She is pale and diaphoretic. 7. Two shocks have been delivered, and an IV has been initiated. High-quality CPR is in progress. She has dizziness and her blood pressure is 80/40 mm Hg. Shortly afterward, blood pressure falls to 88/60 mm Hg, and the patient has increased chest discomfort. You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. A patient is in cardiac arrest. Give normal saline 250 mL to 500 mL fluid bolus. Give aspirin 160 to 325 mg to be chewed immediately What drug should the team leader request to be prepared for administration next? An AED has previously advised "no shock indicated." AAOS Terms to Know: Chapter One, EMS Systems, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers, Sports Medicine Essentials: Core Concepts in Athletic Training and Fitness Instruction, Energy Systems Energy System Lecture 3 (Chapt. When an advanced airway is in place, ventilations with a bag-valve-mask must be synchronized with compressions during cardiac arrest, c. Bag-valve-mask ventilation can produce gastric distention that can lead to vomiting and subsequent aspiration, d. Bag-valve-mask ventilation can be used only for patients who are not breathing, a. Nitrates, diuretics, and other vasodilators should be avoided in RVI because severe hypotension may result, b. What is your next action? The CT scan is negative for hemorrhage. ACLS pretest Flashcards | Quizlet ACLS pretest 4.6 (38 reviews) Term 1 / 62 3 AV block p and qrs completely separate Click the card to flip Definition 1 / 62 Identify the rhythm. What assessment step is most important now? about 3-5 minutes. Which of the following would be a contraindication to the administration of nitrates? What is the recommended dose of epinephrine for the treatment of hypotension in a post-cardiac arrest patient who achieves ROSC? The heart rate has not responded to vagal maneuvers. 1. What actions have the highest priority? The arrest was not witnessed. Application of transcutaneous pacemaker Is the drug Of choice in the treatment Of symptomatic narrow-QRS bradycardia, c. May result in asystole when given in high doses, d. Is given as a 2- to 20-mcg/kg IV bolus, a. Vagal maneuvers and adenosine rapid IV push, b. Nitroglycerin, morphine, lidocaine Or amiodarone, and aspirin, d. Vagal maneuvers and an amiodarone IV infusion, a. The heart rate has not responded to vagal maneuvers. Successful placement of an endotracheal tube in an adult usually results in the depth marking on the side of the tube lying between the _______ mark at the front teeth. Start an IV 2. Bystanders are performing CPR. Ventricular fibrillation has been refractory to a second shock. Adenosine 3 mg IV bolus If the area of the plates of a parallel-plate capacitor is doubled while the spacing between the plates is halved, how is the capacitance affected? Which of the following actions is recommended? What action is recommended next? 2. 5. ACLS PreTest: Pharmacology and Practical Application 4.9 (19 reviews) Term 1 / 32 You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. She is pale and diaphoretic. After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. Begin CPR, starting with high-quality chest compressions. Ventilating until you see the chest rise 4. His level Of consciousness suddenly decreased as an alarm sounded on the monitor. 4. Bradycardia requires treatment when: Start an IV and give epinephrine 1 mg IV. Atropine 1 mg, A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. About every 3 minutes 1. Chest compressions should never be interrupted, c. Interruptions in chest compressions to analyze the ECG, Charge the defibrillator, place an advanced airway, check a pulse, or other procedures must be kept to a minimum, d. Chest compressions and ventilations should be interrupted every 3 to 5 minutes to permit the members Of the resuscitation team to change positions, a. Airway, breathing, circulation (ABCs); 02; IV; sedation; and synchronized cardioversion with 200 joules, b. ABCs, 02, IV, vagal maneuvers, and lidocaine 1- to 1.5-mg/kg IV bolus, c. ABCs, 02, IV, and atropine -mg IV every 3 to 5 minutes to a maximum Of 3 mg, d. ABCs, 02, IV, vagal maneuvers, and adenosine 6-mg rapid IV bolus, d. Prepare the to insert an advanced airway, b. The patient describes her discomfort as a squeezing sensation in the middle Of her chest. The ACLS Post Test Answer Key quiz and case studies presented as follows are provided to help you integrate the information presented in this chapter. At least 1.5 inches Full ACLS access starting at $19.95. The ventricular rate is 138/min. Her blood pressure is 128/70 mm Hg. Which best describe the recommended second does of amiodarone for this patient? Write a Lewis structure for N2_22H4_44. She has an IV in place. An antiarrhythmic drug was given immediately after the third shock. 