ACLS Cardiac Arrest Mastery

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Rhythms, treatments, priorities

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Stephanie costa

Estados Unidos

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ACLS Cardiac Arrest Mastery


ACLS Cardiac Arrest MasteryVersión en línea Rhythms, treatments, priorities por Stephanie costa 1 What is the first-line rhythm detected in a shockable cardiac arrest when initiating CPR? a Asystole b Ventricular fibrillation c Torsades de pointes d Pulseless electrical activity 2 Which defibrillation energy is recommended for a monophasic shock in biphasic era guidelines? a 600 J b 200 J c 150 J d 360 J 3 In a shockable rhythm, what is the recommended time to check rhythm after delivering a shock? a 5 minutes b 30 seconds c 2 minutes d 1 minute 4 What is the recommended compression-to-ventilation ratio for adult CPR with two rescuers? a 15:2 b 20:2 c 30:2 d 30:3 5 Which drug is first-line during cardiac arrest after the initial shock? a Norepinephrine b Amiodarone c Lidocaine d Epinephrine 6 When should amiodarone be considered in cardiac arrest? a Before CPR b After failed defibrillation c In asystole only d Only in pediatric arrest 7 What should be done immediately for PEA or asystole? a High-quality CPR b Immediate intubation c Vasopressin only d Defibrillation 8 Which vasopressor is commonly used in cardiac arrest? a Vasopressin b Epinephrine c Dopamine d Phenylephrine 9 What is a key objective during the first minutes of cardiac arrest management? a Delay meds until ROSC b Restore perfusion with CPR c Focus on airway only d Ignore rhythm and monitor only 10 Which rhythm is non-shockable? a Torsades de pointes b Asystole c Ventricular fibrillation d pulseless VT 11 After a shock, when is a rhythm check recommended? a Never check until ROSC b After 5 minutes c Immediately after 2 minutes of CPR d Only during transport 12 What is the target CPR depth for adults during arrest? a 3 inches (7.5 cm) b 1 inch (2.5 cm) c At least 2 inches (5 cm) d 4 inches (10 cm) 13 Which condition warrants immediate defibrillation: VF or PEA? a Asystole b Ventricular fibrillation c Tachycardia with pulse d Pulseless electrical activity 14 Which antiarrhythmic is commonly used after recurrent shockable arrests? a Amiodarone b Procainamide c Adenosine d Sotalol 15 In hypoxic arrest, what adjunct supports CPR? a No ventilation b Immediate surgery c Ventilation with high-quality rescue breaths d Defibrillation only 16 Which scenario suggests a shockable rhythm requiring defibrillation? a Pulseless VT with a rapid rhythm b Pulseless VT with no shock advised c Asystole d PEA 17 What is the recommended pacing view for refractory arrests? a Avoid routine pacing during initial arrest b Never pace in any arrest c Pace before any defibrillation d Pace immediately after first shock 18 Which medication is often given for suspected vasoplegia during ROSC? a Calcium chloride b Adenosine c Vasopressin or norepinephrine d Nitroglycerin 19 What is the recommended sequence during a witnessed cardiac arrest with a shockable rhythm? a Immediate CPR with ongoing defibrillation attempts b Defibrillate only c Wait for ambulance d Ventilate, then CPR later 20 Which factor indicates a poor prognosis during arrest? a Early defibrillation b Prompt bystander CPR c Short downtime to ROSC d Prolonged downtime before CPR Feedback 1 VF is the primary shockable rhythm; asystole/PEA are non-shockable. 2 Monophasic historically used 360 J; today energy depends on device type. 3 Post-shock assessment is done after 2 minutes of CPR or rhythm check. 4 Standard is 30 compressions to 2 breaths for single rescuer; two rescuers use 15:2. 5 Epinephrine is given every 3–5 minutes during arrest; antiarrhythmics follow if needed. 6 Amiodarone is for recurrent VT/VF after defibrillation attempts fail. 7 PEA/asystole require continuous CPR and vasopressors; defibrillation is not indicated. 8 Epinephrine is standard; vasopressin is less common now. 9 Immediate high-quality CPR to maintain perfusion is priority. 10 Asystole is a non-shockable rhythm; VF/VT are shockable. 11 Check rhythm after 2 minutes of CPR or if ROSC is suspected. 12 Adequate depth ~5 cm is recommended to generate perfusion. 13 Shock for VF; PEA/Asystole require CPR/meds, not shock. 14 Amiodarone reduces recurrent VT/VF shocks. 15 Airway and breathing are essential alongside chest compressions. 16 Pulseless VT is shockable; asystole/PEA are not. 17 Pacing is not first-line in initial AHAs; focus on CPR and shocks. 18 Vasopressors support perfusion during ROSC and post-arrest care. 19 Prompt CPR and serial shocks optimize survival. 20 Long no-flow time correlates with worse outcomes.

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ACLS Cardiac Arrest Mastery

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Creada por

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ACLS Cardiac Arrest MasteryVersión en línea

por Stephanie costa

What is the first-line rhythm detected in a shockable cardiac arrest when initiating CPR?

Which defibrillation energy is recommended for a monophasic shock in biphasic era guidelines?

In a shockable rhythm, what is the recommended time to check rhythm after delivering a shock?

What is the recommended compression-to-ventilation ratio for adult CPR with two rescuers?

Which drug is first-line during cardiac arrest after the initial shock?

When should amiodarone be considered in cardiac arrest?

What should be done immediately for PEA or asystole?

Which vasopressor is commonly used in cardiac arrest?

What is a key objective during the first minutes of cardiac arrest management?

Which rhythm is non-shockable?

After a shock, when is a rhythm check recommended?

What is the target CPR depth for adults during arrest?

Which condition warrants immediate defibrillation: VF or PEA?

Which antiarrhythmic is commonly used after recurrent shockable arrests?

In hypoxic arrest, what adjunct supports CPR?

Which scenario suggests a shockable rhythm requiring defibrillation?

What is the recommended pacing view for refractory arrests?

Which medication is often given for suspected vasoplegia during ROSC?

What is the recommended sequence during a witnessed cardiac arrest with a shockable rhythm?

Which factor indicates a poor prognosis during arrest?

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