ACLS COMPLETE (2022/2023)
Graded A+
BEST PLAYLIST I'VE FOUND FOR ALL HEART.ORG ACLS CODES!
✔✔https://www.youtube.com/watch?v=qQTpqjvvduI&list=PLy60DSDPg9urf_l5ss1FLakrRQD
KOkTZj
This is a good starting point for Jose (big Megacode at end):
https://www.youtube.com/watch?v=8OB7OreUjy0 . Use the feedback after failing to get closer
and closer to passing!
In which situation does bradycardia require treatment? ✔✔Hypotension
Which intervention is most appropriate for the treatment of a patient in asystole?
✔✔Epinephrine
You arrive on the scene with the code team. High-quality CPR is in progress. An AED has
previousy advised "no shock indicated." A rhythm check now finds asystole. After resuming
high-quality compressions, which action do you take next? ✔✔Establish IV or IO access
,A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a
rate of 220/min. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38mm Hg, and
the pulse oximetry reading is 98%. There is vascular access in the left arm, and the patient has
not been given any vasoactive drugs. A 12-lead ECG confirm a supraventricular tachycardia with
no evidence of ischemia or infarction. The heart rate has not responded to vagal maneuvers. what
is your next action? ✔✔Administer adenosine 6mg IV push
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been administered to a
toal does 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? ✔✔Epinephrine 2 to
10 mcg/min
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock.
Which drug should be administered first? ✔✔Epinephrine 1 mg IV/IO
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 si ordered. Which best
describes the guidelines for antiplatelet and fibrinolytic therapy? ✔✔Hold aspirin for at least 24
hours if rtPA is administered
,A patient is in refractory ventricular fibrillation and has received multiple appropriate
defribillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300mg IV.
The patient is intubated. Which best describe the recommended second does of amiodarone for
this patient? ✔✔150 mg IV push
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure
of 80/60mm Hg. What is the initial does of atropine? ✔✔0.5mg
A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. The monitor
shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been
effective in terminating the rhythm. An IV has been established. Which drug should be
administered? ✔✔Adenosine 6mg
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? ✔✔IV or IO
What is the indication for the use of magnesium in cardiac arrest? ✔✔Pulseless ventricular
tachycardia-associated torsades de pointes
, 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 mm Hg. He has a history of angina. What action
is recommended next? ✔✔Seeking expert consultation
A patient is in cardiac arrest. High-quality chest compressions are being given. The patient is
intubated, and an IV has been started. The rhythm is asystole. What is the first drug/dose to
administer? ✔✔Epinephrine 1mg IV/IO
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One does of
epinephrine was given after the second shock. An antiarrhythmic drug was given immediately
after the third shock. You are the team leader. Which medication do you order next.
✔✔Epinephrine 1 mg
A patient with possible STEMI has ongoing chest discomfort. What is a contraindication to
nitrate administration? ✔✔Use of a phosphodiestrase inhibitor within the previous 24 hours
A 57-year-old woman has palpitation, chest discomfort, and tachycardia. The monitor shows a
regular wide-QRS at a rate of 180/min. She becomes diaphoretic, and her blood pressure is 80/60
mm HG/ Which action do you take next? ✔✔Perform electrical cordioversion
Graded A+
BEST PLAYLIST I'VE FOUND FOR ALL HEART.ORG ACLS CODES!
✔✔https://www.youtube.com/watch?v=qQTpqjvvduI&list=PLy60DSDPg9urf_l5ss1FLakrRQD
KOkTZj
This is a good starting point for Jose (big Megacode at end):
https://www.youtube.com/watch?v=8OB7OreUjy0 . Use the feedback after failing to get closer
and closer to passing!
In which situation does bradycardia require treatment? ✔✔Hypotension
Which intervention is most appropriate for the treatment of a patient in asystole?
✔✔Epinephrine
You arrive on the scene with the code team. High-quality CPR is in progress. An AED has
previousy advised "no shock indicated." A rhythm check now finds asystole. After resuming
high-quality compressions, which action do you take next? ✔✔Establish IV or IO access
,A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a
rate of 220/min. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38mm Hg, and
the pulse oximetry reading is 98%. There is vascular access in the left arm, and the patient has
not been given any vasoactive drugs. A 12-lead ECG confirm a supraventricular tachycardia with
no evidence of ischemia or infarction. The heart rate has not responded to vagal maneuvers. what
is your next action? ✔✔Administer adenosine 6mg IV push
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been administered to a
toal does 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? ✔✔Epinephrine 2 to
10 mcg/min
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock.
Which drug should be administered first? ✔✔Epinephrine 1 mg IV/IO
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 si ordered. Which best
describes the guidelines for antiplatelet and fibrinolytic therapy? ✔✔Hold aspirin for at least 24
hours if rtPA is administered
,A patient is in refractory ventricular fibrillation and has received multiple appropriate
defribillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300mg IV.
The patient is intubated. Which best describe the recommended second does of amiodarone for
this patient? ✔✔150 mg IV push
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure
of 80/60mm Hg. What is the initial does of atropine? ✔✔0.5mg
A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. The monitor
shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been
effective in terminating the rhythm. An IV has been established. Which drug should be
administered? ✔✔Adenosine 6mg
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? ✔✔IV or IO
What is the indication for the use of magnesium in cardiac arrest? ✔✔Pulseless ventricular
tachycardia-associated torsades de pointes
, 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 mm Hg. He has a history of angina. What action
is recommended next? ✔✔Seeking expert consultation
A patient is in cardiac arrest. High-quality chest compressions are being given. The patient is
intubated, and an IV has been started. The rhythm is asystole. What is the first drug/dose to
administer? ✔✔Epinephrine 1mg IV/IO
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One does of
epinephrine was given after the second shock. An antiarrhythmic drug was given immediately
after the third shock. You are the team leader. Which medication do you order next.
✔✔Epinephrine 1 mg
A patient with possible STEMI has ongoing chest discomfort. What is a contraindication to
nitrate administration? ✔✔Use of a phosphodiestrase inhibitor within the previous 24 hours
A 57-year-old woman has palpitation, chest discomfort, and tachycardia. The monitor shows a
regular wide-QRS at a rate of 180/min. She becomes diaphoretic, and her blood pressure is 80/60
mm HG/ Which action do you take next? ✔✔Perform electrical cordioversion
