Acls Study Prep.

Front 1

Back 1

Block
2nd degree type 2
Brady

Front 2

Back 2

Block
2nd degree type1
Brady 52

Front 3

Back 3

Block
3rd type 3

Brady

Front 4

Back 4

V-Fib (Fine)

Front 5

Back 5

V-Fib (Coarse)

Front 6

Back 6

Sinus Brady

HR 39

Front 7

Back 7

SVT
HR 212

Front 8

Back 8

NS

Front 9

Back 9

Inverted P wave (Juctional block)
HR 49

Front 10

Back 10

Asystole

Dead

Front 11

Back 11

A-Fib (No P wave)
HR 134

Front 12

Back 12

PVC (Polymorphic)

Front 13

Back 13

A-Flutter (Fast)
HR-75

Front 14

Back 14

Brady (V-Escape) aka Junctional

Front 15

Back 15

Paced

Front 16

Back 16

Sinus Tachy

Front 17

Back 17

V-Tach
HR 150

Front 18

Back 18

Torsades

Front 19

How many compressions per min?

Back 19

AT LEAST 100/min"

Front 20

When no airway has been established what is the compressions/breath ratio.

Back 20

30:2

Front 21

When airway is established how many seconds between breaths?,

Back 21

6-8 seconds
(7-10)/min)

Front 22

When airway is established and pt has pulse how many seconds between breaths.

Back 22

5-6 seconds
(10-12)/min

Front 23

If scene is unsafe what does rescuer do?,

Back 23

DO NOT go on scene (provider safety)

Front 24

What do you do immediately following a shock?

Back 24

Resume compressions

Front 25

When a pt is suspected of Acute Coronary Syndrome (ACS aka heart attack), how much Aspirin do you provide?

Back 25

160-325mg non EC chewable

Front 26

When a pt is suspected of Acute Coronary Syndrome (ACS aka heart attack), when do you give nitroglycerin?,

Back 26

When the pt BP is normal, HR is normal, no ED meds on board, and pt is not having a Right sided inferior wall MI determined by and ECG.

Front 27

If a hospital is close but does not have the capabilities to treat ACS, what do you do?,

Back 27

Divert do facility that is capable.

Front 28

When shocking a peds pt do you use an attenuator?

Back 28

No, too much electricity is better than not enough.

Front 29

How long do you check the carotid pulse for?

Back 29

No longer than 10 seconds.

Front 30

What is the difinitive way to comfirm adequate compressions and correct placement of airway.,

Back 30

Waveform capnography.

Front 31

If initial CO2 read by the waveform capnography shows <10mmHg?

Back 31

Pt is dead

Front 32

If CO2 readings begin at 20 and continuously go down, what does that indicate?

Back 32

Inneffective compressions. Switch people out

Front 33

What does a surge of CO2 indicate.

Back 33

ROSC

Front 34

Shock joule dosing rule?

Back 34

"Escalated dosing 200->300->360"

Front 35

When to treat arrhythmia with medication?

Back 35

Pt systolic is abov 90mmHg, pt not altered, pt is stable.

Front 36

When to treat pt with electricity (shock)?

Back 36

Pt is altered, BP below systolic 90mmHg, and unstable.

Front 37

We ________ the dead?

Back 37

Defibrillate

Front 38

We ________ the living (who have a pulse).

Back 38

cardiovert

Front 39

What are the FAST arrythmias?

Back 39

V-Tach
A-Flutter
SVT
Sinus Tachy
Torsades

Front 40

What are the slow arrythmias?

Back 40

Sinus Brady
Blocks
V-Escape (no Pwave)

Front 41

What do we treat with Amioderone?

Back 41

V-Tach & SVT. Amioderone slows heart activity.

Front 42

What arrythmias are considered DEAD?

Back 42

Torsades
PEA
V-Tach
V-Fib

Front 43

What are the Big Block Countdowns?

Back 43

300 150 100 75 60

Front 44

What do you do if your AED malfunctions?

Back 44

Start compressions while trying to fix. You can shock in snow or on ICE.

Front 45

When defribrillating, what should be removed from scene?

Back 45

O2. Hands free pads are faster defribulators.

Front 46

CPR person switch and analysis should be less than ____.

Back 46

10 seconds

Front 47

Suctioning?

Back 47

Suction Pharynx, Only suction for 10 sec while withdrawing."

Front 48

RAT/MERT/RRT do what?

Back 48

respond to clinical deterioration.

Front 49

When administering dopamine ___/____/___? And what arrythmia is it use for?

Back 49

"2-10mcg/kg/min
ONLY USED IN BRADY (SLOW)"

Front 50

Adult capnography waveform readings are _____?

Back 50

35-40mmHg

Front 51

A spike from 10mmHg to 50mmHg capnography readings indicate?

Back 51

correct advanced airway placement and return of perfusion.

Front 52

_________ may restrict venous return.

Back 52

Circumferetnial trach ties

Front 53

Once ROSC (return of spontaneous circulation) has occurred, what is the priority?

Back 53

ventillation and oxygenation.

Front 54

Cricoid pressure.

Back 54

"Cricoid pressure is no longer used.

Front 55

Closed loop communication.

Back 55

Repeating orders back to avoid errors.

Front 56

What is the desired O2 range?

Back 56

94-99%