2. What is the immediate danger of excessive ventilation during the post-cardiac arrest period for patients who achieve ROSC? Administer nitroglycerin 0.4 sublingual or spray. Study with Quizlet and memorize flashcards containing terms like You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 Average satisfaction rating 4.8/5. Which action is indicated next? Give sublingual nitroglycerin 0.4 mg. He has a history of angina. 2. A patient is in cardiac arrest. He is being evaluated for another acute stroke. Give sedation and perform synchronized cardioversion. ACLS PreTest, ACLS PreTest: Pharmacology and A pt is in cardiac arrest. Which intervention is indicated first?SVT Obtain a 12-lead ECG and administer aspirin if not contraindicated. Give magnesium sulfate 1 to 2 g over 20 minutes. Epinephrine 1 mg IV/IO Which intervention is indicated first? Resume chest compressions Your best course Of action at this time will be to: 27. He is being evaluated for another acute stroke. Rapid heart rates may produce serious signs and symptoms. What is your next action? Which is an appropriate and important intervention to perform for a patient who achieves ROSC during an out-of-hospital resuscitation? Blood pressure is 160/96 mm Hg. The lead II ECG displays a wide-complex tachycardia. 2. Prepare to give amiodarone 300 mg IV. What is the indication for the use of magnesium in cardiac arrest? Amiodarone 300 mg IV. Resume high-quality chest compressions, What is the maximum interval for pausing chest compressions? Give atropine 0.5 mg IV Which of the following statements is most accurate regarding the administration of vasopressin during cardiac arrest? You are called to the home of a 2-year-old little boy whose parents are concerned because he "isn't acting right". or laryngeal mask airway, a. What is the next appropriate intervention? Study with Quizlet and memorize flashcards containing terms like You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 CPR is in progress. Based on the average satisfaction rating of 4.8/5, it can be said that the customers are highly satisfied with the product. The gas may be assumed to have the properties of air at atmospheric pressure. 5. Use these answers to prepare yourself for an ACLS online exam. What is the recommended target temperature range for achieving therapeutic hypothermia after cardiac arrest? Defibrillation is indicated in the management Of: 35. A. 50 terms. 19. You arrive on the scene to find CPR in progress. you do now? You determine that he is unresponsive and notice that he is taking agonal breaths. When an electron moves through a medium at a speed exceeding the speed of light in that medium, the electron radiates electromagnetic energy (the Cerenkov effect). You arrive on the scene with the code team. Should be given only to patients with narrow-QRS tachycardia or dysrhythmias known with certainty to be Of supraventricular origin, b. His blood pressure is 104/70, respirations 12/min. If a fully automated AED is used and a shockable rhythm is detected, the AED will instruct the AED operator to press the shock control to deliver a shock, c. Some AEDs have adapters available for many popular manual defibrillators, enabling the AED pads to remain on the patient when patient care is transferred, d. AEDs will recommend a shock for monomorphic ventricular tachycardia, polymorphic ventricular tachycardia, and ventricular fibrillation, a. 4. What is the proper order of the BLS Chain of Survival . haileybaret. BP is 132/68 mmHg, pulse is 130/min and regular, RR is 12 breaths/min, and pulse oximetry reading is 95%. ACLS pretest Flashcards. 