ECC ECC Pharmacology & Medication Management

Question 1

Which is the first-line vasopressor recommended during cardiac arrest in the AHA ECC guidelines?

Accepted Answer

Epinephrine

Answer

Epinephrine 1 mg IV/IO every 3–5 minutes is the first-line vasopressor for cardiac arrest per AHA ECC guidelines.

Question 2

What is the recommended dose of amiodarone for the first shock-refractory ventricular fibrillation (VF) in adults?

Accepted Answer

300 mg IV

Answer

The first dose of amiodarone for shock-refractory VF or pulseless VT is 300 mg IV/IO bolus.

Question 3

Adenosine is the drug of choice for terminating which arrhythmia?

Accepted Answer

Stable narrow-complex supraventricular tachycardia

Answer

Adenosine is first-line treatment for stable, narrow-complex supraventricular tachycardia (SVT) due to its ability to transiently block AV node conduction.

Question 4

A patient in symptomatic bradycardia does not respond to atropine. Which drug should be considered next?

Accepted Answer

Dopamine infusion

Answer

Dopamine infusion (2–20 mcg/kg/min) or epinephrine infusion is recommended for symptomatic bradycardia unresponsive to atropine while preparing for transcutaneous pacing.

Question 5

What is the maximum single dose of atropine recommended for symptomatic bradycardia?

Accepted Answer

2.0 mg

Answer

The total maximum dose of atropine for bradycardia is 3 mg, given as 0.5–1 mg boluses; doses below 0.5 mg may paradoxically worsen bradycardia.

(ECC) Emergency Cardiovascular Care Certification Practice Test

(ECC) Emergency Cardiovascular Care Certification Practice Test

ECC ECC Pharmacology & Medication Management