Back to FlashcardsAdvanced Cardiovascular Life Support / ACLS Rescue Drugs Part 1
ACLS Rescue Drugs Part 1
This deck covers key questions and answers related to the administration of ACLS rescue drugs, focusing on scenarios involving cardiac arrest, drug dosages, and recommended actions in emergency situations.
Your patient has been intubated. IV/IO access is not available. Which combination of drugs can be administered by the endotracheal route of administration? A. Amiodarone, lidocaine, epinephrine B. Epinephrine, vasopressin, amiodarone C. Vasopressin, amiodarone, lidocaine D. Lidocaine, epinephrine, vasopressin
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Key Terms
Term
Definition
Your patient has been intubated. IV/IO access is not available. Which combination of drugs can be administered by the endotracheal route of administration? A. Amiodarone, lidocaine, epinephrine B. Epinephrine, vasopressin, amiodarone C. Vasopressin, amiodarone, lidocaine D. Lidocaine, epinephrine, vasopressin
D. Lidocaine, epinephrine, vasopressin
A patient is in pulseless ventricular tachycardia. Two shocks and one dose of epinephrine have been given. The next drug/dose to anticipate to administer is: A. Amiodarone 150 mg B. Epinephrine 3 mg C. Lidocaine 0.5 mg/kg D. Vasopressin 40 U E. Amiodarone 300 mg
E. Amiodarone 300 mg
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. Two attempts at peripheral IV access have been unsuccessful. The next recommended access route of administration for the delivery of drugs during CPR is: A. Femoral vein B. Endotracheal C. Intraosseous D. External jugular vein
C. Intraosseous
A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillations, epinephrine 1 mg IV twice, and an initial dose of lidocaine IV. The patient is intubated. A second dose of lidocaine is now called for. The recommended second dose of lidocaine is: A. Start infusion 1 to 2 mg/min B. 0.5 to 0.75 mg/kg IV push C. 2 to 3 mg/kg IV push D. Give endotracheal dose 2 to 4 mg/kg E. 1 mg/kg IV push
0.5 to 0.75 mg/kg IV push
A patient has sinus bradycardia with a rate of 36 per minute. Atropine has been administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. The patient is confused and blood pressure is 100/60 mm Hg. Which of the following is now indicated? A. Give additional 1 mg atropine B. Start epinephrine 2 to 10 mg/min C. Start dopamine 10-20 mg/kg per minute D. Give normal saline bolus 250 mL to 500 mL
Start epinephrine 2 to 10 mg/min
A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138. He is asymptomatic with a blood pressure of 110/70 mm Hg. He has a history of angina. Which of the following actions is recommended? A. Seek expert consultation B. Immediate synchronized cardioversion C. Give adenosine 6 mg IV bolus D. Give lidocaine 1 to 1.5 mg IV bolus
A. Seek expert consultation
Related Flashcard Decks
| Term | Definition |
|---|---|
Your patient has been intubated. IV/IO access is not available. Which combination of drugs can be administered by the endotracheal route of administration? A. Amiodarone, lidocaine, epinephrine B. Epinephrine, vasopressin, amiodarone C. Vasopressin, amiodarone, lidocaine D. Lidocaine, epinephrine, vasopressin | D. Lidocaine, epinephrine, vasopressin |
A patient is in pulseless ventricular tachycardia. Two shocks and one dose of epinephrine have been given. The next drug/dose to anticipate to administer is: A. Amiodarone 150 mg B. Epinephrine 3 mg C. Lidocaine 0.5 mg/kg D. Vasopressin 40 U E. Amiodarone 300 mg | E. Amiodarone 300 mg |
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. Two attempts at peripheral IV access have been unsuccessful. The next recommended access route of administration for the delivery of drugs during CPR is: A. Femoral vein B. Endotracheal C. Intraosseous D. External jugular vein | C. Intraosseous |
A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillations, epinephrine 1 mg IV twice, and an initial dose of lidocaine IV. The patient is intubated. A second dose of lidocaine is now called for. The recommended second dose of lidocaine is: A. Start infusion 1 to 2 mg/min B. 0.5 to 0.75 mg/kg IV push C. 2 to 3 mg/kg IV push D. Give endotracheal dose 2 to 4 mg/kg E. 1 mg/kg IV push | 0.5 to 0.75 mg/kg IV push |
A patient has sinus bradycardia with a rate of 36 per minute. Atropine has been administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. The patient is confused and blood pressure is 100/60 mm Hg. Which of the following is now indicated? A. Give additional 1 mg atropine B. Start epinephrine 2 to 10 mg/min C. Start dopamine 10-20 mg/kg per minute D. Give normal saline bolus 250 mL to 500 mL | Start epinephrine 2 to 10 mg/min |
A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138. He is asymptomatic with a blood pressure of 110/70 mm Hg. He has a history of angina. Which of the following actions is recommended? A. Seek expert consultation B. Immediate synchronized cardioversion C. Give adenosine 6 mg IV bolus D. Give lidocaine 1 to 1.5 mg IV bolus | A. Seek expert consultation |
You arrive on-scene with the Code Team. High-quality CPR is in progress. An AED has previously advised “no shock indicated.” A rhythm check now finds asystole. The next action you would take is to: A. Call for a pulse check B. Place IV or IO access C. Attempt endotracheal intubation with minimal CPR interruption D. Place a Comitube or laryngeal mask airway | B. Place IV or IO access |
Which of following is most accurate regarding the administration of vasopressin during cardiac arrest? A. Vasopressin is indicated for VF and pulseless VT prior to the delivery of the first shock B. Vasopressin can be administered twice during cardiac arrest C. The correct dose of Vasopressin is 40 U administered IV or IO D. Vasopressin is recommended instead of epinephrine for the treatment of asystole | The correct dose of Vasopressin is 40 U administered IV or IO |
A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180 per minute. She becomes diaphoretic and blood pressure is 80/60 mm Hg. The next action is to: A. Perform immediate electrical cardioversion B. Establish IV and give sedation for electrical cardioversion C. Obtain 12 lead electrocardiogram D. Give amiodarone 300 mg IV push | A. Perform immediate electrical cardioversion |
A patient with a possible acute coronary syndrome has ongoing chest discomfort unresponsive to 3 sublingual nitroglycerin tablets. There are no contraindications and 4 mg of morphine sulfate was administered. Shortly, blood pressure falls to 88/60 mm Hg and the patient complains of increased chest discomfort. You would: A. Give nitroglycerin 0.4 mg sublingually B. Start dopamine at 2 pg/kg per minute and titrate to BP 100 mm Hg systolic C. Give normal saline 250 mL to 500 mL fluid bolus D. Give an additional 2 mg of morphine sulfate | C. Give normal saline 250 mL to 500 mL fluid bolus |