ACLS

How long should cooling measures persist during the post-arrest phase?

At least 24 hours

The most important algorithm to know for adult resuscitation is: 1. Bradycardia

Cardiac Arrest

During CPR a compression depth of at least _____ is required in adults.

3. 2 inches

For post-cardiac arrest (TTM) targeted temperature management, a target temperature between ____ and ____ °C should be selected, achieved, and maintained constantly for at least 24 hours.

3. 32 and 36

High Quality CPR includes all of the following except:

3. Ensuring a 15:2 compression to ventilation ratio

There are now 2 "Chains of Survival" that are used for ACLS. These two chains include:

3. Out-of-Hospital and In-Hospital Cardiac Arrest

Which of the following best describes how to select the proper size of an (OPA) oropharyngeal airway?

3. the OPA should be the length from the corner of the mouth to the angle of the mandible.

When CPR is first initiated by health care providers, how many chest compressions should be administered before giving 2 rescue breaths.

30

During CPR with no advanced airway in place the compression-to-ventilation ratio is:

30:2

The simple single rate for the delivery of ventilations during cardiac arrest when an advanced airway is in place is ____ breath(s) every ___ seconds.

4. 1 breath every 6 seconds

In the Primary Assessment of the systematic approach to ACLS, the D stands for:

4. disability

For patients experiencing respiratory arrest with a perfusing rhythm, deliver rescue breaths at 1 breath every ____ to ____ seconds.

5 to 6 seconds

During CPR after an advanced airway is in place, which of the following is true:

One breath every 6 seconds should be given

What is now recommended to be implemented in public access locations where there is a relatively high likelihood of witnessed cardiac arrest?

Public Access Defibrillators

After providing a shock with an AED you should:

Start CPR, beginning with chest compressions

Effective resuscitation team dynamics would include all of the following statements except which one:

Team members do not question team leaders orders even if doubt exists

Which is not true about the oropharyngeal airway(OPA):

The OPA should only be used on a conscious patient

(True or False) In the out-of-hospital or ER setting, trained non-physicians may now perform ECG interpretation to determine whether or not the ECG shows evidence of STEMI.

True

(True or False) The systematic approach with a person in cardiac arrest should include the BLS Assessment and the Primary Assessment?

True

When providing BLS/ACLS to a known or suspected cervical spine trauma which of the following is NOT correct when attempting to open the airway?

Use an immobilization device to stabilize the head

While conducting the BLS Assessment, you should do all of the following except:

start an IV

Interruptions in chest compressions should be limited to no longer than _____seconds.

ten

When checking for a carotid pulse during CPR you should take no longer than ______seconds before restarting CPR

ten

Typically, suctioning attempts in ACLS situations should be:

ten seconds or less

Chest compression fraction is a measurement of the proportion of total resuscitation time that compressions are performed. (True or False) The optimal target for the chest compression fraction should be at least 50%.

. False

The recommendation for chest compression depth for adults is at least 2 inches (5 cm) but not greater than ______ inches.

1. 2.4 inches

During the Primary Assessment when assessing (B)breathing, which of the following is correct about supplementary oxygen delivery?

1. Administer 100% oxygen for cardiac and respiratory arrest patients 2. Other than cardiac and respiratory arrest, administer oxygen to maintain O2 saturation value of ≥ 94% by pulse oximetry 3. both 1 and 2 are correct

When performing the Airway Assessment portion of the Primary Assessment, the following questions should be asked:

1. Is the airway patent? 2. Is an advanced airway indicated? 4. both 1 and 2

One important aspect of chest compressions is to allow for complete chest recoil after each chest compression. What is one common error that can prevent full chest recoil?

1. Leaning on the chest between compressions

Within the post-cardiac arrest algorithm, the term therapeutic hypothermia has been changed to __

1. Targeted Temperature Management (TTM)

(True or False) For conscious patients who may need more advanced assessment and management techniques, healthcare providers should conduct the Primary Assessment first?

1. True

(True or False) After 24 hours of (TTM) targeted temperature management in the comatose post-cardiac arrest patient, active prevention of fevers is recommended.

1. True

(True or False) The ROUTINE use of lidocaine after cardiac arrest is not indicated, but providers may consider lidocaine when amiodarone is not available.

1. True

(True or False) Vasopressin has been removed from the cardiac arrest algorithm.

1. True

True or False: Rapid Response Teams (RRT) or Medical Emergency Teams (MET) can be effective for reducing the incidence of cardiac arrest.

1. True

Good team dynamics requires which of the following:

1. knowledge sharing 2. knowing one's limitations 3. clear roles and responsibilities 4. all of the above

2. False

1. opening the airway to give rescue breaths 2. retrieving a barrier device 3. assembling ventilation equipment 4. all of the above

Which of the following is true about chest compressions:

1. push hard and fast 2. ensure full chest recoil 3. minimize interruptions in chest compression 4. all of the above

The goal of BLS interventions for a patient in respiratory or cardiac arrest is to:

1. restore effective oxygenation 2. restore effective ventilation 3. restore or support effective circulation 4. all of the above

During CPR with an advanced airway in place the compression rate is:

100 -120/min

During CPR, the recommended chest compression rate is _________ per minute.

100-120/min

During post-cardiac arrest care, the goal for adequate blood pressure should be to maintain a systolic BP (SBP) greater than _____mmHg and a mean arterial pressure (MAP) greater than ________mmHg.

2. 90 and 65

The recommended sequence for CPR has been confirmed and will remain the same. What is the recommended sequence for single rescuer CPR?

2. C-A-B (Circulation, Airway, Breathing)

It is now considered reasonable to administer what medication as soon as feasibly possible after the onset of cardiac arrest due to an initial nonshockable rhythm?

2. Epinephrine

(True or False) Compression-only CPR is recommended for single-rescuer health care providers.

2. False

(True or False) Oxygen should be started on all suspected ACS (Acute Coronary Syndrome) patients regardless of oxygen saturation or respiratory condition.

2. False

(True or False) The routine prehospital cooling of patients with rapid infusion of cold IV fluids after ROSC is now recommended.

2. False

At what point in both chains of survival do the interventions converge?

2. In the Cath lab or Post-Arrest ICU

During the (C) circulation portion of the Primary Assessment, the following actions are carried out:

2. Obtain IV access, Attach ECG leads, monitor rhythm, given medications to manage rhythm, give IV/IO fluids if needed

The most important intervention with witnessed sudden cardiac arrest is:

early defibrillation

The BLS Assessment focuses on:

early CPR and early defibrillation

Which of the following is the correct sequence of steps for BLS CPR?

chest compressions, airway, breathing

Success of any resuscitation attempt is built on:

high quality CPR 2. defibrillation when required by the patients ECG rhythm

The purpose of a Rapid Response Team is:

improve patient outcomes by identifying and treating early clinical deterioration

When performing BLS/ACLS you should avoid all of the following except:

keeping the patients airway open

Which of the following is performed before the BLS Assessment?

make sure the scene is safe

Examples of advanced airway adjuncts include all the following except:

oropharyngeal airway