Advanced Life Support & Resuscitation Techniques Flashcards
7 cards from real ECC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Advanced Life Support & Resuscitation Techniques flashcards as text
During ACLS, a patient in pulseless ventricular tachycardia receives one shock. The rhythm immediately converts to sinus bradycardia at 38 bpm with a pulse. What is the next priority action?
Answer: Administer atropine 0.5 mg IV
Symptomatic bradycardia post-resuscitation is treated first with atropine 0.5 mg IV, repeated every 3–5 minutes up to 3 mg total.
A resuscitation team is performing CPR on an adult. The team member doing compressions is fatiguing. According to AHA guidelines, how often should compressor roles be rotated?
Answer: Every 2 minutes (each rhythm check)
Compressor roles should be switched every 2 minutes (at each rhythm check) to prevent fatigue and maintain high-quality compressions.
A patient in cardiac arrest has a waveform capnography reading that suddenly rises to 40 mmHg during CPR. What does this most likely indicate?
Answer: Return of spontaneous circulation (ROSC)
A sudden rise in ETCO2 to near-normal levels (≥40 mmHg) during CPR is a reliable indicator of ROSC.
Which of the following is the recommended vasopressor dose of epinephrine for cardiac arrest in adults?
Answer: 1 mg IV every 3–5 minutes
The standard dose of epinephrine in adult cardiac arrest is 1 mg IV/IO every 3–5 minutes.
A patient with witnessed VF receives a shock, CPR resumes, and after 2 minutes the rhythm is checked and shows organized activity. Which action is correct?
Answer: Check for a pulse
Any organized rhythm after a shock should prompt an immediate pulse check to determine if ROSC has occurred.
During asystole management, which intervention should be performed after confirming the rhythm in two leads?
Answer: Epinephrine 1 mg IV and high-quality CPR
Asystole is non-shockable; the correct approach is epinephrine 1 mg IV/IO every 3–5 minutes combined with high-quality CPR.
What is the recommended target fraction of chest compression time (CCF) during resuscitation according to current AHA guidelines?
Answer: Greater than 80%
Current AHA guidelines recommend a chest compression fraction (CCF) greater than 80% to maximize perfusion during resuscitation.