ACLS

The most important algorithm to know for adult resuscitation is: Bradycardia PEA Tachycardia Cardiac arrest

Cardiac arrest

The two most common types of bradycardia that require emergency intervention are what?

2nd° heart block type II and 3rd° heart block

For the pulseless VF/VT algorithm, the proper first dose of IV Amiodarone is ________. 150 mg 300 mg 200 mg 100 mg

300 mg

During CPR with no advanced airway in place the compression-to-ventilation ratio is: 5:1 30:2 10:1 20:2

30:2

rhythm checks should be performed every __ cycles of CPR

5

For patients experiencing respiratory arrest with a perfusing rhythm, deliver rescue breaths at 1 breath every ____ seconds. 5-6 seconds 6 seconds 10 seconds 8 to 10 seconds

6 seconds

For stroke care and general care when oxygen is needed provide and titrate oxygen to maintain an oxygen saturation _______%. >94% <94% ≥90% >92%

>94%

During the (C) circulation portion of the Primary Assessment, the following actions are carried out: look, listen, and feel Obtain IV access, Attach ECG leads, monitor rhythm, given medications to manage rhythm, give IV/IO fluids if needed Obtain IV access, give supplemental oxygen, secure the advanced airway, give IV/IO fluids if needed Check a pulse, monitor heart rhythm, begin CPR if indicated

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

The two most important interventions that are needed once ST-segment elevation is observed is either___ or _____

PCI or fibrinolytic therapy

If an AED is on the patient and a manual defibrillator is available you should ___________________________. Use the AED because it reduces user error Do not replace is the AED because replacing the AED with the manual defibrillator will interrupt chest compressions for too long Replace the AED because continued use of the AED may result in unnecessary prolonged interruptions in chest compression for rhythm analysis and shock administration. Replace the AED only after delivery of three shocks

Replace the AED because continued use of the AED may result in unnecessary prolonged interruptions in chest compression for rhythm analysis and shock administration.

The two most common tachyarrhythmias that are treated with the tachycardia algorithm are what?

SVT and unstable vtach

Effective resuscitation team dynamics would include all of the following statements except which one: Team leaders and team members should have clear, closed-loop communication. Team members inform the team leader when a task begins or ends. Team members do not question team leaders orders even if doubt exists. Team leaders define all roles of team members in the clinical setting.

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

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

True

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

True

For acute coronary syndrome oxygen should be provided to the patient under what circumstances? (choose the answers that apply.) If the patient is dyspneic If the patient is hypoxemic If the patient has obvious signs of heart failure If the oxygen saturation is less than 90 or unknown

all answers

During the Primary Assessment when assessing (B)breathing, which of the following are correct about supplementary oxygen delivery? (Choose all that apply) Administer 100% oxygen for cardiac and respiratory arrest patients For ACS keep O2 sat ≥ 90% Other than cardiac and respiratory arrest, administer oxygen to achieve an O2 saturation value of 95-98% by pulse oximetry For post-cardiac arrest care keep O2 sat 92-98%

all answers correct

For unstable tachycardia that is refractory to all treatments, a new block has been added to the tachycardia algorithm. The block emphasizes which of the following. (Choose all that apply.) Identify the underlying cause. Consider the need to increase energy levels for the next cardioversion. Consider the possibility of administering an antiarrhythmic. Consider expert consultation.

all but the need to increase energy levels for next cardioversion

Drugs used in the VF/Pulseless VT Algorithm include: epinephrine, amiodarone, lidocaine, and magnesium sulfate epinephrine, vasopressin, atropine, and magnesium sulfate epinephrine, vasopressin, amiodarone, lidocaine, magnesium sulfate epinephrine, amiodarone, lidocaine, and atropine

epinephrine, amiodarone, lidocaine, and mag sulfate

The most important branch of the acute coronary syndrome algorithm is the ______

far left branch

PEA caused by HYPOkalemia may present with which if the following ECG signs? flattened T-waves, prominent U waves, wide QRS, prolonged QT peaked T-waves, prominent U waves, narrow QRS, prolonged QT flattened T-waves, prominent U waves, narrow QRS, shortened QT peaked T-waves, non-visible U waves, wide QRS, prolonged QT

flattened T-waves, prominent U waves, wide QRS, prolonged QT

While conducting the BLS Assessment, you should do all of the following except: check patient responsiveness activate emergency response system start an IV get an AED

start an IV

After providing a shock with an AED you should: start cpr, beginning with chest compressions check a pulse give a rescue breath let the AED reanalyze the rhythm

start cpr, beginning with chest compressions

Interruptions in chest compressions should be limited to no longer than _____seconds. twelve five ten fifteen

ten

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

ten

Which of the following best describes how to select the proper size of an (OPA) oropharyngeal airway? one size fits all the OPA should be the length of the patients middle finger the OPA should be the length from the corner of the mouth to the angle of the mandible. the OPA should be the length from the patients nose to the ear lobe.

