Acls One-Liners

Front 1

Ventilation rate with advanced airway

Back 1

8-10 breaths per minute

Front 2

Ventilation rate without advanced airway

Back 2

1 breath every 5-6 seconds

Front 3

CPR is inadequate if capnography shows end tidal CO2 to be less than?

Back 3

10 mm Hg

Front 4

Ratio of compressions to breaths both solo and with partner

Back 4

Solo - 30:2, Partner - 15:2

Front 5

When using endotracheal suction, should suction be applied while pushing tube in or pulling out?

Back 5

While pulling out only (suction while pushing in will pull out air)

Front 6

Danger with using endotracheal tube stabilizer (a strap that holds tube in place)

Back 6

Can compress the trachea or carotid arteries

Front 7

Two most reliable methods to confirm tube placement

Back 7

Physical exam, capnography

Front 8

During arrest, is a peripheral line or central line preferred?

Back 8

Peripheral line (central can get in the way of CPR)

Front 9

You have an arrest, put on the AED, and find out it's broken. What's the first thing you should do?

Back 9

Resume CPR

Front 10

CPR is defined as adequate if capnography shows end tidal CO2 to be at least?

Back 10

20 mm Hg

Front 11

You should consider terminating rescue attempts after a non-perfusin rhythm of what duration?

Back 11

20 minutes or longer

Front 12

Danger of using 100% O2 during arrest?

Back 12

Can be ignited by shock if blowing over the chest

Front 13

For bradycardia, name three drugs that can be used instead of transcutaneous pacing

Back 13

Dopamine, dobutamin, epinephrine (collectively called pressors)

Front 14

Post arrest, you should titrate end tidal CO2 to what amount?

Back 14

35-40

Front 15

Temperature and time from for post-arrest hypothermia

Back 15

32 degrees, 12-24 hours

Front 16

Target systolic BP post-arrest

Back 16

90 mm Hg

Front 17

Volume replenishment recommended post-arrest

Back 17

1-2L saline

Front 18

Drug and dose to use first in pulseless electrical activity

Back 18

1 mg epinephrine

Front 19

Two groups of people often having atypical MI symptoms

Back 19

Women and diabetics

Front 20

Three parts of cincinnati stroke scale

Back 20

Facial droop, arm drift, abnormal speech

Front 21

After circulation is established (ROSC), primary concern is managing?

Back 21

Oxygen, ventilation

Front 22

Dose and interval for epinephrine

Back 22

1 mg, every 3-5 minutes

Front 23

Drug for refractory vfib or vtach

Back 23

Amiodarone

Front 24

Dose for vasopressin

Back 24

40 units

Front 25

If vasopressin is given during arrest, it has to be given as one of the first ______ drugs

Back 25

Two

Front 26

Rhythm is still shockable, epinephrine and three shocks have already been given. Next step?

Back 26

300 mg Amiodarone

Front 27

Dosages for amiodarone during arrest

Back 27

First dose 300mg, second 150mg

Front 28

Name the five H's of reversible arrest causes

Back 28

Hypovolemia, hypoxia, hydrogen ion (acidosis) hypo/hyperkalemia, hypothermia

Front 29

Name the five T's of reversible arrest causes

Back 29

Tension pneumothorax, tamponade, toxins, thrombosis (pulmonary), thrombosis (cardiac)

Front 30

Nonshockable rhythm pt (Asystole, PEA) has been receiving CPR and epinephrine, which is not working. Next step?

Back 30

Consider reversible causes

Front 31

Number of shocks given before first epinephrine dose

Back 31

Two

Front 32

Definite contraindication for induced hypothermia

Back 32

Patient is conscious

Front 33

To warrant immediate treatment of bradyarrhythmia, pt must be?

Back 33

Symptomatic

Front 34

Post arrest dopamine/dobutamine dosage

Back 34

5-10 mcg/kg per minute

Front 35

Bradycardia dosage of dopamine/dobutamine

Back 35

2-10 mcg/kg per minute

Front 36

Asymptomatic bradycardia patient. Next step?

Back 36

Monitor/observe, expert consulation

Front 37

First step in symptomatic bradycardia (has a pulse)

Back 37

0.5 mg Atropine

Front 38

Dose and interval for atropine

Back 38

0.5 mg every 3-5 minutes

Front 39

Maximum total dosage for atropine

Back 39

3 mg

Front 40

During arrest, what should be done between first and second shock?

Back 40

Establish IV/IO access

Front 41

Pt has symptomatic bradycardia (with a pulse), atropine is ineffective. Next step?

Back 41

Transcutaneous pacing, dopamine, or epinephrine

Front 42

Amiodarone dose for stable tachycardia

Back 42

150 mg over 10 minutes (NOT bolus)

Front 43

First step for stable versus unstable tachycardia

Back 43

Stable - 6 mg adenosine, unstable - cardioversion

Front 44

Alternatives to adenosine for stable, narrow tachycardia

Back 44

Vagal maneuvers, beta-blocker, calcium channel blocker