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ACLS Study ?'s Test

Enter the letter for the matching Answers
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1.
Give 2 reasons why you should avoid Hyperventilating a patient when assisting ventilations.
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2.
What 3 things are going to be an essential role of the team leader to be monitoring and reevaluating?
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3.
For patients with a likely asphyxial arrest, What is the sequence of actions for a Lone rescuer?
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4.
In ACLS Bradycardia Algorithm Atropine is the 1st line drug. What is the dosage?
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5.
When should you consider giving Mag. Sulfate for? Dosage?
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6.
AED use; If a patient is lying on snow or in a small puddle...
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7.
With ET tube suctioning; How far or How do you measure the distance you can insert the suctioning catheter?
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8.
Treat possible contributing factors. What are the 6 H,s & 5 T,s.
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9.
If Patient has Bradycardia & is showing signs of Poor perfusion, What might you see? (try to give 3-4 examples).
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10.
If you are called on-scene to witnessed arrest in 6 min what should you do first?
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11.
AED use; If a patient has an implanted pacemaker...
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12.
ACLS guidelines state to typically limit suction attempts to...How many secounds?
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13.
If Patient has Bradycardia & is showing s/s of Poor perfusion. What are indications to start TCP immediately?
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14.
With Oropharyngeal suctioning always measure the catheter before suctioning. How do you measure the catheter to ensure that it is not inserted too far?
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15.
What are the energy doses of monopasic and biphasic defibrillator to effectively terminate VF.
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16.
What are the steps of closed-loop communication that a team leader should use?
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17.
VF/VT Epi dosage(s) are what? May replace with what other drug, include its dosage?
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18.
What is a technique to help remove thick mucus or other material from the Advanced Airway (ET tube).
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19.
In the ACLS secondary survey what does ABCD stand for?
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20.
What ALS drugs are involved in cases of VF/Pulseless VT according to ACLS.
A.
The distance from the tip of the nose to the ear lobe.
B.
Hypovolemia Hypoxia Hydrogen ion (acidosis) Hypo/ hyperkalemia Hypoglycemia Hypothermia Toxins Tamponade-cardiac Tension pneumothorax Thrombosis (coronary or pulmonary) Trauma (hypovolemia, increased ICP).
C.
Atropine 0.5mg IV MR to max 3mg.
D.
Airway Breathing Circulation Differential Diagnosis
E.
E.V.A.L.M. ; Epi, Vasopressin, Amiodarone, Lidocaine, Mag. Sulfate.
F.
Not contraindicated as lond as the electrode is not placed directly over the device. (at least 1in. to either side of the implanted device.
G.
If call-to-response time interval is longer then 4-5min perform 2min of CPR (5 cycles) before defibrillating patient. if under 4-5min shock first.
H.
1) The patients status 2) Interventions that have been performed. 3) Assessment findings.
I.
monophasic=360joules. Biphasic=150-200joules (typically 200J)
J.
Perform 2 min (5 cycles) of CPR before leaving the patient to activate the emergency response system and get an AED. Then return to the patient, resume CPR, and use the AED if indicated.
K.
Instill 1-2ml of sterile saline into the airway before suctioning. (to dilute)
L.
Epi=1mg IV/IO MR q 3-5min or may give 1 dose of Vasopressin= 40 U IV/IO to replace 1st or 2nd line Epi.
M.
-Acute Altered Mental Status. -Ongoing chest pain. -Hypotension. -Other signs of shock.
N.
10 seconds or less
O.
1) Give assignment or order to team member. 2) Confirm it was heard and understood by receiving a clear response and good eye contact from the team member. 3) Listen for confirmation that the task was done before assigning another task.
P.
Action: Ok to use the AED. (ACLS p. 39)
Q.
1) 2nd degree type II & 3rd degree Heart Blocks. 2) If No response to Atropine. 3) Atropine is unlikely to be effective. 4) IV access cannot be quickly established. 5) the patient is Severely symptomatic.
R.
Insertion of the catheter beyond the tip of the ET tube is not recommended due to the chance that it may injure or stimulate cough and/or bronchospasm. To prevent this take note of the length of ET tube used and mark with thumb and forefinger.
S.
1) Aspiration risk 2) Increases intrathoracic pressure, decreases venous return to the heart, and diminishes cardiac output.
T.
For torsades de pointes. Dose: 1-2 g IV/IO
Type the Answers that corresponds to the displayed ?'s.
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21.
During CPR of VF/VT what antiarrhythmics might you consider?
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22.
What is the normal duration of a P-R interval?
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23.
What is the normal duration of a QRS complex?

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