Questions and Answers
Which of these tests should be performed for a patient with suspected stroke as early as possible but no more than 20 minutes after hospital arrival?
Which best describes this rhythm?
Monomorphic Ventricular Tachycardia
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway?
Measure from the corner of the mouth to the angle of the mandible
What treatment is best for a patient with a suspected stroke whose symptoms started 2 hours ago and has a normal CT scan?
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What is the recommended next step after a defibrillation attempt?
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Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient?
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What is the most important assessment step for a 58-year-old man experiencing chest discomfort with low blood pressure?
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What is the recommended duration of targeted temperature management after reaching the correct temperature range following cardiac arrest?
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What is the next step in your assessment of a patient who is unresponsive?
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Based on the presentation, which condition likely led to the cardiac arrest for a patient who had coronary stents placed 2 days ago?
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In addition to defibrillation, which intervention should be performed immediately for a cardiac arrest patient?
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Which drug and dose should you administer first to a patient in VFib despite 2 defibrillation attempts?
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Which other drug should be administered next to a patient remaining in VFib after giving epinephrine?
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What immediate post-cardiac arrest care intervention should you choose for a patient with ROSC who cannot follow commands?
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What would you have done first if the patient had not gone into VFib?
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How can you increase chest compression fraction during a code?
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What action should a team member take if unable to perform an assigned task due to it being beyond their scope of practice?
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In addition to clinical assessment, what is the most reliable method to confirm and monitor correct placement of the ET tube?
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Study Notes
Stroke Management
- Perform a noncontrast CT scan within 20 minutes of hospital arrival for suspected stroke.
- For a patient with stroke symptoms starting within 2 hours and no hemorrhage on CT, administer fibrinolytic therapy if no contraindications are present.
Cardiac Rhythms
- Monomorphic Ventricular Tachycardia is characterized by consistent QRS complexes.
- Signs of cardiac arrest in an unresponsive patient include agonal gasps.
Airway Management
- To select an appropriate oropharyngeal airway size, measure from the corner of the mouth to the angle of the mandible.
Post-Cardiac Arrest Care
- Targeted temperature management should be maintained for at least 24 hours after returning to the desired temperature range.
- Initiate targeted temperature management immediately if the patient has ROSC and cannot follow commands.
Defibrillation and CPR
- After a defibrillation attempt, quickly resume CPR with chest compressions.
- Increase chest compression fraction by charging the defibrillator 15 seconds before rhythm checks.
Patient Assessment
- In a patient with chest discomfort and hypotension (e.g., BP 92/50 mmHg), obtaining a 12-lead ECG is the most crucial next step.
- Checking breathing and pulse is the immediate next assessment step for an unresponsive patient.
Medications in Cardiac Arrest
- Administer 1 mg of Epinephrine as the first pharmacological intervention after defibrillation attempts in VFib.
- If VFib persists, follow with 1 to 1.5 mg/kg of Lidocaine.
Synchronized Cardioversion
- If a patient had not gone into VFib, synchronized cardioversion would be the initial intervention for severe distress due to chest discomfort.
Team Dynamics
- When a team member encounters a task beyond their scope of practice, they should request a new role or task to ensure effective team functioning.
Endotracheal Tube Confirmation
- The most reliable method to confirm correct placement of an endotracheal tube is through continuous waveform capnography.
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Description
Test your knowledge with these flashcards covering key concepts from the ACLS Exam A 2020. These questions focus on vital procedures and rhythms critical for advanced cardiac life support. Ideal for healthcare professionals preparing for certification or review.
