ACLS questions and answers
a 49 year old female arrives at the hospital saying she has chest discomfort and
palpitations - answers
which are the initial steps of the primary assessment - answers-abc's
-monitor heart rhythm and vital signs
-obtain a 12-lead
-establish IV
the patient is placed on the heart monitor. what is her heart rhythm - answersmobitz
type 2 second degree av block
the patient's vs are HR 37, BP 77/50, RR 15, SPO2 97%, temp 98.8.
what is the first-line drug for acute symptomatic bradycardia - answersatropine
You administer a 1 mg bolus of atropine, which is ineffective. You prepare to initiate
transcutaneous pacing.
what steps should be followed to start pacing? - answers-turn the pacer on
-attach pacing electrodes on chest according to package instructions
-set the current
-set the demand rate
-ideally, administer a sedative and analgesic for conscious patients
what is an appropriate demand rate for the transcutaneous pacer? - answers60 to
80/min
You initiated transcutaneous pacing but are unable to palpate a pulse that matches your
electrical capture
do you have mechanical capture? - answersno
the patient suddenly loses consciousness and stops breathing. you assess the
underlying ECG rhythm
what is this rhythm? - answersVentricular fibrillation
what is the most important next action for this patient? - answersDeliver a shock
the team started CPR immediately after delivering the shock. after 2 minutes, the
rhythm was unchanged and a second shock was delivered.
what medication can be administered at this time? - answersepinephrine 1 mg IV
after securing the endotracheal tube, what ratio of compressions to ventilations should
you deliver? - answerscontinuous compressions with 1 breath every 6 seconds
a 49 year old female arrives at the hospital saying she has chest discomfort and
palpitations - answers
which are the initial steps of the primary assessment - answers-abc's
-monitor heart rhythm and vital signs
-obtain a 12-lead
-establish IV
the patient is placed on the heart monitor. what is her heart rhythm - answersmobitz
type 2 second degree av block
the patient's vs are HR 37, BP 77/50, RR 15, SPO2 97%, temp 98.8.
what is the first-line drug for acute symptomatic bradycardia - answersatropine
You administer a 1 mg bolus of atropine, which is ineffective. You prepare to initiate
transcutaneous pacing.
what steps should be followed to start pacing? - answers-turn the pacer on
-attach pacing electrodes on chest according to package instructions
-set the current
-set the demand rate
-ideally, administer a sedative and analgesic for conscious patients
what is an appropriate demand rate for the transcutaneous pacer? - answers60 to
80/min
You initiated transcutaneous pacing but are unable to palpate a pulse that matches your
electrical capture
do you have mechanical capture? - answersno
the patient suddenly loses consciousness and stops breathing. you assess the
underlying ECG rhythm
what is this rhythm? - answersVentricular fibrillation
what is the most important next action for this patient? - answersDeliver a shock
the team started CPR immediately after delivering the shock. after 2 minutes, the
rhythm was unchanged and a second shock was delivered.
what medication can be administered at this time? - answersepinephrine 1 mg IV
after securing the endotracheal tube, what ratio of compressions to ventilations should
you deliver? - answerscontinuous compressions with 1 breath every 6 seconds
