5. ACLS PRETEST ANSWER KEY RHYTHM IDENTIFICATION (PART I) 1. Perform endotracheal intubation; administer 100% oxygen. Merci. Bag-mask ventilations are producing visible chest rise. Give an immediate unsynchronized high-energy shock (defibrillation dose). Which is an appropriate and important intervention to perform for a patient who achieves ROSC during an out-of-hospital resuscitation? 2. Bag-mask ventilations are producing visible chest rise, and IO access has been established. Which intervention is most important in reducing this patient's in-hospital and 30-day mortality rate? Which of the following reflects the operation Of a transcutaneous pacemaker for a patient experiencing asymptomatic bradycardia? Do not give aspirin for at least 24 hours if rtPA is administered. 5. Step-by-Step Training ACLS Interactive Course Guide Accreditation and CEU Information ACLS Quizzes & Scenarios ACLS Megacode Simulator ACLS Practice Tests Administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. He is asymptomatic, with a blood pressure of 110/70 mm Hg. Escalating dose of epinephrine 3 mg. 2. . Vagal maneuvers have not been effective in terminating. Acls precourse self assessment answers 2020 quizlet - Study with Quizlet and memorize flashcards containing terms like 3 AV block p and qrs completely. 1. You observe the following rhythm on the cardiac monitor. Which action is indicated next? A patient with possible STEMI has ongoing chest discomfort. Q5. In which situation does bradycardia require treatment? Perform immediate electrical cardioversion. Acls pretest answers 2021 quizlet - Study with Quizlet and memorize flashcards containing terms like You are caring for a 66-year-old man with a history of a Which of the following is now indicated? A repeat dose of epinephrine 1 mg IV. A second shock is given, and chest compressions are resumed immediately. 2. Amiodarone 150 mg IV bolus; start infusion. The patient did not take aspirin because he has a history of gastritis, which was treated 5 years ago. A 35-year old woman has palpitations, lightheadedness, and a stable tachycardia. The ventricular rate is 138/min. A 12-lead ECG confirm a supraventricular tachycardia with no evidence of ischemia or infarction. Give atropine 1 mg IV. Give atropine 1 mg IV. During the resuscitation, she received 2 doses of epinephrine 1 mg and 1 does of amiodarone 300 mg IV. Blood pressure is 110/70 mm Hg. Some AEDs are programmed to detect spontaneous movement by the patient or others, b. What is your next action? 2. Hamdy says. 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 Prepare to give epinephrine 1 mg IV. He is being evaluated for another acute stroke. Ventilating until you see the chest rise Gain IV or IO access. 4. Which of the following factors reduces transthoracic resistance and enhances the chance for successful defibrillation in cardiac arrest? An AED has previously advised "no shock indicated." She has no pulse or respirations. Is Of proper size if it extends from the tip Ot the nose to the tip Of the ear, c. Is usually well-tolerated in responsive or semi-responsive patients, d. Can only be used in spontaneously patients, a. You arrive on the scene with the code team. Her blood pressure is 80/60 mm Hg. What survival advantages does CPR provide to a patient in ventricular fibrillation? 2. Deliver three stacked shocks using 200, 300, and 360 joules after 5 cycles (about 2 minutes) of CPR, b. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Give an immediate unsynchronized high-energy shock (defibrillation dose). Give atropine 1 mg IV. 4. A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. Gain instant access to all of the practice tests, megacode scenarios, and videos. 3. The rhythm abnormality is becoming more frequent and increasing in number. Repeat amiodarone 150 mg IV. A panicked secretary calls you to the waiting room where you arrive to find a middle-aged man lying supine on the floor. Aspirin was not taken by the patient because he had a history of gastritis treated 5 years ago. 1. 