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
In a patient with refractory VF (VF persisting after 3 shocks), which dual sequential defibrillation approach is described in recent guidelines?
Answer: Deliver two simultaneous shocks with two defibrillators positioned front-to-back
Dual sequential external defibrillation uses two defibrillators to deliver shocks nearly simultaneously and may be considered for refractory VF.
A patient receives amiodarone 300 mg IV after the second shock for VF. What is the correct supplemental dose if VF persists after the next shock?
Answer: 150 mg IV
Following the initial 300 mg amiodarone dose, a second supplemental dose of 150 mg IV can be given for persistent or recurrent VF/pVT.
A patient with suspected tension pneumothorax in PEA arrest requires immediate intervention. What is the correct emergency treatment?
Answer: Needle decompression at the 2nd intercostal space, midclavicular line
Tension pneumothorax in cardiac arrest requires immediate needle decompression at the 2nd intercostal space, midclavicular line (or 4th/5th ICS anterior axillary line).
When using an IO (intraosseous) route during resuscitation, how should IV medications be administered to ensure adequate delivery?
Answer: Follow each drug with a 20 mL flush and elevate the extremity
IO medications should be followed by a 20 mL saline flush and elevation of the limb to facilitate drug delivery into central circulation.
A patient in cardiac arrest has a known history of opioid overdose. After two rounds of CPR with epinephrine, what additional intervention may be considered?
Answer: Naloxone 0.4–2 mg IV/IO/IM/IN
Naloxone 0.4–2 mg IV/IO/IM/IN may be administered in suspected opioid-associated cardiac arrest as an adjunct to standard ACLS.
Which ETCO2 value during CPR, sustained over 20 minutes, is generally associated with poor prognosis and may support consideration of resuscitation termination?
Answer: Less than 10 mmHg
An ETCO2 consistently below 10 mmHg after 20 minutes of CPR is associated with very poor prognosis and may support termination of resuscitation efforts.
A stable patient presents with atrial fibrillation with rapid ventricular response at 150 bpm and mild shortness of breath. Cardioversion is being considered. What energy level is recommended for synchronized cardioversion of atrial fibrillation?
Answer: 120–200 J biphasic
Synchronized cardioversion for atrial fibrillation typically begins at 120–200 J biphasic, as higher initial energies improve the likelihood of successful conversion.