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7- Advanced Cardiac Life Support (ACLS 67)

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A patient has a

rapid irregular wide-complex tachycardia. The ventricular rate is 138. He is

asymptomatic with a BP of 110/70-. He has a history of angina. Which of the

following actions is recommended?

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A patient is in cardiac arrest. VFib has been refractory to an initial

shock. Of the following, which drug and dose should be administered first

by IV/IO route?

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A patient with a

possible acute coronary syndrome has ongoing chest discomfort unresponsive to 3

sublingual nitroglycerine tablets.

 There are no contraindications

and 4 mg of morphine sulfate was administered. Shortly, BP falls to 88/60 and

the patient complains of increased chest discomfort. You would:

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Which medications should be considered in the

treatment of acute coronary syndromes

?

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Which of the following is most likely the result

of an untreated arrhythmia?

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A 62-year-old man suddenly began to experience difficulty speaking and

left-sided weakness. He is brought to the ER. He meets initial criteria for fibrinolytic

therapy and a CT scan of the brain is ordered. Guidelines for antiplatelet and

antithrombotic therapy are:

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A patient with possible ACS and a bradycardia of 42/min has ongoing

chest discomfort. What is the initial dose of atropine?

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Which of the following is NOT a cardiac arrest

rhythm?

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A 46 year old intubated male is receiving CPR

following a witnessed cardiac arrest.  Which of the following describes

the perfomance of CPR on a patient with an advanced airway

?

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A patient with an ST-segment elevation MI has ongoing chest discomfort.

Fibrinolytic therapy has been ordered. Heparin 4000 U IV bolus was

administered and a heparin infusion 100 U per hour is being administered,

and Aspirin was not taken by the patient because he had a history of gastritis

treated 5 years ago. Your next action is to:

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