4. Bystanders are performing CPR. Continue monitoring and seek expert consultation. (c) How much energy is released by the combustion of 1.00 mol of C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18 ? A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. Blood pressure is 160/96 mm Hg. Start epinephrine 2 to 10 mcg/min. Blood pressure is 104/70 mm Hg. Chest compressions should be interrupted for 2 to 3 minutes to start an IV and insert an advanced airway, b. For the given state of stress, determine (a) the principal Which of the following statements is most accurate regarding the administration of vasopressin during cardiac arrest? Taking a BLS pretest is also a great way to familiarize yourself with the format. Dopamine at 2 to 10 mcg/kg per minute Definitely not the PALS precourse assessment, ACLS PreTest: Pharmacology and Practical Appl, Julie S Snyder, Linda Lilley, Shelly Collins. A patient has a witnessed loss of consciousness. Begin CPR, starting with chest compressions. She has received adenosine 6 mg IV for the rhythm shown here, without conversion of the rhythm. The maximum length of time for a suctioning attempt is: 45. What is the next action? 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. She is now extremely apprehensive. A 53-year-old man has shortness of breath, chest discomfort, and weakness. These quizzes cover the latest PALS algorithms and are designed to test the scenarios you will encounter when practicing PALS. 4. Atropine 1 mg IV/IO 5. A rhythm check now finds asystole. We have selected 20 questions (10 questions for BLS) that cover many topics which will be tested on the certification examination. A patient is in cardiac arrest. Learn about ACLS recertification cost. Which of the following statements is true about this rhythm? The heart rate has not responded to vagal maneuvers. Patient is diaphoretic, with associated shortness of breath. On the next rhythm check, you see the rhythm shown here. Her blood pressure is 120/78mm Hg. Gain instant access to all of the practice tests, megacode scenarios, and videos. Patient is experiencing shortness of breath, a BP of 68/50 mmHg, and HR of 190/min. Atropine 0.5 mg IV Immediate synchronized cardioversion. ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm) Questions Answers 2011-2022. Epinephrine 1 mg The lead II ECG is displayed below. 42. Start chest compressions at a rate of at least 100/min. What is the recommended initial airway management technique? After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. 3. As you shout for help, your next action in this situation should be to: 13. 15 seconds After you start an IV, what is the next action? 1. aha acls book pdf What is the immediate danger of excessive ventilation during the post-cardiac arrest period for patients who achieve ROSC? ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm) Questions Answers 2011-2022. What is the most appropriate intervention for a rapidly deteriorating patient who has this lead II ECG? 33. 3. 37. 4. BP is 130/88 mmHg, HR is 110/min, RR is 22 breaths/min, and pulse oximetry is 95%. What do you administer now? 1. Epinephrine 1 mg 866+ Math Teachers 9.2/10 Star Rating 2. Which medication do you order next. An electron dot diagram shows an atom's number of a. protons. A patient has a rapid irregular wide-complex tachycardia. Ventricular fibrillation has been refractory to a second shock. Providing a good seal between the face and the mask Perform endotracheal intubation. The first drug and dosage for Ventricular Fibrillation (other than Oxygen) is what? Steam at 3MPa3\ \mathrm{MPa}3MPa and 400C400^{\circ} \mathrm{C}400C is expanded to 30kPa30\ \mathrm{kPa}30kPa in an adiabatic turbine with an isentropic efficiency of 929292 percent. Which intervention is most important in reducing this patient's in-hospital and 30-day mortality rate? A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg amiodarone IV. While taking the patients history and vital signs, he experienced a cardiac arrest. Perform vagal maneuvers and repeat adenosine 6 mg IV. You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. Establish and IV and give vasopressin 40 units. 4. C. Give nitroglycerin 0.4 mg sublingually. The patient had resolution of moderate (5.10) chest pain with 3 doses of sublingual nitroglycerin. Determine the mass moments of inertia of the assembly about the x-, y-, and z- axes. 50 terms. 1. Which intervention is most appropriate for the treatment of a patient in asystole? 36. Oxygen has been applied, an IV has been started, and the cardiac monitor reveals the rhythm below. The rate should be set between 20 and 60; the current (milliamps) should be increased slowly to maximum Output. Give additional 1 mg atropine. To assess CPR quality, which should you do? Just send a screenshot of your scores to support@ACLS.net New Airway management A patient was admitted to the emergency department with shortness of breath, the sitution has deteriorated and now he is unresponsive. 1. Patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. Initiate epinephrine at 2 to 10 mcg/kg per minute. 2. There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. 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. Your best course Of action in this situation will be to: 40. 2. She is apprehensive but has no symptoms other than palpitations. Q11. Which drug do you anticipate giving to this patient? 4. ACLS Pretest Flashcards Study with Quizlet and memorize flashcards containing terms like Supraventricular Tachycardia, Atrial fibrillation, Second deg AV block: Mobitz 1 and more. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. 3. A patient is in cardiac arrest. What is your next action? Ventricular fibrillation has been refractory to an initial shock. (b) What is the sign of H\Delta HH for this reaction? Marie Georgette Ngo Tonye says. b. The monitor shows a regular wide-QRS at a rate of 180/min. 1. One of the best ways to prepare for your ACLS exam, whether you'll be taking the initial certification exam . An IV is not in place. 5. 1. The monitor shows a regular narrow-complex QRS at a rate of 180/min. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. You are the team leader. 2. What is the recommended dose of epinephrine for the treatment of hypotension in a post-cardiac arrest patient who achieves ROSC? Blood pressure is 80/60 mm Hg. A patient has a rapid irregular wide-complex tachycardia. Two shocks and 1 dose of epinephrine have been given. 1. About every 4 minutes Order transcutaneous pacing. Recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest, Performing a head tilt chin lift maneuver. Start an IV and give atropine 1 mg. 3. However, if you found this pretest to be successful . 3. B. Administer atropine 1 mg. Bag-mask ventilations are producing visible chest rise. Start epinephrine 2 to 10 mcg/min and titrate to patient response. Nitroglycerin administration 4. Left ventricular infarct with bilateral rales. Shortly afterward, blood pressure falls to 88/60 mm Hg, and the patient has increased chest discomfort. 3. 2. 1. 70 to 80 compressions per minute Blood pressure is 108/70 mm Hg. $________________$, Reentry supraventricualr tachycardia (SVT), Reentry Supraventricular tachycardia (SVT), Reentry supraventricular tachycardia (SVT). What is the proper order of the BLS Chain of Survival . The monitor shows a regular wide-complex QRS at a rate of 180/min. BP 68/40, R 12. He is pulseless and apneic. Give amiodarone 300 mg IV. Which of the following statements about the use of magnesium in cardiac arrest is most accurate? You now observe this rhythm on the cardiac monitor. What would you order for his next medication? The cardiac monitor reveals the following rhythm. Epinephrine 2 to 10 mcg/kg per minute Perform endotracheal intubation. The patient's lead II ECG appears below. Use of a phosphodiestrase inhibitor within the previous 24 hours. Which action do you take next? The patient describes her discomfort as a squeezing sensation in the middle Of her chest. 38. It is now 62/38. A patient is in refractory ventricular fibrillation. Launch This Course Quick Facts The monitor shows a regular narrow-complex QRS at a rate of 180/min. His blood pressure is 104/70, respirations 12/min. 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. Vasopressin can be administered twice during cardiac arrest. Heparin 4000 units IV bolus was administered, and a heparin infusion of 1000 units per hour is being administered. 5. ACLS Written Exam 1. 3. What is the next most preferred route for drug administration? ACLS Practice Quiz Test your knowledge with our free ACLS Practice Test provided below in order to prepare you for our official online exam. You are evaluating a 58-year-old man with chest pain. 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 A. Epinephrine .5 mg Q 3-5 minutes B. Epinephrine 1 mg Q 3-5 minutes C. Lidocaine 1-1.5 mg/KG 2. Which is the next drug/dose to anticipate to administer? This is a sample copy of the American Heart Association (AHA) Advanced Cardiac Life Support Precourse Self Assessment Question Answers. Give amiodarone 300 mg IV Vagal maneuvers have not been effective in terminating the rhythm. Start The Quiz. Your patient is in cardiac arrest and has been intubated. There are a total of 50 Self Assessment questions on Pharmacology, Rhythm. She is pale and diaphoretic. Nursing staff report that the patient was recovering from a pulmonary embolism and suddenly collapsed. Which drug should be given next? Amiodarone, lidocaine, epinephrine The CT scan is negative for hemorrhage. This patient has been resuscitated from cardiac arrest. Note this pretest does not represent the actual examination questions. A patient is in pulseless ventricular tachycardia. AHA ACLS Written Test. Give amiodarone 300 mg IV/IO 5. Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. 22. the rhythm. His monitored rhythm becomes irregular as seen above. planes, (b) the principal stresses. Endotracheal intubation Acls pretest pharmacology quizlet - Study with Quizlet and memorize flashcards containing terms like 150 mg IV amiodarone, Adenosine 6 mg, Seeking expert. ACLS, PALS & BLS Quizzes Pass five quizzes (84% or higher score) and get 20% off your ACLS certification with us. She is alert and oriented. Full ACLS access starting at $19.95. Which of the following is an acceptable method of selecting an appropriately sized oropharyngeal airway (OPA)? You determine that he is unresponsive and notice that he is taking agonal breaths. High-quality CPR is in progress. What should be done to minimize interruptions in chest compressions during CPR? There is no pulse or spontaneous respirations. The recommended second dose of amiodarone is: Initiate transcutaneous pacing. What action is recommended next? He was brought to the emergency department. All material on this website is for reference purposes only and does not represent the actual format, pattern from respective official authority. Bag-mask ventilations are producing visible chest rise. Team members report that the patient was well but reported chest pain and then collapsed. During post-ROSC treatment, the patient becomes unresponsive, with the rhythm shown here. Defibrillation is indicated in the management Of: 35. A second shock is given, and chest compressions are resumed immediately. February 17, 2023 at 6:10 am. The hospital CT scanner is not working at this time. A thermocouple junction is inserted in a large duct to calculate the temperature of hot gases flowing through the duct. 10 to 12 ventilations per minute; each ventilation delivered over 1 second, c. 12 to 20 ventilations per minute; each ventilation delivered over 1.5 to 2 seconds, d. 20 to 24 ventilations per minute; each ventilation delivered over 1.5 to 2seconds. A second dose of amiodarone is now called for. Which combination of drugs can be administered by the endotracheal route? He is asymptomatic, with a blood pressure of 110/70 mm Hg. 3. At least 1.5 inches 2. Check the carotid pulse The heart rate is less than 60/min with or without symptoms. She has no chest discomfort, shortness of breath, or light-headedness. Repeat adenosine 3 mg IV. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. Reply. High-quality CPR and effective bag-mask ventilation are being provided. about 3-5 minutes. Sedate and perform synchronized cardioversion. The gotestprep.com provides free unofficial review materials for a variety of exams. You are monitoring a patient. 5. A patient is in pulseless ventricular tachycardia. Which Of the following approaches is recommended during an initial patient evaluation? Administer adenosine 6 mg; seek expert consultation. Emergency medical responders are unable to obtain a peripheral IV for a patient in cardiac arrest. Reentry SVT 9. A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. Which drug should be administered first? First responders administered 160 mg aspirin, and there is a patent peripheral IV. Which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest? In which situation does bradycardia require treatment? A patient in respiratory distress and with a BP of 70/50 mmHg presents with the following lead II ECG rhythm. A patient was in refractory ventricular fibrillation. Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapsed. After verifying unresponsiveness and abnormal breathing, you activate emergency response team. Patient's lead II ECG is displayed above (shows unstable SVT). 1. 5. CPR is in progress. The monitor shows a regular wide-complex QRS at a rate of 180/min. 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. She becomes diaphoretic, and her blood pressure is 80/60 mm HG/ Which action do you take next? She has no pulse or respirations. A patient is in refractory ventricular fibrillation. 