ACLS PHARMACOLOGY 2023.

ACLS PHARMACOLOGY 2023.A patient is in refractory ventricular fibrillation. High-quality CPR is in-progress. An anti-arrhythmic drug was given immediately after the third shock. You are the team leader. Which medication do you order next? - ANSWERS.Epinephrine 1 mg You arrive on the scene with the code team. High-quality CPR is in progress. An AED has previously advised "no shock indicated" A rhythm check now finds asystole. After resuming high-quality compressions which action do you take next? - ANSWERS.Establish IV or IO access Which intervention is most appropriate for the treatment of a patient in asystole? - ANSWERS.Epinephrine A patient with possible STEMI has ongoing chest discomfort. What is a contraindication to nitrate administration? - ANSWERS.Use of a phosphodiesterase inhibitor within the previous 24 hours A 57-yr old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180/min. She becomes diaphoretic, and her blood pressure is 80/60 mmHG. Which action do you take next? - ANSWERS.Preform electrical cardioversion A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138/min. He is asymptomatic, with a blood pressure of 110/70 mmHg. He has a history of angina . What action is recommended next? - ANSWERS.Seeking expert consultation A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. Which best describes the guidelines for anti-platelet and fibrinolytic therapy. - ANSWERS.Hold aspirin for at least 24 hours if rtPA is administered 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 capture. The patient is confused, and her blood pressure is 88/56 mm Hg. Which therapy is now indicated? - ANSWERS.Epinephrine 2 to 10 mcg/min A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. If no pathway for medication administration is in place, which method is preferred? - ANSWERS.IV or IO