acls test exam b flashcards

28 /28

EMS personnel arrive to find a patient in cardiac arrest.  Bystanders are performing CPR,  After attaching a cardiac monitor, the responder observes the following rhythm strip(VF).  What is the most important early intervention?

defibrillation

27 /28

After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation.  The patients ECG appears below.  What is your next action?

iv or io access

26 /28

After verufying unresponsiveness and abnormal breathing, you activate the emergency response team.  What is your next action?

Check for a pulse

25 /28

How lond should it take to perform a pulse check during BLS survey?

5 to 10 seconds

24 /28

Your rescue team arrives to find a 59-year-old man lying on the kitchen floor.  You determine that he is unresponsive and notice that he is taking agonal breaths.  What is the next step is you assessment and management of this patient?

checks the patients pulse

23 /28

A 49 yo has cp radiating to lt arm. Diaphoretic with assoc SOB. The BP is 130/88, the HR 100, the RR  22, SaO@ is 95%. ECG shows ST elevation. EMT adm 160 mg of ASA. Patent IV. CP is an 8 on a scale of 1-10 unrelieved by nitro. Next step?

Administer 2 to 4 mg of morphine by slow IV bolus

22 /28

A patient remains in VF despite 1 shock and 2 minutes of continuous CPR,  The next intervention is to

administer a second shock

21 /28

Which of the following is the recommended first choice for establishing access during the attempted resuscitation of a patient in cardiac arrest

antecubital vein

20 /28

An AED advises a shock for a pulseless patient lying in shock.  What is the next action?

adnminister the shock immediately and continue as directed by the AED

19 /28

What is the minimum depth of chest compressions for an adult in cardiac arrest?

2 inches

18 /28

What is the appropriate rate of chest compressions for an adult in cardiac arrest?

At least 100/min

17 /28

What should be done to minimize interruptions in chest compressions during CPR?

Continue CPR while the defibrillator is charging

16 /28

IV?IO drug administration during CPR should be

given rapidly during compressions

15 /28


How often should the team leader switch chest compressions during a resuscitation attempt?

every 2 mintues

14 /28

Which conditions is an indication to stop or withhold resuscitative efforts?

safety threat to providers

13 /28

What is the recommended next step after a defibrillation attempt?

begin Cpr, starting with chest compressions

12 /28

Which treatment or medication is appropriate for the treatment of a patient in asystole?

epinephrine

11 /28

You have completed your first 2 minute period of CPR.  You see an organized, nonshockable rhythm on the monitor.  What is your next action?

Have a team member attempt to palpate a carotid pulse

10 /28

What is the recommended first intravenous dose of amniodarone for a patient with refractory ventricular fibrillation?

300 mg

9 /28

Which finding is a sign of ineffective CPR?

petco2 <10 mm HG

8 /28

A team leader orders 1 mg of epinephrine, and a team meber acknowledges when the medication is administtered.  What element of effective resuscitation teah dynamics does this represent?

closed-loop communication

7 /28

A patient with pulseless ventricular tachycardia is defibrilated.  What is the next action?

start chest compressions at a rate of at least 100/min

6 /28

A 53 yo man has SOB, chest discomfort, and weakness.  The pt BP is 102/59 mm hg, the HR is 230/min, the RR is 16  and the SaO2 is 96%.  The lead II ECG is displayed below (ST).  Peripheral IV is in place.  What is the next action?

Vagal maneuvers

5 /28

What is the recommendation on the usae of cricoid pressure to prevent aspiration during cardiac arrest?

Not recommended for routine use

4 /28

What survival advantages does CPR provide to a patient in ventritricular fibrillation?

Produces a small amout of blood flow to the heart

3 /28

What is the recommended compression rate for performing CPR?

At least 100 per minute

2 /28

You have completed youer first 2 minute period of CPR.  You see an organized, nonshockable rhythm on the monitor.  What is your next action?

Have a team member attempt to palpate a carotid pulse

1 /28

You are receiving a radio report from an EMS team enroute with a patient who may be having an acute stroke.  The hospital CT scanner is not working at this time.  What should you do in this situation?

divert the patient to a hospital 15 minutes away with CT capabilities