ACLS

FREE ACLS Medical Training Question and Answers

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When providing basic life support to an adult, the proper procedure is:

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Explanation:
Although it is simpler to remember, Compressions (circulation), Airway, and Breathing (CAB) is now the correct order for basic life support.

What is the treatment for pulseless electrical activity?

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Explanation:
The standard treatment for PEA is epinephrine. Because PEA is not regarded as a "shockable" rhythm, unsynchronized cardioversion is not advised.

The best method for treating narrow-complex supraventricular tachycardia is:

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Explanation:
Adenosine is the major medication used to treat narrow QRS complex SVT. The other medications are utilized in ACLS in various situations.

How much adenosine should be given initially to treat supraventricular tachycardia?

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Explanation:
Adenosine is given as a 6 mg IV dose at first. If 6 mg is ineffective, 12 mg IV is administered as the next dose.

What is the typical heart rate at which tachycardia manifests symptoms?

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Explanation:
Although it varies from patient to patient, a good generalization is that tachycardia begins to manifest symptoms at 150 bpm. A heart rate of greater than 100 beats per minute is considered tachycardia.

A bag valve mask is used to ventilate an adult patient who is in respiratory arrest and has a pulse:

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Explanation:
Ventilations need to be administered 10 to 12 times per minute when there is no advanced airway in place. According to this, a ventilation occurs every 5 to 6 seconds.

It is possible to gauge CPR's efficacy by:

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Explanation:
All of these metrics can give clinicians information regarding the caliber of CPR. During CPR, the objective for quantitative waveform capnography is at least 10 mm Hg. During CPR, the arterial diastolic blood pressure needs to be at least 20 mm Hg. A Swan-Ganz catheter or an equivalent should be used to assess the central venous oxygen saturation, which should be at least 30%.

When eligible stroke patients are treated with fibrinolytics, the following objectives are pursued:

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Explanation:
To ensure that a fibrinolytic medicine can be administered within an hour of arrival at the emergency department, all diagnostic testing and checklists should be completed. The time frame from the start of symptoms varies (3 hours in most, 4.5 hours in some).

The team resuscitation leader is required to:

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Explanation:
Being a team leader doesn't require any specific training beyond having the skills to carry out all aspects of resuscitation if necessary. While a doctor is frequently the team leader, it is not necessary if another team member is able to write an ACLS prescription.

The "H's and T's," or the most prevalent reversible causes of PEA, are the following, with the exception of:

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Explanation:
The H's and T's mnemonic does not include hypocalcemia as one of the primary causes of PEA.

How soon after arriving at the emergency room is it advised that patients with an ST-segment elevation myocardial infarction be taken for a balloon procedure to the cardiac catheterization lab?

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Explanation:
Programs should be put in place to diagnose, assess, and treat STEMI patients within 90 minutes of their arrival at the emergency room.

True or False: For symptomatic bradycardia, 0.5 mg IV of atropine is the initial dosage that is advised.

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Explanation:
Atropine is given intravenously in doses of 1.0 mg. A paradoxical slowing of the pulse rate may occur at doses lower than 0.5 mg, take note.

True or False: Pulse checks need to last at least 10 seconds.

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Explanation:
They ought to last no more than ten seconds.

Following a cardiac arrest, hypotension is not treated with:

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Explanation:
After cardiac arrest, blood pressure is maintained via fluid resuscitation and/or "pressors" such adrenaline and dopamine. Although it is not a common treatment for hypotension, hypocalcemia can be treated independently if it is present.

Adult chest compressions are performed as follows:

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Explanation:
The most recent recommendations admit that chest compressions can be done too quickly or too slowly. Therefore, a pace between 100 and 120 is advised.

You are the paramedic driving a 65-year-old woman in an ambulance. She has a perceptible pulse, and you can see this rhythm because the patient is attached to the monitor. What's the beat?

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Explanation:
During every heartbeat, a P wave occurs at the proper interval before a typical QRS complex. The rate's extreme slowness is the sole noticeable oddity.