ACLS Heartcode Exam Questions and Answers (Solved Papers) in cardiac arrest when do you first introduce medical intervention? which drug? - Correct Answers ✅after 2 rounds of CPR/shock after 2nd shock give 1 mg epinephrine every 3-5 minutes when do you introduce amiodarone during cardiac arrest? - Correct Answers ✅after the 3rd shock give 300 mg bolus of amiodarone if second dose is needed give 150mg as second dose what rhythms are shockable in cardiac arrest - Correct Answers ✅VF VT what rhythms are not shockable in cardiac arrest - Correct Answers ✅asystole PEA if you are in an unshockable rhythm arrest when do you give epi - Correct Answers ✅1mg epi every 3-5 minutes after 1st round of CPR what do you do after return of spontaneous circulation - Correct Answers ✅maintain O2 sat at 94% treat hypotension (fluids vasopressor) 1 / 4
ACLS Heartcode Exam Questions and Answers (Solved Papers) 12 lead EKG if in coma consider hypothermia if not in coma and ekg shows STEMI or AMI consider re- perfusion what are the 5 h's and 5 t's - Correct Answers ✅hypovolemia hypoxia hydrogen ion (acidosis) hypo/hyperkalemia hypothermia tension pneumothorax tamponade, cardiac toxins thrombosis, pulmonary thrombosis, coronary how do you treat non-symptomatic bradycardia - Correct Answers ✅monitor and observe what constitutes symptomatic bradycardia - Correct Answers ✅hypotension altered mental status 2 / 4
ACLS Heartcode Exam Questions and Answers (Solved Papers) signs of shock chest pain acute heart failure how do you treat symptomatic bradycardia - Correct Answers ✅1. give 0.5mg atropine every 3-5 mins to max of 3mg
if that doesn't work try one of the following:
transcutaneous pacing 2-10mcg/kg / minute dopamine infusion 2-10mcg/minute epinephrine infusion what is considered a tachycardia requiring treatment - Correct Answers ✅over 150 per minute when do you consider cardioversion - Correct Answers ✅if
persistent tachycardia is causing:
hypotension altered mental status signs of shock chest pain acute heart failure 3 / 4
ACLS Heartcode Exam Questions and Answers (Solved Papers) if persistent tachycardia does not present with symptoms what do you need to consider - Correct Answers ✅wide QRS?greater than 0.12 seconds If persistent tachycardia without symptoms DOES have a wide QRS what to do you do? - Correct Answers ✅IV access and 12 lead if available 6mg adenosine followed by NS flush only IF regular and monomorphic
consider anti-arrhythmic infusion:
- 20-50mg/min procainamide (max 17mg/kg)
- 150mg amiodarone over 10 minutes
- 100mg sotalol over 5 minutes
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which anti-arrhythmic drugs can be used if prolonged QT - Correct Answers ✅only amiodarone 150mg over 10 minutes, repeat if VT occurs follow by maintenance infusion 1mg/min for first 6 hours if persistent tachycardia without symptoms and without wide QRS what do you do - Correct Answers ✅IV access and 12 lead EKG if available