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

Which is the correct treatment for unstable polymorphic VT? treat as VF with high-energy unsynchronized shocks treat with 3 stacked shocks treat with medications only treat with synchronized cardioversion and an initial shock of 100 J

treat as VF with high-energy unsynchronized shocks

Regular narrow complex SVT is treated with what?

vagal maneuvers and possibly adenosine

The left branch is for the treatment of what in the cardiac arrest algorithm?

ventricular fibrillation and pulseless ventricular tachycardia

For respiratory arrest with or without an advanced airway in place the new 2020 guidelines call for: 2 breaths every 15 seconds 1 breath every 6 seconds 2 breath every 10 seconds 1 breath every 10 seconds

1 breath every 6 seconds

Typically, suctioning attempts in ACLS situations should be: 10 seconds or less 20 seconds or less 5 seconds or less no more than 30 seconds

10 seconds or less

During CPR with an advanced airway in place the compression rate is: ≥ 80/min 90 -100/min ≥ 100/min 100 -120/min

100-120/min

PEA caused by HYPERkalemia may present with which of the following rhythm changes? narrow QRS complex, smaller P-waves, and T- waves taller and peaked wide QRS complex, taller P-waves, and T-waves taller and peaked wide QRS complex, smaller P-waves, and T-waves taller and peaked narrow QRS complex, smaller P-waves, and T-waves smaller and rounded

wide QRS complex, smaller P-waves, and T-waves taller and peaked

For the treatment of acute coronary syndrome, oxygen administration should be utilized to maintain an oxygen saturation of _____%. ≥94 ≥92 92-96 ≥90

≥90

The most important intervention with witnessed sudden cardiac arrest is: early defibrillation effective chest compressions early activation of EMS rapid use of resuscitation drugs

early defibrillation

In the Primary Assessment of the systematic approach to ACLS, the D stands for: defibrillation definitive care differential diagnosis disability

disability

The BLS Assessment focuses on: early CPR and early defibrillation early use of advanced airways and drugs rapid access to emergency services proper rhythm interpretation

early CPR and early defibrillation

Which of the following is true about chest compressions: push hard and fast ensure full chest recoil minimize interruptions in chest compression all of the above

all of the above

he right branch is for the treatment of what in the cardiac arrest algorithm?

asystole and PEA

The two most important interventions for the treatment of symptomatic bradycardia are what?

atropine and transcutaneous pacing

The most important and most frequently used ACLS algorithm is the ___________ algorithm

cardiac arrest

if any tachyarrhythmia is unstable, ________ will always be performed.

cardioversion

Which of the following is the correct sequence of steps for BLS CPR? chest compressions, airway, breathing airway, breathing, circulation circulation, airway, breathing access care early, begin CPR, check pulse

chest compressions, airway, breathing

What treatment should be used for unstable tachycardia that has a wide QRS complex and an irregular rhythm? adenosine synchronized cardioversion defibrillation vagal maneuvers

defibrillation

Select the sequence that is in the correct order? give 1 shock, 5 cycles CPR, check rhythm, give 1 shock, 5 cycles CPR, after 2nd shock give 40 U Vasopressin IV push give 1 shock, 3 cycles CPR, check rhythm, give 1 shock, 3 cycles CPR, after 2nd shock give 1mg epinephrine IV push give 1 shock, 5 cycles CPR, check rhythm, give 1 shock, 5 cycles CPR, check rhythm after 2nd shock give 1mg epinephrine IV push give 1 shock, check rhythm, 5 cycles CPR, give 1 shock, check rhythm, 5 cycles CPR, after 2nd shock give 1mg epinephrine IV push

give 1 shock, 5 cycles CPR, check rhythm, give 1 shock, 5 cycles CPR, check rhythm after 2nd shock give 1mg epinephrine IV push

The primary ACLS treatment for VF and Pulseless VT is: lidocaine high-energy unsynchronized shocks synchronized shocks epinephrine

high-energy unsynchronized shocks

The H's of treatable contributing factors are: hypovolemia, hypoxia, hydrogen ion, hypo-/hyperkalemia, hypothermia hypovolemia, hydrogen ion, hypo-/hyperkalemia, hyperglycemia, hypothermia hypovolemia, hypoxia, hydrogen ion, hypo-/hypercalcemia, hypoglycemia, hypothermia hemophilia, hypoxia, hydrogen ion, hypo-/hyperkalemia, hypoglycemia

hypovolemia, hypoxia, hydrogen ion, hypo-/hyperkalemia, hypothermia

If during VF/VT after a shock, the rhythm check reveals a __________ rhythm and _______, you then should proceed with the asystole/PEA pathway of the ACLS Pulseless Arrest. ventricular, no pulse slow, weak pulse shockable, strong pulse nonshockable, no pulse

nonshockable, no pulse

During CPR after an advanced airway is in place, which of the following is true: The breaths should be synchronized with the chest compressions. The goal is 20 or greater breaths per minute Chest compressions should be stopped while giving breaths. One breath every 6 seconds should be given

one breath every 6 seconds should be given

You have given a patient the 1st shock, CPR for 5 cycles, and now they have an organized rhythm. Your next step is to ___________. place the patient in rescue position start the patient on an antiarrhythmic drug search for possible causes of the VF/VT palpate for a pulse

palpate for a pulse