Start dopamine at 10 to 20 mcg/kg per minute. Providing just enough volume for the chest to rise, A patient was in refractory ventricular fibrillation. Acls precourse self assessment answers 2021 quizlet that his baseline QT interval is high normal to slightly prolonged. Hold aspirin for at least 24 hours if rtPA is administered. What is the next appropriate intervention? She has received adenosine 6 mg IV for the rhythm shown here, without conversion of the rhythm. Lidocaine 0.5 mg/kg, Your patient has been intubated. c. The rate should be set between 60 and 80; the current should be increased slowly until capture achieved. You are called to the home of a 2-year-old little boy whose parents are concerned because he "isn't acting right". Level Of responsiveness, airway, breathing, circulation, defibrillation if necessary, c. Temperature, pulse, respiration, blood pressure, d. Oxygen, IV fluid challenge, vital signs, level Of responsiveness, a. Acls pretest answers 2021 quizlet - Math Solutions (d) How many grams and how many moles of octane must be burned to release 1.90 103\times 10^3103 kJ? 1. Administer 3 sequential (stacked) shocks at 360 J (monophasic defibrillator) Which drug should be administered first? Calculate the power produced by this turbine, in kW\mathrm{kW}kW, when the mass flow rate is 2kg/s2 \mathrm{~kg} / \mathrm{s}2kg/s. Which is a contraindication to nitroglycerin administration in the management of acute coronary syndromes? Give sublingual nitroglycerin 0.4 mg. 4. 1. Continue monitoring the patient and seek expert consultation. Two shocks and 1 dose of epinephrine have been given. CPR is in progress. A 65-year-old woman is found unresponsive and not breathing. High-quality chest compressions are being given. 4. Very helpful thank you. 5. ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm), ASVAB Paragraph Comprehension Practice Test 2023, IAHCSMM CRCST Practice Test Chapter 3 [UPDATED 2023], IAHCSMM CRCST Practice Test Chapter 1 [UPDATED 2023], CRCST Practice Test Chapter 1 [UPDATED 2023], CRCST Practice Test 2023 (UPDATED ALL CHAPTERS), a. Symptomatic first-degree atrioventricular block, d. Atrial fibrillation with a rapid ventricular response, a. Amiodarone, dopamine, procainamide, naloxone, and adenosine, b. Naloxone, atropine, vasopressin, epinephrine, and lidocaine, c. Lidocaine, amiodarone, procainamide, vasopressin, and naloxone, d. Procainamide, epinephrine, lidocaine, adenosine, and dopamine, a. What is a contraindication to nitrate administration? Immediate management Of this patient should include: 31. Check the carotid pulse ACLS Quiz 1 - Learn & Master ACLS/PALS 4. A rhythm check now finds asystole. IV nitroglycerin for 24 hours. Resume high-quality chest compressions. Cardiac monitoring, supplementary oxygen, and an IV have been initiated. What is the next action after establishing an IV and obtaining a 12-lead ECG? By the endotracheal route whenever possible, c. By IV bolus and followed with a 20-mL flush of IV fluid, d. By IV bolus over 2 to 3 minutes and then followed with a 10-mL flush of IV fluid, c. Continue peripheral IV attempts until successful, a. Giving lidocaine 1 to 1.5 mg IV bolus. What is the recommended compression rate for performing CPR? Adenosine 3 mg IV bolus Obtain a 12-lead ECG She has no chest discomfort, shortness of breath, or light-headedness. Recommended treatment for this patient includes: Questions $2 through 16 pertain to the following scenario. 3. A patient with a possible acute coronary syndrome has ongoing chest discomfort unresponsive to 3 sublingual nitroglycerin tablets. Ventricular fibrillation has been refractory to a second shock. There are a total of 50 Self Assessment questions on Pharmacology, Rhythm. The Advanced Cardiovascular Life Support (ACLS) Precourse Self-Assessment is an online tool that evaluates a student's knowledge before the course to determine their proficiency and identify any need for additional review and practice in 3 sections: rhythm recognition, pharmacology, and practical application. She is alert and oriented. 1. After verifying unresponsiveness and abnormal breathing, you activate emergency response team. A patient is in pulseless ventricular tachycardia. Attempt endotracheal intubation with minimal interruptions in CPR. Bradycardia requires treatment when: An IV has been initiated. Vagal maneuvers have not been effective in terminating. 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. Perform endotracheal intubation. The first antiarrhythmic administered in the management Of the patient in pulseless ventricular tachycardia or ventricular fibrillation is: 11. 5. What is the minimum depth of chest compressions for an adult in cardiac arrest? Morphine sulfate 4 mg IV, How often should you switch chest compressors to avoid fatigue? 2. Ventricular fibrillation has been refractory to an initial shock. At least 1.5 inches PALS Prehospital - ACLS External jugular vein, A patient is in refractory ventricular fibrillation. Angiotensin-converting-enzyme (ACE) inhibitors: 39. You've studied the material inside and out. Repeat adenosine 3 mg IV. Seeking expert consultation A patient is in cardiac arrest. B. Click the card to flip Flashcards Learn Test Match Created by BRhodes7 Terms in this set (62) 3 AV block p and qrs completely separate Identify the rhythm. Amiodarone 150 mg IV. 2. Full PALS access starting at $19.95. What is the next action? The blood pressure is less than 100 mm Hg systolic with or without symptoms. Should be given IV or endotracheally in cardiac arrest due to pulseless electrical activity, c. Is given as a loading dose of 150-mg IV bolus over 10 minutes in cardiac arrest, d. Should be given only if there is a return of spontaneous circulation after cardiac arrest, a. Give lidocaine 1 to 1.5 mg IV and start infusion. What is the first drug/dose to administer? The preferred site for initial placement of a large IV catheter is the: 24. Repeat amiodarone 150 mg IV. Which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest? IV or IO, A patient has sinus bradycardia with a heart rate of 36/min. She has dizziness and her blood pressure is 80/40 mm Hg. After resuming high-quality compressions, which action do you take next? Start dopamine at 2 to 10 mcg/kg per minute and titrate to patient response. The cardiac monitor documents the rhythm shown here. Following resuscitation with CPR and a single shock, you observe this rhythm while preparing the patient for transport. What is your next action? 