CPR - Certified Paramedic Response Cardiac Arrest Pharmacology Questions and Answers

Question 1

A 68-year-old male is in cardiac arrest with a persistent rhythm of Ventricular Fibrillation after three defibrillation attempts and a dose of epinephrine.
According to the latest ACLS guidelines, which of the following is the most appropriate next pharmacological intervention?

Accepted Answer

Administer Amiodarone 300 mg IV/IO push.

Answer

Administer an additional dose of Epinephrine 1 mg.

Answer

Administer Lidocaine 1.5 mg/kg IV/IO.

Answer

Administer Sodium Bicarbonate 1 mEq/kg.

Question 2

During the management of a patient in asystole, what is the recommended dose and frequency of epinephrine administration?

Accepted Answer

1 mg every 3-5 minutes

Answer

0.5 mg every 5-10 minutes

Answer

1 mg every 1-2 minutes

Answer

2 mg every 3-5 minutes

Question 3

Which of the following is the primary reason for administering epinephrine during cardiac arrest?

Accepted Answer

To cause peripheral vasoconstriction and improve coronary perfusion.

Answer

To increase the heart's contractility and rate.

Answer

To directly convert Ventricular Fibrillation to a sinus rhythm.

Answer

To correct metabolic acidosis.

Question 4

A paramedic is treating a patient in cardiac arrest with shock-refractory Ventricular Fibrillation. Amiodarone is unavailable. Which medication is the most appropriate alternative?

Accepted Answer

Lidocaine

Answer

Magnesium Sulfate

Answer

Procainamide

Answer

Atropine

Question 5

In which of the following cardiac arrest situations is the administration of epinephrine recommended as early as feasible once IV/IO access is established?

Accepted Answer

Pulseless Electrical Activity (PEA)

Answer

Ventricular Fibrillation

Answer

Pulseless Ventricular Tachycardia

Answer

Only after the third defibrillation attempt, regardless of rhythm.

Question 6

What is the correct initial IV/IO dose of amiodarone for a patient with VF/pVT that is unresponsive to CPR, defibrillation, and vasopressor therapy?

Accepted Answer

300 mg push

Answer

150 mg over 10 minutes

Answer

1 mg/min infusion

Answer

5 mg/kg push

A 68-year-old male is in cardiac arrest with a persistent rhythm of Ventricular Fibrillation after three defibrillation attempts and a dose of epinephrine.According to the latest ACLS guidelines, which of the following is the most appropriate next pharmacological intervention?

A 68-year-old male is in cardiac arrest with a persistent rhythm of Ventricular Fibrillation after three defibrillation attempts and a dose of epinephrine.
According to the latest ACLS guidelines, which of the following is the most appropriate next pharmacological intervention?