RQI 2025 ACLS Healthcare Provider

RQI 2025 ACLS Healthcare ProviderAfter 2 minutes, the team pauses CPR for a rhythm check. What rhythm is now being demonstrated by the patient? o Ventricular tachycardia o Pulseless electric activity o Ventricular fibrillation o Asystole ANSWER o Ventricular tachycardia The patient is showing persistent pulseless ventricular tachycardia. What actions need to be completed next by the team? Place in the correct order o Shock immediately o Resume CPR o Administer epinephrine 1mg IV o Consider an advanced airway ANSWER o Shock immediately o Resume CPR o Administer epinephrine 1mg IV o Consider an advanced airway At the next pulse check, compressors are switched, and rhythm continues to be refractory ventricular fibrillation/ventricular tachycardia. A shock is delivered and CPR is resumed. What is your next intervention? o Administer amiodarone 300mg IV o Administer procainamide 15 to 18 mg/kg IV loading dose o Administer epinephrine 1mg IV ANSWER o Administer amiodarone 300mg IV After 2 more minutes of CPR, you conduct a rhythm check and a pulse check, confirming absence of a pulse. Based on the organized rhythm below, describe the patient's condition? o Normal sinus rhythm o Pulseless electrical activity o Sinus bradycardia o Junctional rhythm ANSWER o Pulseless electrical activity Once PEA is identified and there are no signs of ROSC, you continue CPR. What is your next step for appropriate care for this patient? o Administer epinephrine 1mg IV o Administer amiodarone 150mg IV o Administer amiodarone 300mg IV o Administer epinephrine 1.5mg IV ANSWER o Administer epinephrine 1mg IV After 2 minutes of CPR, you conduct another rhythm check and determine that the patient has the following rhythm and is showing signs of ROSC. How do you continue treating this patient? o Administer another dose of 1mg of epinephrine o Move to the Adult Post-Cardiac Arrest Care Algorithm o Resume CPR and repeat the steps of the PEA pathway o Pause CPR and consider an advanced airway ANSWER o Move to the Adult Post-Cardiac Arrest Care Algorithm She has a palpable pulse, HR of 65/min, SpO2 of 94%, ETCO2 of 38 mm Hg, and BP 82/55 mm Hg. What are your highest priorities? Select all that apply. o Maintaining a target PaCO2 between 45 and 55 mm Hg o Maintaining SpO2 92% to 98% o Hyperventilation o Ventilating the patient with 10 breaths per minute o Maintaining a target PaCO2 between 35 and 45 mm Hg ANSWER o Maintaining SpO2 92% to 98% o Ventilating the patient with 10 breaths per minute o Maintaining a target PaCO2 between 35 and 45 mm Hg In addition to managing the airway and respiratory parameters, which step is also prioritized during the initial stabilization phase? o Initiating targeted temperature management o Administering alteplase o Performing percutaneous coronary intervention o Treating hypotension ANSWER o Treating hypotension Match the treatment for hypotension to the proper initial dosage for an adult based on the AHA guidelines. o Dopamine IV 5 to 20 mcg/kg per minute o Normal saline or lactated Ringer's to 2L o Norepinephrine IV 0.1 to 0.5 mcg/kg per minute o Epinephrine 2 to 10 mcg per minute ANSWER o Dopamine IV 5 to 20 mcg/kg per minute o Normal saline or lactated Ringer's to 2L o Norepinephrine IV 0.1 to 0.5 mcg/kg per minute o Epinephrine 2 to 10 mcg per minute