Updated New 2023!Advanced Cardiac Life Support
HESI Case Study/ Advanced Cardiac Life Support
Sepsis HESI Case Study ACLS Updated 2023-2024
Role of thrombolytic therapy and angioplasty/stent --------- Answer --------- Treatment
within 1 hour- mortality 1%
Delayed treatment >1 hr- mortality 10%
No treatment- mortality 15%
Sudden Death Syndrome High Risk --------- Answer --------- CAD
Cardiomyopathy
LVEF <40%
Frequent ventricular ectopy
Sudden Death Syndrome --------- Answer --------- High Risk
Asytole
V Tach (common underlying problem)
Bradycardia
Primary V. Fib
Chain of Survival:
Early Access --------- Answer --------- will call 9-11 quick. No messing around
Chain of Survival:
Early CPR --------- Answer --------- Bystander helps out. No damage
Chain of Survival:
Early Defibrillation --------- Answer --------- shocking
Chain of Survival:
ACLS --------- Answer --------- Drugs and shocking, airway management
Phases: Electrical --------- Answer --------- Prompt defibrillation most important
Phases: Circulatory --------- Answer --------- CPR is most important
- Cerebral and coronary perfusion pressure critical to neurologic intact survival (save
brain)
Phases: Metabolic --------- Answer --------- Effectiveness of defibrillation and CPR
decreases
- survival rates poor
Therapeutic hypothermia
-After return of spontaneous circulation
-Approx 15 min in
, -Survival rate is poor
Primary survey --------- Answer --------- Assess responsiveness
Assess airway
Assess breathing
Assess circulation
Defibrillation
FeO2
FiO2 --------- Answer --------- 17%
21%
Atropine --------- Answer --------- bradycardia, increased firing of SA node
Dopamine --------- Answer --------- Peipheral vasoconstrictor- vital organs survive
Epinephrine --------- Answer --------- Vasoconstriction, Increased BP
Lidocaine --------- Answer --------- Ventricle anti-arrthymic
V Fib, V Tach- less sensitive to depolarization
Morphine --------- Answer --------- Tricks CNS- analgesic system
Nitroglycerine --------- Answer --------- Chest pain
arterial dilator, causes headache
Sodium Bicarbonate --------- Answer --------- Acidotic
alkalizing agent
Digitalis --------- Answer --------- decreased rate of conduction
tachy patients
Verapamil --------- Answer --------- converts any rhythm to normal
Oxygen --------- Answer --------- 1 drug given in any cardiac event
Cardiovascular Disease invokes Heart and Blood Vessels --------- Answer --------- Heart
Disease
Coronary artery disease
Nonmodifiable risk factors --------- Answer --------- Heredity
Race
Gender
Age
Modifiable risk factors --------- Answer --------- Hypertension
HESI Case Study/ Advanced Cardiac Life Support
Sepsis HESI Case Study ACLS Updated 2023-2024
Role of thrombolytic therapy and angioplasty/stent --------- Answer --------- Treatment
within 1 hour- mortality 1%
Delayed treatment >1 hr- mortality 10%
No treatment- mortality 15%
Sudden Death Syndrome High Risk --------- Answer --------- CAD
Cardiomyopathy
LVEF <40%
Frequent ventricular ectopy
Sudden Death Syndrome --------- Answer --------- High Risk
Asytole
V Tach (common underlying problem)
Bradycardia
Primary V. Fib
Chain of Survival:
Early Access --------- Answer --------- will call 9-11 quick. No messing around
Chain of Survival:
Early CPR --------- Answer --------- Bystander helps out. No damage
Chain of Survival:
Early Defibrillation --------- Answer --------- shocking
Chain of Survival:
ACLS --------- Answer --------- Drugs and shocking, airway management
Phases: Electrical --------- Answer --------- Prompt defibrillation most important
Phases: Circulatory --------- Answer --------- CPR is most important
- Cerebral and coronary perfusion pressure critical to neurologic intact survival (save
brain)
Phases: Metabolic --------- Answer --------- Effectiveness of defibrillation and CPR
decreases
- survival rates poor
Therapeutic hypothermia
-After return of spontaneous circulation
-Approx 15 min in
, -Survival rate is poor
Primary survey --------- Answer --------- Assess responsiveness
Assess airway
Assess breathing
Assess circulation
Defibrillation
FeO2
FiO2 --------- Answer --------- 17%
21%
Atropine --------- Answer --------- bradycardia, increased firing of SA node
Dopamine --------- Answer --------- Peipheral vasoconstrictor- vital organs survive
Epinephrine --------- Answer --------- Vasoconstriction, Increased BP
Lidocaine --------- Answer --------- Ventricle anti-arrthymic
V Fib, V Tach- less sensitive to depolarization
Morphine --------- Answer --------- Tricks CNS- analgesic system
Nitroglycerine --------- Answer --------- Chest pain
arterial dilator, causes headache
Sodium Bicarbonate --------- Answer --------- Acidotic
alkalizing agent
Digitalis --------- Answer --------- decreased rate of conduction
tachy patients
Verapamil --------- Answer --------- converts any rhythm to normal
Oxygen --------- Answer --------- 1 drug given in any cardiac event
Cardiovascular Disease invokes Heart and Blood Vessels --------- Answer --------- Heart
Disease
Coronary artery disease
Nonmodifiable risk factors --------- Answer --------- Heredity
Race
Gender
Age
Modifiable risk factors --------- Answer --------- Hypertension
