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HEARTCODE ACLS ONLINE CLASS EXAM 2024-
ACTUAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES. GRADE A
12 lead ECG – ANS Only way to identify STEMI Among others which of the following factors has been associated with improved survival in patients with cardiac arrest? - ANSImmediate high quality CPR Anterior STEMI - ANSST segment elevation Before passing compressions - ANS15 seconds before passing through fashion at the end of each two minute cycle high-performance teams should check for a pulse, recharge the defibrillator, if he supposed to deliver a shock in 10 seconds or less Benefit of morphine when given for the management of acute coronary syndrome
- ANSCentral nervous system analgesia Benefits of implementing a rapid response system - ANSDecreased in hospital cardiac arrest IHCA Decreased ICU length of stay Decrease in total hospital length of stay Call for how quickly a fibrinolytic checklist should be completed - ANS10 minutes
Clinical deterioration that would prompt the activation of a rapid response system
- ANSSymptomatic hypertension Seizure Unexplained agitation Components of a rapid response system: - ANSEvent detection and response triggering arm A plant response such an RRT or MET Quality monitoring Administrative support Components of the systematic approach - ANSInitial impression BLS assessment Primary assessment (A, B, C, D, and E) Secondary assessment (sample, H,s and T,s) Coronary perfusion pressure (CPP) - ANSCPP = aortic diastolic pressure - right atrial diastolic pressure The higher the coronary perfusion pressure doing CPR, the higher the chances of survival Coronary perfusion pressure (CPP) equals aortic pressure minus atrial diastolic pressure - ANSAortic diastolic
Do not use an AED when - ANSManual defibrillator and appropriate staff are available During CPR, chest compression fraction (CCF) should be at least % and ideally greater than %. - ANSAt least 60 Ideally Greater than 80 Electrical defibrillation is the most effective way to treat - ANSPulseless ventricular tachycardia (PVT) Ventricular fibrillation (VF) Entire defibrillation sequence should take - ANSLess than five seconds examples of mutual respect - ANSEnsuring that only one person talks at a time Acknowledging correctly complete tasks in a positive way For a patient with STEMI the goals of reperfusion are - ANSFirst medical contact to balloon inflation within 90 minutes Door to drug (fibrinolytcs) In 30 minutes of arrival H causes a reversible cardiac arrest - ANSHyper kalemia/hypokalemia Hypoxia Hypothermia Acidosis
H's - ANSHydrogen ion/acidosis Hypo/hyper kalemia Hypothermia HIGH QUALITY CPR INCLUDES: - ANSCompress the chest hard and fast at least 2 inches at a rate of 100 to 120 for a minute (30:2) Allow the chest you completely recoil after each compression Minimize interaction in compression (CHS compression fracture). Switch compressors about every two minutes or earlier if the tea. The switch should only take about five seconds Avoid excessive Ventilation How do you interruptions in chess compressions negatively impact survival after cardiac arrest - ANSDecreased coronary perfusion pressure How quickly does the chance of survival decrease in patients with ventricular fibrillation every minute who do not receive bystander CPR - ANS7-10% How to give nitroglycerin - ANSOne sub lingual nitroglycerin tablet every 3 to 5 minutes for ongoing symptoms may repeat for a total of three doses
Most common symptom of myocardial ischemia and infarction - ANSRetrosternal chest pain Obtaining a________ Is the most important assessment tool for a patient displaying signs and symptoms of acute coronary syndrome - ANS12 lead ECG Oxygen should be delivered to a patient has obvious signs of heart failure if the oxygen saturation is less than ________ Or unknown - ANS90% Patient Outcome - ANSSatisfaction Quality Safety Primary advantage of using a stroke severity score - ANSHelps identify large vessel occlusion stroke Primary Assessment - ANSthe portion of patient assessment that focuses only on life threats, specifically ABCs A airway B breathing C circulation D disability (neurological function AVPU alert, voice, painful, and unresponsive E exposure (Signs of trauma, bleeding, burns, unusual markings, or alert bracelets) Process - ANSProtocols
Policies Procedures Properly functioning resuscitation equipment represents that element of a system of care? - ANSStructure Q - ANS Quantitative waveform capnography - ANSUses entitle CO2 to estimate tissue perfusion and quality of chest compressions Used with an advanced airway in place of a bag mask device Real time feedback devices - ANSHis best practice to use real time feedback devices during CPR such as a metronome, or metronome app on your mobile device Secondary Assessment Mnemonic - ANSS~signs and symptoms A~allergies M~medications P~pertinent Past Medical Information L~last Oral Intake E~events leading up to incident
Coronary thrombosis Toxins T's - ANSTension pneumothorax Cardiac Tamponade Thrombosis or pulmonary embolism Coronary thrombosis The BLS Assessment is a systematic approach to BLS for trained healthcare providers this approach stresses - ANSEarly CPR and defibrillation The interval from collapse to defibrillation - ANSIt's one of the most important determinants of survival from cardiac arrest, and early defibrillation is critical. the maximum amount of time you should simultaneously perform the pulse and breathing checks - ANS10 seconds The purpose of a rapid response team (RRT) or medical emergency team (MET) is to - ANSimprove patient outcomes by identifying and treating early clinical deterioration. The time goal for initiation of fibrinolytic therapy without contraindications after hospital arrival - ANS45 minutes
Unless allergies contra indications exist consider these 4 agents in patients with ischemic type chest discomfort - ANSOxygen for saturation less than 90% start at 4 L per minute Aspirin 162 to 325 mg if not given by EMS Nitroglycerin sublingual or translingual Morphine if Justine is not relieved by nature Coast trains Used bag mask device to - ANSGive continuous chest compressions with asynchronous ventilation once every six seconds What are the signs of clinical deterioration that was not the activation of a rapid response system? - ANSSeizure Unexplained agitation Symptomatic hypertension What defines chest compression fraction (ccf) - ANSActual chest compression time divided by total code time What electrocardiographic finding Is suggestive of high-risk non-ST segment elevation acute coronary syndrome - ANSDynamic T Wave inversion What is an example of summarizing and reevaluating - ANSIncreasing monitoring if the patient's condition deteriorates What is the best example of a role of a team member? - ANSPrepared to fulfill their role responsibilities
What tidal volume maintains oxygenation and elimination of carbon dioxide - ANS6-8l/ min Whenever compressions are paused - ANSCompressor should hover over the chest (not touching it) and be prepared for his integration Which action is part of the secondary assessment of a conscious patient? - ANSFormulate a differential diagnosis Which class of medication is commonly given to patients with acute coronary syndrome may be adversely affected by morphine administration - ANSOral antiplatelet medication Morphine cans of kris absorption of oral anti-platelet medication which include Plavix and others Which clinical finding represents a contraindication to the administration of nitroglycerin - ANSConfirmed right ventricular infarction Which clinical findings represents a contraindication to be administration of nitroglycerin - ANSConfirmed right ventricular infarction Which component of effective high-performance teams is represented by the use of real time feedback Devices? - ANSQuality Which demographic group experiencing acute coronary syndrome is more likely to present without chest pain - ANSFemales and older adults
Which high-performance team member is part of the resuscitation triangle - ANSMonitor/defibrillator/CPR Coach Which is the best example of a role of the team leader - ANSExcellent team behavior
