Complete Questions Answers Solved 100 Correct

ACLS Healthcare Provider ( Updated 2024 ) Complete Questions & Answers (Solved) 100% Correct

• Within the first 10 minutes, on the basis of the patient showing symptoms suggestive of

myocardial ischemia, what will your first actions include (if not completed by EMS before arrival)?

• Obtain a 12-lead electrocardiogram (ECG)
• Administer a blood thinner
• Administer aspirin and establish IV access
• Activate the ST-segment elevation myocardial infarction (STEMI) team
• If SPO2 is less than 90%, start oxygen
• Assess airway, breathing, and circulation (ABCs)
• Administer epinephrine 1 mg IV
• Consider nitroglycerin, morphine and a P2Y inhibitor

Answer:

• Obtain a 12-lead electrocardiogram (ECG)
• Administer aspirin and establish IV access
• Activate the ST-segment elevation myocardial infarction (STEMI) team
• If SPO2 is less than 90%, start oxygen
• Assess airway, breathing, and circulation (ABCs)
• Consider nitroglycerin, morphine and a P2Y inhibitor

• His initial vital signs are HR 120/min, BP 135/88 mm Hg, RR 23/min, SpO2 87%, and

temperature 37.3C. When considering oxygen saturation, what is your course of action?

• Intubate the patient immediately
• Administer albuterol nebulizer
• Do not start oxygen
• Start oxygen at 4L/min via nasal cannula

Answer: o Start oxygen at 4L/min via nasal cannula

• What additional question help you determine next steps?
• Do you take any medication?
• Do you have any allergies?
• When was the last time you went to the doctor?
• When did the symptoms start?
• Have you had any recent falls?

Answer:

• Do you take any medication?
• Do you have any allergies?
• When did the symptoms start?

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• Your patient continues to say that he has chest discomfort. What treatment can you repeat as

long as it is not contradicted by vital signs?

• Morphine sublingual every 1 to 3 minutes
• Morphine IV every 1 to 3 minutes
• Nitroglycerine sublingual or translingual every 3 to 5 minutes

• Nitroglycerine every 1 to 3 minutes

Answer: o Nitroglycerine sublingual or translingual every 3 to 5 minutes

• What is your interpretation of the patient's ECG tracing?
• Anterior ST-segment elevation of myocardial infarction (STEMI)
• Ventricular tachycardia
• Posterior ST-segment elevation myocardial infarction (STEMI)
• Normal sinus rhythm with premature ventricular contractions

Answer: o Anterior ST-segment elevation of myocardial infarction (STEMI)

• With the diagnosis of STEMI, what is the most probable treatment?
• Release to home
• Admission to an intensive car unit
• Admission for observation
• Admission for PCI or fibrinolysis

Answer: o Admission for PCI or fibrinolysis

• What is your goal for PCI when treating this patient?
• Door-to-balloon inflation time of 30 minutes
• First medical contact-to-balloon inflation time of 90 minutes
• Door-to-needle time of 90 minutes
• First medical contact-to-needle time of 30 minutes

Answer: o First medical con- tact-to-balloon inflation time of 90 minutes

• The patient's vital signs show HR 92/min, RR 14/min, BP 130/86 mm Hg, SpO2 97%, and

atrial fibrillation on the monitor. What additional assessment and stabilization activities should be completed with the first 10 minutes after the patient's arrival?

• Establish IV access
• Order an emergent CT scan or MRI of the brain and review patient history
• Monitor for worsening symptoms
• Activate the stroke team
• Complete neurologic screening
• Check glucose
• Administer O2

Answer:

• Establish IV access
• Order an emergent CT scan or MRI of the brain and review patient history
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