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A comprehensive set of questions and answers related to advanced cardiac life support (acls) procedures. It covers various aspects of acls, including the management of cardiac arrest, stroke, and respiratory distress. Designed to help healthcare providers prepare for acls certification exams and enhance their knowledge and skills in emergency medical care.
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fibrinolysis is the intended reperfusion strategy?"
"-obtain 12-lead ECG -administer ASA 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)
the basis of the patient showing symptoms suggestive of MI, what will your first actions include (if not completed by EMS before arrival)?"
135/88 mm Hg, RR 23/min, SpO2 87%, and temp 37.3C. When considering oxygen saturation, what is your course of action?"
that he has chest discomfort. what treatment can you repeat as long as it is not contraindicated by vital signs?"
most probable treatment?"
your goal for PCI when treating this patient?" "do you take any medication? do you have any allergies?
determine next steps?"
fibrinolytic checklist once the patient arrives in the emergency department?"
heart failure if the oxygen saturation is less than ______ or unknown."
stroke scale with 1 abnormal finding when scored by prehospital providers?"
certification?"
appropriate patients without contraindications after hospital arrival?"
acute ischemic stroke patients treated with IV thrombolytics?" "system structure processes
excellent functional outcome when alteplase is given to adults with an acute ischemic stroke within what time frame?"
stroke team or designee and non-contrast computed tomography or MRI performed after hospital arrival?"
endovascular therapy can be performed?"
typically associated with respiratory failure?"
device to produce visible chest rise for an adult patient in respiratory arrest?"
may prevent sufficient tidal volume in patients with poor lung compliance?"
difficulty breathing increased respiratory effort bilateral wheezing RR of 28 bpm O2 sat of 91% PETCO2 is 44 mmHG"
difficulty breathing nasal flaring, intercostal retractions, and use of accessory muscles RR of 28 bpm O2 sat of 92% PETCO2 is 36 mmHg"
fibrinolytic checklist once the patient arrives in the ED?"
every ___ seconds"
bag-mask ventilation?"
500 to ___ mL tidal volume"
device when providing 2-rescuer ventilation?"
nasopharyngeal airway that is too long?"
same as the distance from the tip of the nose to the"
complications of nasopharyngeal airway insertion into a patient with facial trauma?"
opening of a suction catheter when performing oropharyngeal suctioning?"
assessment of a conscious patient?"
adult in cardiac arrest with an advanced airway device in place?" "assess airway, breathing, and circulation
the ED who had been experiencing extreme shortness of breath and difficulty breathing. the patient loses consciousness on arrival: what initial actions should be taken?"
patient to the ED who had been experiencing extreme shortness of breath and difficulty breathing. the patient loses consciousness on arrival: the pt is not responding well to ventilation and suctioning. you decide to intubate the pt. in addition to clinical assessment, what is the single most reliable method of confirming and monitoring correct tube placement of the ET tube?"
that he fainted 45 min ago while watching TV. She said he has had a few episodes of confusion and fatigue during the past week. The pt presents w/ HR 30/min (weak pulse), BP 66/43 mmHg, RR 20/min, and SpO2 89%. He is alert and responsive: the pt is not responsive to treatments. VS are HR 40/min (weak pulse), BP 66/43, RR 18/min, SpO 91%. He is responsive but states that he feels tired. what should you consider?"
consistent capture is observed) should you allow when using the transcutaneous pacemaker?"
contraindication to the administration of nitro?"
management of acute coronary syndrome?"
patient assessment?"
patient's 12-lead ECG, you note ST-segment elevation of 2 min in leads II, III, and aVF. How would you classify the ECG findings?"
time for a patient receiving percutaneous coronary intervention?"
onset for early fibrinolytic therapy or direct catheter-based reperfusion for patients with ST- segment elevation myocardial infarction and no contraindications?"
the patient's ECG tracing?"
the brain suddenly ruptures into the surrounding tissue?"
onset for early fibrinolytic therapy or direct catheter-based reperfusion for patients with ST- segment elevation myocardial infarction and no contraindications?"
patients with suspected acute ischemic stroke?"
out-of-hospital neurologic evaluation tool contains 3 components: the facial droop, arm drift, and abnormal speech tests?"
what is an advantage of EMS alerting the receiving facility of the impending arrival of a patient with suspected acute ischemic stroke?"
of EMS transport to a stroke hospital for a patient with suspected acute ischemic stroke?"
adult at rest?" "-complete neuro screening -order an emergent CT scan or MRI of the brain and review patient history -activate the stroke team -establish IV access
130/86, SpO2 97%, and AFIB on the monitor. what additional assessment and stabilization activities should be completed within the first 10 min after the patient arrival?"
20 min after hospital arrival?" "do you have any allergies? do you take any medications? when did the symptoms start?
perform a physical and neuro exam.
while ventilating the patient, you hear loud gurgling sounds coming from the airway. what is your next action?" "altered mental status hypotension
vasopressor infusion in the management of unstable bradycardia unresponsive to atropine?" "Obtain a 12 lead ECG Establish IV access
the ED. Wife states that he fainted 45 min ago while watching TV. She said he has had a few episodes of confusion and fatigue during the past week. The pt presents w/ HR 30/min (weak pulse), BP 66/43 mmHg, RR 20/min, and SpO2 89%. He is alert and responsive: what should your next steps be to assess and treat this patient?"