ALS/ACLS - Team Response Scenario - Theresa Coleman [2023] Already Graded A

ALS/ACLS - Team Response Scenario - Theresa Coleman [2023] Already Graded A Review the rhythm shown here and then decide how Dr. Ruiz should direct the team's immediate next actions. 1. "Kirron, please continue compressions." 2. "Charmar, please charge the defibrillator." What are the team's appropriate next actions? 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? 1. Epinephrine 2. CPR 3. Shock What is the correct dose of epinephrine to give? 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? 1. Resume compressions 2. Deliver a third shock. 3. Administer amiodarone. What is the correct initial dose of amiodarone to give? 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? 1. Arterial Blood gases 2. Serum electrolyte panel Based on the rhythm shown on the monitor, what is the appropriate next action? Check for a pulse. What are the team's appropriate next actions? 1. Provide 2 minutes of CPR. 2. Administer epinephrine. 3. Continue searching for reversible causes. What should the team do next? Assess and support the patient's airway, breathing and circulation. How should Dr. Ruiz direct the team's immediate next actions? 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." 4. "Darius, please prepare for intubation." 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? 1. Administer an IV fluid bolus. 2. Titrate oxygen therapy to the minimum level needed to achieve and maintain an arterial oxygen saturation of 94%-99%. 3. Support ventilations at a rate of 10 to 12 breaths/min. 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? 0.1-0.5 mcg/kg/min by IV infusion Is Mrs. Coleman a candidate for targeted temperature management (TTM)? Yes