4. The patient is receiving oxygen via nasal cannula at 2 L/min, and an IV has been established. About every 5-6 seconds Start an IV 2. Apply an AED About every 8-10 seconds ACLS Pretest Questions and Answers Which of these is NOT a recommended pharmacological treatment for a stable patient with a wide complex ventricular tachycardia (monomorphic)? What actions have the highest priority? What is the danger of routinely administering high concentrations of oxygen during post-cardiac arrest period for patients who achieve ROSC? 3. What minimum speed must an electron have in a liquid with index of refraction 1.541.541.54 in order to radiate? vfib The cardiac monitor shows the following rhythm: 8. What is your first action? A second shock is given and chest compressions are resumed immediately. Which medication do you order next? 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. Adenosine 6 mg Perform vagal maneuvers 4. 136 terms. The decision has been made to intubate him and anesthesia has been paged. Sodium bicarbonate 50 mEq. She now states she is asymptomatic after walking around. 4. . A patient was in refractory ventricular fibrillation. His level Of consciousness suddenly decreased as an alarm sounded on the monitor. Initiate dopamine at 10 to 20 mcg/kg per minute and to patient response. A patient has been resuscitated from cardiac arrest and is being prepared for transport. What is the recommended route for drug administration during CPR? Acls pretest quizlet - Study with Quizlet and memorize flashcards containing terms like Chest compressions for an adult are performed: a. at a rate between . If the thermocouple senses a temperature of 320C320^{\circ} \mathrm{C}320C when the duct surface temperature is 175C175^{\circ} \mathrm{C}175C, what is the actual gas temperature? The lead II ECG displays a wide-complex tachycardia. The patient did not take aspirin because he has a history of gastritis, with was treated 5 years ago. Ventilating too quickly There are no contraindications, and 4 mg of morphine sulfate was administered. A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. Team members tell you that the patient was well but reported chest discomfort and then collapsed. What is the recommended target temperature range for achieving therapeutic hypothermia after cardiac arrest? Comments. 1. At least 2.5 inches 50 to 60 compressions per minute You are uncertain if a faint pulse is present. Acls Pretest Code 2021 Quizlet. Perform immediate unsynchronized cardioversion. There are a total of 50 Self Assessment questions on Pharmacology, Rhythm. Which intervention below is most important, reducing in-hospital and 30-day mortality? Dose of 3 mg 2. You are working in the radiology department as a registered nurse. Lidocaine 0.5 mg/kg, Your patient has been intubated. The CT scan is negative for hemorrhage. A. Perform elective synchronized cardioversion with presedation. What is the minimum depth of chest compressions for an adult in cardiac arrest? The patient is intubated. Learn ACLS. Giving lidocaine 1 to 1.5 mg IV bolus. 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. Your best course Of action at this time will be to: 27. BP is 132/68 mmHg, pulse is 130/min and regular, RR is 12 breaths/min, and pulse oximetry reading is 95%. February 15, 2023 at 11: . He now responds by moaning when his name is spoken. 3. Initiate transcutaneous pacing (TCP). The arrest was not witnessed. What are the guidelines for antiplatelet and fibrinolytic therapy? Her lead II ECG is below. Vasopressin, amiodarone, lidocaine What is the next indicated action? 3. Begin transcutaneous pacing. 3. that his baseline QT interval is high normal to slightly prolonged. 3. Atropine 0.5 mg IV 5. 5. 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%. Perform immediate electrical cardioversion. ACLS Pretest Questions and Answers 2023 (Full Practice Test) ACLS Pretest Questions and Answers 2023 (Free Full Practice Test). A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges when the medication is administered. What is the most important early intervention? Giving adenosine 6 mg IV bolus. A 65-year-old woman is found unresponsive and not breathing. 