Back to FlashcardsAdvanced Cardiovascular Life Support / ACLS Rescue Drugs Part 2
ACLS Rescue Drugs Part 2
This deck covers key questions and answers related to the administration of drugs during Advanced Cardiovascular Life Support (ACLS) scenarios.
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress and shocks have been given. One dose of epinephrine was given after the second shock. An antiarrhythmia drug was given immediately after the third shock. What drug should the team leader request be prepared for administration next? A. Escalating dose epinephrine 3 mg B. Sodium bicarbonate 50 mEq C. Repeat the antiarrhythmia drug D. Second dose of epinephrine 1 mg
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Key Terms
Term
Definition
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress and shocks have been given. One dose of epinephrine was given after the second shock. An antiarrhythmia drug was given immediately after the third shock. What drug should the team leader request be prepared for administration next? A. Escalating dose epinephrine 3 mg B. Sodium bicarbonate 50 mEq C. Repeat the antiarrhythmia drug D. Second dose of epinephrine 1 mg
D. Second dose of epinephrine 1 mg
A 35-year-old woman has palpitations, lightheadedness, and a stable tachycardia. The monitor shows a regular narrow complex QRS at a rate of 180 per minute. Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established. What drug should be administered IV? A. Adenosine 6 mg B. Atropine 0.5 mg C. Lidocaine 1 mg/kg D. Epinephrine 2 to10 pg/kg per minute
A. Adenosine 6 mg
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. Of the following, which drug and dose should be administered first by the IV/IO route? A. Atropine 1 mg B. Epinephrine 1 mg C. Sodium bicarbonate 50 mEq D. Vasopressin 20 U
B. Epinephrine 1 mg
A patient with a possible ST-segment elevation MI has ongoing chest discomfort. Which of the following would be a contraindication administration of nitrates? A. Use of phosphodiesterase inhibitor within 12 hours B. Heart rate 90 per minute C. Left ventricular infarct with bilateral rales D. Blood pressure great than 180 mm Hg
A. Use of phosphodiesterase inhibitor within 12 hours
A patient with possible ACS and a bradycardia of 42 per minute has ongoing chest discomfort. What is the initial dose of atropine? A. Atropine 0.1 mg B. Atropine 1 mg C. Atropine 3 mg D. Atropine 0.5 mg
D. Atropine 0.5 mg
A 62 year old man suddenly began to experience difficulty speaking and left-sided weakness. He is brought to the emergency department. He meets initial criteria for fibrinolytic therapy and a CT scan of the brain is ordered. Guidelines for antiplatelet and antithrombotic therapy are: A. Do not give aspirin for at least 24 hours if tPA is administered B. Give aspirin 160 mg and clopidogrel 75 mg orally C. Administer aspirin 160-325 mg orally chewed, immediately D. Administer heparin if CT scan is negative for hemorrhage
A. Do not give aspirin for at least 24 hours if tPA is administered
Related Flashcard Decks
| Term | Definition |
|---|---|
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress and shocks have been given. One dose of epinephrine was given after the second shock. An antiarrhythmia drug was given immediately after the third shock. What drug should the team leader request be prepared for administration next? A. Escalating dose epinephrine 3 mg B. Sodium bicarbonate 50 mEq C. Repeat the antiarrhythmia drug D. Second dose of epinephrine 1 mg | D. Second dose of epinephrine 1 mg |
A 35-year-old woman has palpitations, lightheadedness, and a stable tachycardia. The monitor shows a regular narrow complex QRS at a rate of 180 per minute. Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established. What drug should be administered IV? A. Adenosine 6 mg B. Atropine 0.5 mg C. Lidocaine 1 mg/kg D. Epinephrine 2 to10 pg/kg per minute | A. Adenosine 6 mg |
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. Of the following, which drug and dose should be administered first by the IV/IO route? A. Atropine 1 mg B. Epinephrine 1 mg C. Sodium bicarbonate 50 mEq D. Vasopressin 20 U | B. Epinephrine 1 mg |
A patient with a possible ST-segment elevation MI has ongoing chest discomfort. Which of the following would be a contraindication administration of nitrates? A. Use of phosphodiesterase inhibitor within 12 hours B. Heart rate 90 per minute C. Left ventricular infarct with bilateral rales D. Blood pressure great than 180 mm Hg | A. Use of phosphodiesterase inhibitor within 12 hours |
A patient with possible ACS and a bradycardia of 42 per minute has ongoing chest discomfort. What is the initial dose of atropine? A. Atropine 0.1 mg B. Atropine 1 mg C. Atropine 3 mg D. Atropine 0.5 mg | D. Atropine 0.5 mg |
A 62 year old man suddenly began to experience difficulty speaking and left-sided weakness. He is brought to the emergency department. He meets initial criteria for fibrinolytic therapy and a CT scan of the brain is ordered. Guidelines for antiplatelet and antithrombotic therapy are: A. Do not give aspirin for at least 24 hours if tPA is administered B. Give aspirin 160 mg and clopidogrel 75 mg orally C. Administer aspirin 160-325 mg orally chewed, immediately D. Administer heparin if CT scan is negative for hemorrhage | A. Do not give aspirin for at least 24 hours if tPA is administered |
A patient with an ST-segment elevation MI has ongoing chest discomfort. Fibrinolytic therapy has been ordered. Heparin 4000 U IV bolus was administered and a heparin infusion 1000 U per hour is being administered, and Aspirin was not taken by the patient because he had a history of gastritis treated 5 years ago. Your next action is to: A. Give 325 mg enteric-coated aspirin rectally B. Substitute clopidogrel 300 mg loading dose C. Give aspirin 160 to 325 mg chewed, immediately D. Give 75 mg enteric-coated aspirin orally | C. Give aspirin 160 to 325 mg chewed, immediately |
Which of the following statements about the use of magnesium in cardiac arrest is most accurate? A. Magnesium is contraindicated in VT associated with a normal QT interval B. Magnesium is indicated for shock-refractory monomorphic VT C. Magnesium is indicated for VF refractory to shock and amiodarone or lidocaine D. Magnesium is indicated in VF/pulseless VT associated with torsades de pointes | D. Magnesium is indicated in VF/pulseless VT associated with torsades de pointes |
A bradycardia rhythm IS treated when: A. Blood pressure is less than 100 mm Hg systolic with or without symptoms B. Chest pain or shortness of breath is present C. Heart rate is less than 60 per minute with or without symptoms D. The patient has an MI on the 12-lead electrocardiogram | B. Chest pain or shortness of breath is present |
A patient is in cardiac arrest. High-quality chest compressions are being given. The patient is intubated and an IV has been started. The rhythm is asystole. The first drug/dose to administer is: A. Dopamine 2 to 20 pg/kg per minute IV or IO B. Atropine 0.5 mg IV or IO C. Atropine 1 mg IV or IO D. Epinephrine 1 mg or Vasopressin 40 U IV or IO E. Epinephrine 3 mg via endotracheal tube (ET) | D. Epinephrine 1 mg or Vasopressin 40 U IV or IO |