ACLS Pretest

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ACLS Pre-Course Self-Assessment ACLS - Pharmacology Pharm week 4 Patho - fina

60 términos 20 términos 87 términos 148 términos

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Términos de la unidad (60)

Please identify the rhythm by selecting the best

single answer.
Sinus Bradycardia

Please identify the rhythm by selecting the best

single answer.
Reentry supraventricular tachycardia

Please identify the rhythm by selecting the best

single answer.
Second-degree AV block (Mobitz II block)

Please identify the rhythm by selecting the best

single answer.
Agonal rhythm/asystole

Please identify the rhythm by selecting the best

single answer.
Third-Degree AV block

Please identify the rhythm by selecting the best

single answer.
Monomorphic Ventricular Tachycardia

Please identify the rhythm by selecting the best

single answer.
Sinus Tachycardia

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 Please identify the rhythm by selecting the best
single answer.
Atrial Fibrillation

Please identify the rhythm by selecting the best

single answer.
Course Ventricular Fibrillation

Please identify the rhythm by selecting the best

single answer.
Polymorphic Ventricular Tachycardia

Please identify the rhythm by selecting the best

Second-degree AV block (Mobitz I single answer.
Wenchebach)

Please identify the rhythm by selecting the best

single answer.
Normal Sinus Rhythm

Please identify the rhythm by selecting the best

single answer.
Pulseless electrical activity

Please identify the rhythm by selecting the best

single answer.
Course Ventricular Fibrillation

Please identify the rhythm by selecting the best

single answer.
Reentry supraventricular tachycardia

Please identify the rhythm by selecting the best

single answer.
Fine Ventricular Fibrillation

Please identify the rhythm by selecting the best

single answer.
Atrial Flutter

Please identify the rhythm by selecting the best

single answer.
Second-degree AV block (Mobitz II block)

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Reentry supraventricular tachycardia
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 A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor
Perform immediate electrical cardioversion shows a regular wide-complex QRS at a rate of 180/min. She becomes diaphoretic, and
her blood pressure is 80/60 mm Hg. The next action is to:

A patient with a possible acute coronary syndrome has ongoing chest discomfort
Give normal Saline 250 mL to 500 ml fluid unresponsive to 3 sublingual nitroglycerin tablets. There are no contraindications, and 4
bolus mg of morphine sulfate was administered. Shortly afterward, blood pressure falls to
88/60 mm Hg, and the patient has increased chest discomfort. You should:

A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine

Amiodarone 300 mg
have been given. Which is the next drug/dose to anticipate administering?

A patient is in refractory ventricular fibrillation and has received multiple appropriate

defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg
150 mg IV push
amidarone IV. The patient is intubated. A second does of amiodarone is now called for.
The recommended second dose of amiodarone is

A 35-year-old woman has palpitations, light-headiness, and a stable tachycardia. The

monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers
Adenosine 6 mg
have not been effective in terminated the rhythm. An IV has been established. What
drug should be administered IV?

A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138/min.
Seeking expert consultation He is asymptomatic, with a blood pressure of 110/70 mm Hg. He has a history of angina.
Which of the following actions is recommended?

Use of phosphodiesterase inhibitor within 12 A patient with possible ST-segment elevation MI has ongoing chest discomfort. Which
hours. of the following would be a contraindication to the administration of nitrates?

A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to
Start epinephrine 2 to 10 mcg/min
capture. The patient is confused, and her blood pressure is 100/60 mm Hg. Which of the
following is now indicated?

A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second

Epinephrine 1 mg shock. Of the following, which drug and dose should be administered first by the IV/IO
route?

You arrive on the scene with the code team. High-quality CPR is in progress. An AED
Gain IV or IO access has previously advised, "no shock indicated." A rhythm check now finds asystole. After
resuming high-quality compressions, your next action is to:

A patient with ST-segment elevation MI has ongoing chest discomfort. Fibrinolytic

Give Aspirin 160 to 325 mg chewed therapy has been ordered. Heparin 4000 units IV bolus was administered, and a
immediately. heparin infusion of 1000 units per hour is being administered. Aspirin was taken by the
patient because he had a history of gastritis treated 5 years ago. Your next action is?

Chest pain or shortness of breath is present Bradycardia requires treatment when:

Magnesium is indicated for VF/pulseless VT Which of the following statements about the use of magnesium in cardiac arrest is most
associated with torsades de pointes. accurate?

A patient is in cardiac arrest. High-quality chest compressions are being given. The
Epinephrine 1 mg or vasopressin 40 units IV
patient is intubated, and an IV has been started. The rhythm is asystole. Which is the first
or IO
drug/dose to administer?

A patient has sinus bradycardia with a heart rate of 42/min has diaphoresis and a blood
0.5 mg
pressure of 80/60 mm Hg. What is the initial dose of atropine?
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A patient is in refractory ventricular fibrillation. High-quality CPR is in progress, and
shocks have been given. One dose of epinephrine was given after the second shock.
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An antiarrhythmic drug was given immediately after the third shock. What drug should
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con be prepared for administration next?
 A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness.
Do not give aspirin for at least 24 hours if He was brought to the emergency department. He meets initial criteria for fibrinolytic
rtPA is administered therapy, and a CT scan of the brain is ordered. What are the guidelines for antiplatelet
and fibrinolytic therapy?

The correct dose of vasopressin is 40 units Which of the following statements is most accurate regarding the administration of
administered IV or IO. vasopressin during cardiac arrest?

A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial

IV or IO
shock. What is the recommended route for drug administration during CPR?

Your patient has been intubated. IV/IO access is not available. Which combination of
Lidocaine, epinephrine, vasopressin
drugs can be administered by the endotracheal route?

