Advanced Cardiac Life Support v1.0
Question 1
Regarding epinephrine, which of the following statements are true? (Choose three.)
- A. increases coronary perfusion
- B. IV bolus dose is 1 mg q 3ג€"5 minutes
- C. treatment for hypotensive ventricular tachycardia
- D. increases cerebral blood flow during CPR
Answer : ABC
Question 2
What are the end points of a procainamide loading infusion in the non-arrest situation?
- A. pretreatment QRS complex is widened by 50%
- B. hypotension
- C. 17 mg/kg drug has been injected
- D. the dysrhythmia is suppressed
- E. All of the above
Answer : E
Question 3
A patient with an acute Ml on a 12-lead ECG transmitted by the paramedics has the above findings on a rhythm strip when a monitor is placed in the ED. The patient had resolution of moderate (5/10) chest pain with three doses of sublingual nitroglycerin. Blood pressure is 104/70 mmHg. Which intervention below is most important, reducing in-hospital and 30-day mortality?
- A. Atropine 1 mg IV, total dose 3 mg as needed
- B. Intravenous nitroglycerin for 24 hours
- C. Reperfusion therapy
- D. Atropine 0.5 mg IV, total dose 2 mg as needed
- E. Temporary pacing
Answer : C
Question 4
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Why use an endotracheal tube stylet?
Answer : To make the tube form fitting
Question 5
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What type of drug is verapamil?
Answer : Calcium channel blocker
Question 6
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What type of drug is propranolol?
Answer : A beta-blocker.
Question 7
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What is the mechanism of action of adenosine on the heart?
Answer : Depresses sinus node and AV node activity.
Question 8
T/F: A pop-off valve is desirable when selecting a bag-valve-mask device.
- A. False
- B. True
Answer : A
Explanation:
Desirable features include transparent mask, non-rebreathing valve, and a self-expanding bag.
Question 9
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In what type of rhythm may lidocaine be lethal?
Answer : Idioventricular rhythm or complete heart block
Question 10
T/F: Infectious complications of intravenous cannulas should be prevented by using systemic antibiotics.
- A. True
- B. False
Answer : B
Question 11
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What is the appropriate dose of a medication given by endotracheal tube?
Answer : 2ג€"2.5 times the IV dose.
Question 12
T/F: Verapamil should be used when the origin of a wide complex tachycardia is unknown.
- A. False
- B. True
Answer : A
Question 13
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A 60-year-old patient presents with a blood pressure of 80/40, heart rate 200, and respiratory rate 24. The nurse has placed oxygen on the patient. The following rhythm is seen on the monitor. What is the treatment?
Answer : Synchronized cardioversion
Explanation:
Synchronized cardioversion. (The rhythm seen above shows supraventricular tachycardia.)
Question 14
In therapeutic doses, which drug depresses the pumping function of the heart muscle?
- A. atropine
- B. epinephrine
- C. propanolol
- D. isoproterenol
Answer : C
Question 15
Calcium chloride should be considered in an overdose of:
- A. bretylium
- B. epinephrine
- C. verapamil
- D. procainamide
Answer : C