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A patient presents to the emergency department with mild to
moderate recurrent chest pain, without any nausea or
vomiting. A 12-lead ECG is obtained and shows ST-segment
depression with transient T-wave elevation indicative of
NSTE-ACS. Cardiac enzyme levels are obtained and are not
elevated. These findings suggest which condition?
A patient who presents with ECG findings consistent with
NSTE-ACS and does not have elevated cardiac serum
markers is to be considered as having unstable angina.
A patient in the telemetry unit is stable. Cardiac monitoring
indicates the patient has ventricular tachycardia with a pulse.
Further assessment reveals that the corrected QT interval is
greater than 0.46 seconds. Which treatment would be
appropriate at this time?
For a patient with ventricular tachycardia who is stable, has a
pulse and has a corrected QT interval greater than 0.46
seconds, synchronized cardioversion is the recommended
treatment.
A patient is brought into the emergency department. The
patient does not have a pulse. The cardiac monitor shows the
following rhythm. The team interprets this as which
condition?
, ACLS FINAL EXAM ( ) QUESTIONS AND
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The cardiac monitor reveals ventricular tachycardia. In
pulseless ventricular tachycardia, the ventricular rate is
usually greater than 180 beats per minute, and the QRS
complexes are very wide.
A patient with acute renal failure experiences cardiac arrest.
Just before the cardiac arrest, the patient's ECG showed
peaked T waves. What might be causing the patient's cardiac
arrest?
Suspect hyperkalemia in all patients with acute or chronic
renal failure who exhibit a wide-complex ventricular rhythm
or tall, peaked T waves on an ECG before cardiac arrest.
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A member of the resuscitation team is preparing to defibrillate
a patient in cardiac arrest using a biphasic defibrillator. The
team member would set the energy dose according to the
manufacturer's recommendations, which is usually:
When using a biphasic defibrillator, the energy dose should be
set at 120 to 200 joules.
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, ACLS FINAL EXAM ( ) QUESTIONS AND
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A member of the resuscitation team is preparing to administer
medications intravenously to a patient in cardiac arrest. The
team member follows each medication administration with a
bolus of fluid. How much would the team member give?
When administering medications during a cardiac arrest, all
medications administrated through the IV or intraosseous
infusion route should be followed by a 10 to 20 mL fluid
bolus.
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A 30-year-old patient has been brought to the emergency
department in full cardiac arrest. The cardiac monitor shows
the following rhythm. Interpretation of this rhythm would
suggest which of the following as a possible precipitating
factor?
The rhythm is ventricular fibrillation. Precipitating causes of
ventricular fibrillation include electrocution, myocardial
ischemia or infarction, shock, stimulant overdose and
ventricular tachycardia.
Cardiac monitoring of a patient in cardiac arrest reveals
ventricular fibrillation. What intervention would the team
perform next?
The cardiac monitor is showing ventricular fibrillation, which
is a shockable rhythm; therefore, the treatment is to administer