4. Dose of 1 mg Which drug do you anticipate giving to this patient? A responder is caring for a patient with a history of congestive heart failure. He is asymptomatic, with a blood pressure of 110/70 mm Hg. How often should the team leader switch chest compressors during a resuscitation attempt? Chapter 18: Drug-Nutrient . Is used to slow the ventricular rate in narrow-QRS tachycardias, b. Do not give aspirin for at least 24 hours if rtPA is administered. (a) Write a balanced equation for the combustion reaction. How often should you provide ventilation? You are monitoring a patient. (a) If the duct surface temperature TsT_sTs is less than the gas temperature TgT_gTg, will the thermocouple sense a temperature that is less than, equal to, or greater than TgT_gTg ? 4. Give lidocaine 1 to 1.5 mg/kg IV. 25 seconds, ACLS PreTest, ACLS PreTest: Pharmacology and, CEN: Cardio- Hypovolemic and Obstructive Shock, Medical Assisting: Administrative and Clinical Procedures, Kathryn A Booth, Leesa Whicker, Terri D Wyman. 5. You observe the rhythm below on the monitor. Her BP is 102/72 mmHg. A thermocouple junction is inserted in a large duct to calculate the temperature of hot gases flowing through the duct. A 78-year-old woman is found unresponsive. Which action do you take next? Her medical history is significant for a myocardial infarction 7 years ago. The CT scan is negative for hemorrhage. 3. A 37-year-old woman is complaining Of shortness Of breath and palpitations. Give aspirin 160 mg and clopidogrel 75 mg orally . She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Administer the shock immediately and continue as directed by the AED. 187 terms. 2. 2. Oxygen has been applied, an IV has been started, and the cardiac monitor reveals the rhythm below. High-quality chest compressions are being given. Improving patient outcomes by identifying and treating early clinical deterioration. Produces a small amount of blood flow to the heart. Reply. There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. Her blood pressure is 134/82, pulse 180, respirations 18. What is your next intervention? 1. Order immediate endotracheal intubation. What is the recommended compression rate for performing CPR? 3. Substitute clopidogrel 300 mg loading dose. He was admitted about an hour ago after coming to the emergency department with shortness of breath. ACLS Pretest Rhythms Flashcards | Quizlet ACLS Pretest Rhythms 5.0 (1 review) Term 1 / 20 Sinus Bradycardia Click the card to flip Definition 1 / 20 Click the card to flip Flashcards Learn Test Match Created by catps Just the rhythms Terms in this set (20) Sinus Bradycardia Reentry supraventricular tachycardia This rhythm is ventricular fibrillation, a shockable rhythm, b. Gain instant access to all of the practice tests, megacode scenarios, and videos. For quiz acls you must go through real exam. Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy. After attaching a cardiac monitor, the responder observes the following rhythm strip. A second shock is given and chest compressions are resumed immediately. Give amiodarone 300 mg IV ACLS Pretest. The patient has a history Of congestive heart failure and asthma. She has received adenosine 6 mg IV for the rhythm shown above without conversion of the rhythm. Following initiation of CPR and 1 shock for VF, this rhythm is present on the next rhythm check. 1. BP 68/40, R 12. At least 2.5 inches Morphine sulfate 4 mg IV. What is the next action after establishing an IV and obtaining a 12-lead ECG? Launch This Course Quick Facts Which action do you take next? 2. 3. A patient has a rapid irregular wide-complex tachycardia. What is the next appropriate intervention? After you start an IV, what is the next action? A patient has been resuscitated from cardiac arrest and is being prepared for transport. 4. The patient is confused, and her blood pressure is 88/56 mm Hg. Give a single shock. 3. Give normal saline bolus 250 mL to 500 mL. The patient's 12-lead ECG show an MI. Dose of 0.1mg 3. d. chemical bonds. SVT What is special about ferromagnetic materials? Give amiodarone 300 mg IV push. 3. 4. Lidocaine 1mg/kg Which medication do you order next? What do you administer now? Solve Now Which drug should be administered first? You now observe this rhythm on the cardiac monitor. 