The patient suddenly becomes unconscious and has

a weak carotid pulse. Cardiac monitoring,
supplementary oxygen, and an IV have been
Give atropine 0.5 mg IV.
initiated. The code cart with all the drugs and a
transcutaneous pacer are immediately available.
Next you would?

You arrive on the scene to find CPR in progress.

Nursing staff report that the patient was recovering
from a pulmonary embolism and suddenly
Give epinephrine 1 mg IV. collapsed. There is no pulse or spontaneous
respirations. High-quality CPR and effective bag-
mask ventilation are being provided. An IV has been
initiated. What would you do now?

Following resuscitation with CPR and a single shock,

you observe this rhythm while preparing the patient
for transport. Your patient is stable, and blood
Seek expert consultation
pressure is 120/80 mg Hg. She is apprehensive but
has no symptoms other than palpitations. At this time
you would?

Following imitation of CPR and 1 shock for VF, this

rhythm is present on the next rhythm check. A
second shock is give, and chest compressions are
Prepare to give epinephrine 1 mg IV. resumed immediately. An IV is in place, and no
drugs have been given. Bag-mask ventilations are
producing visible chest rise. What is your next
order?

A patient presents with the above rhythm and

reports an irregular heartbeat. She has no other
Continue monitoring and seek expert
symptoms. Her medical history is significant for a
consultation.
myocardial infarction 7 years ago. Blood pressure is
110/70 mm Hg. What would you do at this time

You are monitoring a patient with chest discomfort

who suddenly becomes unresponsive. You observe
Give a single shock.
the following rhythm on the cardiac monitor. A
defibrillator is present. What is your first action?

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 A patient has been resuscitated from cardiac arrest
and is being prepared for transport. She is intubated
and is receiving 100% oxygen. Blood pressure is
80/60 mm Hg. During the resuscitation, she received
1 to 2 L of normal saline 2 doses of epinephrine 1 mg and 1 dose of
aminodarone 300 mg IV. You now observe the
above rhythm on the cardiac monitor. The rhythm
abnormality is becoming more frequent and
increasing in number. You should order:

You arrive on the scene to find a 56-year-old

diabetic woman with dizziness. She is pale and
diaphoretic. Her blood pressure is 80/60 mm Hg.
Atropine 0.5 mg IV
The cardiac monitor documents the rhythm above.
She is receiving oxygen at 4 L/min by nasal cannula,
and an IV has been established. Your next order is:

You are evaluating a patient with chest discomfort

lasting 15 minutes during transportation to the
emergency department. He is receiving oxygen, and
Continue monitoring the patient and seek 2 sublingual nitroglycerin tablets have relieved his
expert consultation. chest discomfort. He reports no other symptoms but
appears anxious. Blood pressure is 130/70 mg Hg.
You observe the above rhythm on the monitor. What
is your next action?

A 45-year-old woman with a history of palpitations

develops light-headedness and palpitations. She
has received adenosine 6 mg IV for the rhythm
Repeat adenosine 12 mg IV. shown above without conversion of the rhythm. She
is now extremely apprehensive. Blood pressure is
108/70 mm Hg. What is the next appropriate
intervention?

A patient was in refractory ventricular fibrillation. A

shock has just been administered. Your team looks
Resume high-quality chest compressions.
to you for instructions. Your immediate next order is:

A patient in the emergency department develops

recurrent chest discomfort (8/10) suspicious for
ischemia. His monitored rhythm becomes irregular
as seen above. Oxygen is being administered by
Sublingual nitroglycerin 0.4 mg
nasal cannula at 4 L/min, and an IV line is in place.
Blood pressure is 160/96 mm Hg. There are no
allergies or contraindications to any medication. You
would first order:

You are monitoring a patient. He suddenly has the

above persistent rhythm. You ask about symptoms,
Administer adenosine 6 mg; seek expert
and he reports that he has mild palpitations, but
consultation
otherwise he is clinically stable with unchanged vital
signs. What is your next action?

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was administered.
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What is the next indicated action?
 A patient's 12-lead ECG was transmitted by the
paramedics and showed an acute MI. The above
findings are seen on a rhythm strip when a monitor
is placed in the emergency department. The patient
Reperfusion therapy had resolution of moderate (5/10) chest pain with 3
does of sublingual nitroglycerin. Blood pressure is
104/70 mm Hg. Which intervention below is most
important, reducing in-hospital and 30-day
mortality?

A 35-year-old woman presents to the emergency

department with a chief complaint of palpations.
Perform vagal maneuvers She has no chest discomfort, shortness of breath, or
light-headedness. Which of the following is
indicated first?

A patient becomes unresponsive. You are uncertain

Begin CPR, starting with high-quality chest if a faint pulse is present with the above rhythm.
compressions. What is your next action?

You are the code team leader and arrive to find a

patient with the above rhythm and CPR in progress.
Team members report that the patient was well but
reported chest pain and then collapsed. She has no
Administer epinephrine 1 mg.
pulse or respirations. Bag-mask ventilations are
producing visible chest rise, high-quality CPR is in
progress, and an IV has been established. What
would be your next order?

A patient was admitted to the general medical ward

with a history of alcoholism. A code in progress, and
he has recurrent episodes of the rhythm. You review
Give magnesium sulfate 1 to 2 g IV diluted in his chart. Notes about the 12-lead ECG say that his
10 mL D5W given over 5 to 20 minutes. baseline QT interval is high normal to slightly
prolonged. He has received 2 doses of epinephrine
1 mg and 1 dose of aminodarone 300 mg IV so far.
What would you order for his next medication?

You are monitoring the patient and note the above

rhythm on the cardiac monitor. She has dizziness,
Give atropine 0.5 mg IV
and her blood pressure is 80/40 mm Hg. She has an
IV in place. What is your next action?

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