ears Under the patients chin On top of the patients jaw

Just under the angle of the lower jaw

you are assessing an unresponsive pt known to have an implanted left Ventricular assist device (LVAD). The pt is not breathing, the pts skin is pale and cool, the cap refill is inadequate. How do you assess whether the LAD is functioning?

Listen for the device hum

What is a stroke severity tool that helps EMS differentiate a large vessel occlusion stroke from a non-large vessel occlusion stroke? Miami emergency neurologic deficit score Cincinnati prehospital stroke scale Melbourne ambulance stroke screen Los Angeles Motor Scale

Los Angela's motor scale

what is the most serious potential complication of nasopharyngeal airway insertion into a patient with facial trauma

Misplacement into the cranial cavity

Which is the best example of a role of the team leader? Proficient at endotracheal intubation Does not over ventilate the patient Performs within scope of practice Models excellent team behavior

Models excellent team behavior

What should you always monitor after giving morphine?

Monitor BP and respiratory rate

Which high performance team member is part of the resuscitation triangle? Timer/recorder Monitor/defibrillator/Cpr coach IV/IO/medications Team leader

Monitor/defibrillator/cpr coach

your patient continues to say that he has chest discomfort. what treatment can you repeat as long as it is not contraindicated by vital sign?

NTG sublingual or translingual every 3-5 mins

Which class of medications commonly given to patients with acute coronary syndrome may be adversely affected by morphine administration? B-blockers Calcium channel blockers Phosphodiasterase inhibitors Oral anti platelet meds

Oral anti platelet meds

What blood component is acted upon by aspirin administration during the management of patient with acute coronary syndrome? Platelets Plasma Red blood cells White blood cells

Platelets

The length of correctly sized nasopharyngeal airway

distance from tip of patient's nose to earlobe

Which is the best example of a role of a team member? Monitors individual team members Helps train future team leaders Focuses on comprehensive patient care Prepared to fulfill their role responsibilities

Prepared to fulfill their role responsibilities

A pt with suspected opioid poisoning is not breathing normally but has a pulse. What is your next step?

Provide rescue breathing and give Naloxone

Which component of effective high-performance teams is represented by the use of real-time feedback devices? Quality Administration Timing Coordination

Quality

What is the most reliable method of confirming and monitoring correct placement of an endotracheal tube?

Quantitative waveform canography

Which is a contraindication to the administration of aspirin for the management of a patient with acute coronary syndromes? Shortness of breath Recent GI bleeding Nausea Vomitting

Recent GI bleeding

What is a physiological effect of nitroglycerin? Bronchodilation Reduces preload Binds to opioid receptors Platelet aggregation inhibition

Reduces preload

What is the advantage of a systematic approach to patient assessment? Reduces the need for secondary assessment Reduces the chance of missing important signs and symptoms Permits assessment modification based on patient symptoms Standardizes treatment across systems of care

Reduces the chances of missing important signs and symptoms

Which is an advantage of EMS transport to a stroke hospital for a patient with a suspected acute ischemic stroke? Family members can ride to the hospital with the patient Responding providers can stabilize critical issues Patients transported by ambulance are seen first EMS transport is faster than being driven by a friend

Responding providers can stabilize critical issues

What is the most common symptom of myocardial ischemia and infarction?

Retrosternal chest pain

Upon reviewing a patients 12 lead ECG, you note ST elevation of 2mm in leads II, III, and aVF. How would you classify these ECG findings? Non-st segment elevation MI ST-segment elevation myocardial infarction Normal findings

ST segment elevation MI

Upon reviewing a patients 12 lead ECG, you note ST segment elevation of 2mm in leads 2, 3, and aVF. How would you classify the ECG finding?

ST-segment elevation myocardial infarction

Upon reviewing a patients 12-lead ECG, you note ST-segment elevation of 2mm in leads II, III and aVF. How would you classify these ECG findings?

ST-segment elevation myocardial infarction

Which action is not part of an acute stroke pathway?

Seizure prophylaxis

What element of a system of care is represented by properly functioning resuscitation equipment? System Structure Process Patient outcome

Structure

Which is a symptom of stroke? Diaphoresis Fever Sudden trouble seeing Diarrhea

Sudden trouble seeing

What are signs of clinical deterioration that would prompt the activation of rapid response system? Symptomatic hypertension Seizure Unexplained agitation Diastolic blood pressure greater than 60 mm Hg or less than 100 mm Hg

Symptomatic hypertension Seizure Unexplained agitation

Which are the elements of the system of care? (Select all that apply) Measure System Patient Outcome Processes Structure

System, patient outcome, processes, structure

which factor can confound neuroprognostication during the post cardiac arrest phase

Targeted temp management

Which member of the high performance team has the responsibility for assigning roles (positions)? Compressor Time/recorder Airway Team leader

Team leader

What are the 6 positions for high performance teams in resuscitation?

