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ALS/ACLS - Team Response Scenario - Theresa Coleman [2022] COMPLETE SOLUTION

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ALS/ACLS - Team Response Scenario - Theresa Coleman [2022] COMPLETE SOLUTION Review the rhythm shown here and then decide how Dr. Ruiz should direct the team's immediate next actions. - What a re the team's appropriate next actions? After 2 minutes of CPR, the rhythm remains the same. What interventions are appropriate at this time? - What is the correct dose of epinephrine to give? At the third rhythm check, the rhythm remains the same. Which actions are appropriate at this time? - What is the correct initial dose of amiodarone to give? - In searching for Hs and Ts, which of the following diagnostic tests would be appropriate to order at this time? - Based on the rhythm shown on the monitor, what is the appropriate next action? - What are the team's appropriate next actions? - What should the team do next? -. How should Dr. Ruiz direct the team's immediate next actions? Initial assessment findings for Mrs. Coleman are as follows:Blood pressure: 65/52 mmHgPulse: 124 bpmPulse oximetry: 83%ETCO2: 22 mmHgBased on these initial assessment findings, what should the team do next? The team administers two fluid boluses to Mrs. Coleman. After the second fluid bolus, Mrs. Coleman maintains a systolic blood pressure greater than 90 mmHg. However, if the hypotension had persisted despite fluid therapy, the team would consider vasopressor infusion with epinephrine, norepinephrine or dopamine. What is the appropriate dose for epinephrine? Is Mrs. Coleman a candidate for targeted temperature management (TTM)?

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ALS/ACLS - Team Response Scenario - Theresa Coleman
[2022] COMPLETE SOLUTION
Review the rhythm shown here and then decide how Dr. Ruiz should direct the team's immediate
next actions. Correct Answer: 1. "Kirron, please continue compressions."
2. "Charmar, please charge the defibrillator."

What are the team's appropriate next actions? Correct Answer: 1. Provide 2 minutes of CPR.
2. Obtain vascular access.

After 2 minutes of CPR, the rhythm remains the same. What interventions are appropriate at this
time? Correct Answer: 1. Epinephrine
2. CPR
3. Shock

What is the correct dose of epinephrine to give? Correct Answer: 1 mg, repeated every 3 to 5
minutes

At the third rhythm check, the rhythm remains the same. Which actions are appropriate at this
time? Correct Answer: 1. Resume compressions
2. Deliver a third shock.
3. Administer amiodarone.

What is the correct initial dose of amiodarone to give? Correct Answer: 1. First dose: 300mg by
IV bolus
2. Second dose: 150mg if needed

In searching for Hs and Ts, which of the following diagnostic tests would be appropriate to order
at this time? Correct Answer: 1. Arterial Blood gases
2. Serum electrolyte panel

Based on the rhythm shown on the monitor, what is the appropriate next action? Correct Answer:
Check for a pulse.

What are the team's appropriate next actions? Correct Answer: 1. Provide 2 minutes of CPR.
2. Administer epinephrine.
3. Continue searching for reversible causes.

What should the team do next? Correct Answer: Assess and support the patient's airway,
breathing and circulation.

How should Dr. Ruiz direct the team's immediate next actions? Correct Answer: 1. "Jerry,
please update me on Mrs. Coleman's vitals."
2. "Charmar, please get a 12-lead ECG."
3. "Sandra, please draw blood for labs."
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