ACLS review Questions and Answers
2024
What do i do if an organised rhythm is seen immediately following defibrillation? -
Correct Answer continue CPR for 2 mins! Do not stop to palpate for pulse.
What are the only times when you would interrupt CPR? - Correct Answer Shock,
rhythm checks and insertion of advanced airway, but not for more than 10 secs.
At what point is adrenaline given in the shock able protocol? - Correct Answer After the
second shock followed by 20 ml flush of Normal Saline. subsequently given every
second loop. note different timing of administration for shock able vs non shock able.
At what point is Amiodorone given and how much is given? - Correct Answer On
shockable side. 300 mg iv in 20 mls of Dextrose. after 3rd shock. Side effect can cause
hypotention, hence given after defibrillation and administratioin of a vasopressor. May
be repeated for refractory VF/VT 150mg iv and then infusion: 900mg over 24 hours.
Why do we not stop CPR if rhythm is seen immediately following defibrillation? - Correct
Answer It is rare for pulse to be present so soon. Even if it is continuing, CPR does not
induce VF/VT.
If it is not present, lots of time wasted.
When is a Precordial Thump indicated? - Correct Answer For a pulse less VT cardiac
arrest which is witnessed on a monitor and a defibrillator is not available.
First thing for conscious VT? - Correct Answer Is the patient stable or unstable?
If unstable VT, what? - Correct Answer Synchronized cardio version.
If stable VT, what? - Correct Answer ask: is the rhythm narrow or broad complex?
If narrow complex VT, what? - Correct Answer ask: is it regular or irregular?
For a regular broad complex VT, what to do? - Correct Answer give Amiodorone 300mg
iv over 20-60 mins
What is cardioverison? - Correct Answer A method of terminating a tachyarrhythmia and
restoring SR. the shock must be synchronized with the R wave
What are the steps in the chain of survival? - Correct Answer Immediate recognition &
activation
Early CPR
Rapid defibrillation
2024
What do i do if an organised rhythm is seen immediately following defibrillation? -
Correct Answer continue CPR for 2 mins! Do not stop to palpate for pulse.
What are the only times when you would interrupt CPR? - Correct Answer Shock,
rhythm checks and insertion of advanced airway, but not for more than 10 secs.
At what point is adrenaline given in the shock able protocol? - Correct Answer After the
second shock followed by 20 ml flush of Normal Saline. subsequently given every
second loop. note different timing of administration for shock able vs non shock able.
At what point is Amiodorone given and how much is given? - Correct Answer On
shockable side. 300 mg iv in 20 mls of Dextrose. after 3rd shock. Side effect can cause
hypotention, hence given after defibrillation and administratioin of a vasopressor. May
be repeated for refractory VF/VT 150mg iv and then infusion: 900mg over 24 hours.
Why do we not stop CPR if rhythm is seen immediately following defibrillation? - Correct
Answer It is rare for pulse to be present so soon. Even if it is continuing, CPR does not
induce VF/VT.
If it is not present, lots of time wasted.
When is a Precordial Thump indicated? - Correct Answer For a pulse less VT cardiac
arrest which is witnessed on a monitor and a defibrillator is not available.
First thing for conscious VT? - Correct Answer Is the patient stable or unstable?
If unstable VT, what? - Correct Answer Synchronized cardio version.
If stable VT, what? - Correct Answer ask: is the rhythm narrow or broad complex?
If narrow complex VT, what? - Correct Answer ask: is it regular or irregular?
For a regular broad complex VT, what to do? - Correct Answer give Amiodorone 300mg
iv over 20-60 mins
What is cardioverison? - Correct Answer A method of terminating a tachyarrhythmia and
restoring SR. the shock must be synchronized with the R wave
What are the steps in the chain of survival? - Correct Answer Immediate recognition &
activation
Early CPR
Rapid defibrillation