90 to 100 compressions per minute 4. 5. A patient's 12-lead ECG is transmitted by the paramedics and shows a STEMI. 4. 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. Taking a BLS pretest is also a great way to familiarize yourself with the format. You are monitoring a patient. Emergency medical responders are unable to obtain a peripheral IV for a patient in cardiac arrest. Morphine sulfate 2 to 4 mg IV. ACLS PreTest, ACLS PreTest: Pharmacology and Practical Study with Quizlet and memorize flashcards containing terms like Sinus Bradycardia, Reentry supraventricular tachycardia, Second-degree AV block (Mobitz II 1. Her mental status is rapidly decreasing and she is very pale. The monitor shows a regular wide-QRS at a rate of 180/min. 2. Magnesium is indicated for shock-refractory monomorphic VT. 5. 5. High-quality CPR is in progress. Vasopressin 40 units The gas may be assumed to have the properties of air at atmospheric pressure. The patient is confused, and her blood pressure is 88/56 mm Hg. 1-5 & 7-9 Practice Test review. What is your next action? The monitor shows a regular wide-complex QRS at a rate of 180 bpm. Give epinephrine 1 mg IV . His pulse is weak and fast. 3. Two shocks have been delivered, and an IV has been initiated. High-quality chest compressions are being given. ACLS Pretest Answers 2022: Precourse Self Assessment Quizzma Bag-mask ventilations are producing visible chest rise. Give an immediate unsynchronized high-energy shock (defibrillation dose). She has no other symptoms. (b) What is the sign of H\Delta HH for this reaction? 46. A second dose of amiodarone is now called for. What is the recommended compression rate for high-quality CPR? c. valence electrons. 4. Atropine 1 mg IV or IO. 2. What assessment step is most important now? 4. Squeezing the bag with both hands 5. Dopamine 2 to 20 mcg/kg per minute IV or IO. Notes about the 12-lead ECG say 1. 1 to 2 L of normal saline. CPR is in progress. What is the recommended duration of therapeutic hypothermia after reaching the target temperature? A second shock is given and chest compressions are resumed immediately. The recommended second dose of amiodarone is: Which intervention below is most important, reducing in-hospital and 30-day mortality? Continue monitoring and seek expert consultation. Single rescuers should use a compression-to-ventilation ratio of 30 compressions to 2 breaths when giving CPR to victims of any age. A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. AHA ACLS Practice Test. What is the recommended oral dose of aspirin for patients suspected of having one of the acute coronary syndromes? You can download this pretest question answer for American Heart Association (AHA) Advanced Cardiac Life Support Practice Test exam preparation. A patient with STEMI has ongoing chest discomfort. Normal saline 250 mL to 500 mL bolus, A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. A 57-year-old woman has palpitation, chest discomfort, and tachycardia. A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. He arrives in the department. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. Show Answers. Hamdy says. 3. High-quality CPR is in progress, and shocks have been given. Give sodium bicarbonate 50 mEq IV. Whch of the following statements is true about ventilation with a bag-valve-mask? 2. There are no contraindications, and 4 mg of morphine sulfate was administered. 2. An IV is not in place. Solve Now An oral airway is in place. Administer adenosine 6 mg; seek expert consultation. A patient with STEMI has ongoing chest discomfort. A. Epinephrine .5 mg Q 3-5 minutes B. Epinephrine 1 mg Q 3-5 minutes C. Lidocaine 1-1.5 mg/KG 2. 2. Patient is diaphoretic, with associated shortness of breath. The next action is to: Give normal Saline 250 mL to 500 ml fluid bolus What is the initial dose of atropine? Order immediate endotracheal intubation. What is the next action? The patient developed severe chest discomfort with diaphoresis. An antiarrhythmic drug was given immediately after the third shock. 5. What do you administer now? True or False: Side effects associated with transcutaneous pacing are most often related to muscle contraction, pain, and patient intolerance of the pacing stimulus. A 58-year-old man is complaining of chest pain. Which finding is a sign of ineffective CPR? To assess CPR quality, which should you do? Match each description on the left with the appropriate term on the right. Start The Quiz about 3-5 minutes # % Follow us for daily quizzes and nursing banter. 1. D. Give normal saline 250 mL to 500 mL fluid bolus. A patient's 12-lead ECG was transmitted by the paramedics and showed an acute MI. A 35-year old woman has palpitations, lightheadedness, and a stable tachycardia. 3. Select the question that best evaluates the quality of the patients pain. The heart rate has not responded to vagal maneuvers. Most myocardial infarctions occur because of: Questions 21 through 25 pertain to the following scenario. ST Elevation She is pale and diaphoretic. Use of a phosphodiesterase inhibitor within 12 hours, A patient with possible ST-segment elevation MI has ongoing chest discomfort. Two shocks and 1 dose of epinephrine have been given.
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