4. PALS In Hospital. FreedomRiderDonny. Atropine 0.5 mg IV 4. The monitor shows a regular wide-complex QRS at a rate of 180/min. Ventricular fibrillation has been refractory to a second shock. Shock-refractory ventricular fibrillation, Pulseless ventricular tachycardia-associated torsades de pointes, A patient is in cardiac arrest. A patient was in refractory ventricular fibrillation. A 58-year-old man is complaining of chest pain. What action minimizes the risk of air entering the victim's stomach during-bag mask ventilation? He is now unresponsive. Give amiodarone 300 mg IV. 1. Very helpful thank you. ACLS Pretest Flashcards Study with Quizlet and memorize flashcards containing terms like Chest compressions for an adult are performed: a. at a rate between 60-80 compressions b. ACLS Pretest Flashcards. What would be your next order? Sample ACLS tests. Two shocks and 1 dose of epinephrine have been given. Transcutaneous pacing, What is the recommended depth of chest compressions for an adult victim? A patent peripheral IV is in place. The patient's lead II ECG appears below. When the patient arrives in the emergency department, the rhythm shown here is seen on the cardiac monitor. He appears cyanotic. The recommended second dose of amiodarone is: Additional ACLS Study Material: How To Pass Your ACLS Certification Exam; 6 Effective Ways to Prepare for the ACLS Exam; Conclusion: If you struggled with this particular ACLS pretest, we suggest looking into additional ACLS practice exam questions and answers and reviewing your ACLS study material thoroughly before taking your ACLS exam. There are a total of 50 Self Assessment questions on Pharmacology, Rhythm. Reentry SVT 9. Providing just enough volume for the chest to rise, A patient was in refractory ventricular fibrillation. A. Epinephrine .5 mg Q 3-5 minutes B. Epinephrine 1 mg Q 3-5 minutes C. Lidocaine 1-1.5 mg/KG 2. Atropine 0.5 mg, A patient with sinus bradycardia and heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. How long should it take to perform a pulse check during the BLS Survey? Epinephrine, vasopressin, amiodarone A quick glance at the cardiac monitor reveals the rhythm below. Perform synchronized cardioversion starting with 50 joules, c. Perform CPR for 2 minutes, then defibrillate with 200 joules, d. Perform CPR and give epinephrine 1 mg IV push, a. aha acls book pdf Gain instant access to all of the practice tests, megacode scenarios, and knowledge base. One does of epinephrine was given after the second shock. Your best course Of action in this situation will be to: 40. 1. After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. Acls pretest answers 2021 quizlet - Study with Quizlet and memorize flashcards containing terms like 3 AV block p and qrs completely separate, Pulseless. ACLS Pretest Flashcards Study with Quizlet and memorize flashcards containing terms like Supraventricular Tachycardia, Atrial fibrillation, Second deg AV block: Mobitz 1 and more. Next you would: She has no other symptoms. Give an immediate unsynchronized shock. These quizzes cover the latest PALS algorithms and are designed to test the scenarios you will encounter when practicing PALS. Perform immediate electrical cardioversion. Take our free practice exam and test your knowledge. 1. Full ACLS access starting at $19.95. Click a quiz link in any scenarios below to open a quiz for that PALS case. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Giving lidocaine 1 to 1.5 mg IV bolus. What is the initial dose of atropine? Dopamine 2 to 20 mcg/kg per minute IV or IO. ACLS PreTest: Pharmacology and Practical Appl, Developmental Milestones (Codo/Peds Exam), Brunner and Suddarth's Textbook of Medical-Surgical Nursing. 1. After resuming high-quality compressions, which action do you take next? Her lead II ECG is below. She has no chest discomfort, shortness of breath, or light-headedness. What is the initial dose of atropine? Her blood pressure is 80/60 mm Hg. High-quality CPR is in progress. The patient's BP is 102/59 mmHg, HR is 230/min, the RR is 16 breaths/min, and the pulse oximetry reading is 96%. The patient is receiving oxygen via nasal cannula at 2L/min, and an IV has been established. Initiate transcutaneous pacing. Dopamine at 10 to 20 mcg/kg per minute What is the danger of routinely administering high concentrations of oxygen during post-cardiac arrest period for patients who achieve ROSC? An IV is in place, and no drugs have been given. Marie Georgette Ngo Tonye says.