2. An IV has been established. The patient developed severe chest discomfort with diaphoresis. Seeking expert consultation A patient is in cardiac arrest. AHA Basic Life Support Provider Manual, p. 19 An IV is in pace. What action is recommended next? Lidocaine may be lethal if administered for which of the following rhythms? Continue CPR while the defibrillator is charging. When the patient arrives in the emergency department, the rhythm shown here is seen on the cardiac monitor. 1. At this time you would: Reperfusion therapy. What is the next appropriate intervention? She rates her discomfort an 8 on a O to 10 scale. 2. What is your next order? A 56-year-old woman presents with a Sudden onset Of chest discomfort that has been present for about 1 hour. Which drug should be given next? ACLS PreTest, ACLS PreTest: Pharmacology and Practical 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. What is the appropriate rate of chest compressions for an adult in cardiac arrest? The preferred site for initial placement of a large IV catheter is the: 24. What is the appropriate next intervention? Ventricular fibrillation has been refractory to a second shock. The first antiarrhythmic administered in the management Of the patient in pulseless ventricular tachycardia or ventricular fibrillation is: 11. What is the recommended initial intervention for managing hypotension in the immediate period after return of spontaneous circulation (ROSC)? When you arrive, the parents inform you that he has been sick with a fever, diarrhea and vomiting for the past 48 hours. You are monitoring the patient and note the rhythm below on the cardiac monitor. 1. 3. What is the next action? Check the pulse rate ACLS PreTest, ACLS PreTest: Pharmacology and A 57-year-old woman has palpitations, chest discomfort, and tachycardia. 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 Explain mathematic question Math understanding that gets you Figure out math equations . Two shocks and 1 dose of epinephrine have been given. A 46-year-old woman is found unresponsive, not breathing, and pulseless. 5. The code cart with all the drugs and transcutaneous pacer are immediately available. 2. The most common side effects of giving amiodarone are: 5. Give epinephrine 1 mg IV . Vasopressin is recommended instead of epinephrine for the treatment of asystole. C does not change. Start rescue breathing, A patient's 12-lead ECG is transmitted by the paramedics and shows a STEMI. About every 3 minutes About every 12-14 seconds A 78-year-old woman is found unresponsive. Fibrinolytic therapy has been ordered. The patient is confused, and her blood pressure is 88/56 mm Hg. An AED has previously advised "no shock indicated." Immediate management Of this patient should include: 31. An antiarrhythmic drug was given immediately after the third shock. Providing just enough volume for the chest to rise, A patient was in refractory ventricular fibrillation. 3. The patient should be cooled to 89.60 F to 93.20 F (320 C to 340 C) for 12 to 24 hours, c. Heat packs should be applied to the patients axilla, neck, and groin to prevent hypothermia, d. Give 50% dextrose in water IV push to make sure sufficient glucose is available for adequate brain function. The primary survey reveals that the patient is unresponsive and not breathing. Take up the test below and see how much you understand ACLS Medications in preparation for your exam. You see an organized, nonshockable rhythm on the ECG monitor. You have completed your first 2-minute period of CPR. Dopamine 2 to 20 mcg/kg per minute IV or IO. Lidocaine 1 mg/kg IV and infusion 2 mg/min. What is the next action after establishing an IV and obtaining a 12-lead ECG? Attempt endotracheal intubation with minimal interruptions in CPR. PALS In Hospital. The child is lying on the couch. The correct dose of vasopressin is 40 units administered by IV or IO. Which best describes the guidelines for antiplatelet and fibrinolytic therapy? 2ND Degree Type II (Mobitz) 8. In Hospital Ventricular Fibrillation. The rhythm is asystole. Blood pressure is 104/70 mm Hg. Which action should you take immediately after providing an AED shock? Should be given only to patients with narrow-QRS tachycardia or dysrhythmias known with certainty to be Of supraventricular origin, b. After resuming high-quality compressions, which action do you take next? A patient is in pulseless ventricular tachycardia. Is given in doses of 1 mg to a maximum Of 3 mg in asystole or slow pulseless electrical activity, c. Is most effective for atrioventricular (AV) blocks below the level Of the AV node, d. Is given in doses Of 1 to 1.5 mg/kg for symptomatic bradycardia, a.