Team leader Airway Timer/recorder Compressor (rotate every 2 minutes) Monitor/defibrillator/cpr coach IV/IO/Medications

Which of the following are the "T" causes of reversible cardiac arrest? Cardiac tamponade Deep vein thrombosis Thyrotoxicosis Coronary thrombosis Tension pneumothorax Pulmonary thrombosis Toxins Simple pneumothorax Thoracic outlet syndrome Tachycardiomyopathy

Tension pneumothorax Toxins Cardiac tamponade Pulmonary thrombosis Coronary thrombosis

How will the current generation of continuous-flow left ventricular assist devices complicate the BLS assessment?

The devices will not produce a pulse

What is an advantage of EMS alerting the receiving facility of the impending arrival of a patient with suspected acute ischemic stroke? The hospital can determine the most appropriate patient destination The hospital can have fibrinolytic drugs already prepared The emergency department can quickly determine glucose levels The hospital can perform more efficient evaluation and management

The hospital can perform more efficient evaluation and management

What happens when teams rapidly assess and intervene when patients have abnormal vital signs? Morbidity and mortality rates are maintained The number of out of hospital cardiac arrest increases The number of in hospital cardiac arrest decreases Morbidity and mortality rates increase

The number of in hospital cardiac arrest decreases

What is the primary purpose of a rapid response team (RRT) or medical emergency team (MET)? To provide diagnostic consultation to emergency department patients To improve care for patients admitted to critical care units To improve patient outcomes by identifying and treating early clinical deterioration To provide online consultation to emergency medical services personnel in the field

To improve patient outcomes by identifying and treating early clinical deterioration

What therapy is a recommended alternative to vasopressure infusion in the management of unstable bradycardia unresponsive to atropine?

Transcutaneous pacing

Which is a sign of a stroke? Abdominal pain Shortness of breath Trouble speaking Retrosternal chest pain

Trouble speaking

When should you use caution when giving morphine?

Use caution when patient is in NSTE-ACS because of the association of mortality

what is the most effective way to deliver bag mask ventilation?

Using a 2-person technique

What is the recommended initial therapy for a patient with stable narrow-complex tachycardia, after establishing an IV and acquiring a 12-lead ecg? Adenosine B-blockers Cardioversion Vagal maneuvers

Vagal maneuvers

What procedure used in the management of stable narrow complex tachycardia forces a patient to strain against a closed clottis?

Valsalva manuever

when should you occlude the side opening of a suction catheter when performing oropharyngeal suctioning?

When witdrawing the catherter

Which therapy is not supported by evidence for use in patients with cardiac arrest secondary to hypothermia?

antiarrhythmics

pacing steps

attach electrodes sedative/ analgesic turn pacer on set demand rate set current

When is the first dose of epinephrine for a patient in a shockable rhythm recommended?

between the second and third shocks

Oropharyngeal Insertion first step

clear the moth and pharynx

in addition to cpr with minimum interruption in chest compressions, what is the most critical intervention during the first few minutes of arrest for a patient in ventricular fibrillation?

defibrillation

The BLS assessment is a systematic approach to BLS for trained healthcare providers. This approach stresses................ (drop-down to pick)

early CPR and defibrillation

what is a potential complication of using a nasopharyngeal airway that is too long?

entering the esophagus

after activating the sync control button in preparation for delivering electrical cardioversion, what is the most important next step?

look for markers on the R wave indicating sync mode

which alteration to the standard acls algorithm is appropriate for patients whose cardiac arrest is caused by hypothermia?

medications spced at longer intervals

What alterations are recommended for resuscitation drug administration to third-trimester gravid pts in cardiac arrest?

no dosing alterations are recommended

A patient with a ventricular assist device (VAD) is not breathing, has signs of inadequate perfusion, and is unconscious. You determine the VAD is functioning. After endotracheal intubation, the patient has a PETCO2 of 12mm Hg.What is your next action?

perform external chest compressions

what device on a resuscitation bag mask device may prevent sufficient tidal volume in patient with poor lung complient?

pressure-relife valve

what is a potential complication of inserting an oropharyngeal airway that is too small?

pushing the base of the tongue back

If the patient is conscious, establish IV access prior to synchoronized cardioversion and administer ..............?

sedation

what is the recommended CPR position for a third-trimester gravid patient?

supine with manual left lateral uterine displacement

the patient's ventilation and bP have responded to treatmentwhat other lab or diagnostic tests would be appropriate to consider at this time for reversible causes

temp 12 lead ekg troponin

in addition to managing the airway and respiratory parameters, which step is also prioritized during the initial stabilization phase

treat hypotension

You are attempting to resuscitate a 70yo female who suffered sudden cardiac arrest.she has a palpable pulse HR 65 o2 94%etco 38mmhgbp 82/55what are your highest priorities

ventilating patient with 10 breaths/minute maintain paco2 between 35-40 maintain o2 92-98%