Advanced Cardiac Life Support

9 Questions | By Ericgunasekera | Last updated: Mar 22, 2022 | Total Attempts: 2627

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Based on Australian Resuscitation Guidelines 2006 found athttp://resus. Org. Au and UK Resuscitation Council Guidelines 2005 available at http://resus. Org. UkSome questions have more than one answer and all need to be answered to be given as correct. Click on show previous question to see answer.

Questions and Answers

1.

To find the correct position for hand placement when delivering chest compressions, one should:
- A.
  
  Place the heel of the hand over the centre of the chest
- B.
  
  Place the heel of the hand 2 finger breaths above the xiphisternum
- C.
  
  Place the heel of the hand over the xiphisternum
- D.
  
  Place the heel of the hand 1 finger breath above the xiphisternum
- E.
  
  Place the heel of the hand over the nipple line
2.

The rate of chest compressions per minute should be:
- A.
  
  60
- B.
  
  70
- C.
  
  80
- D.
  
  90
- E.
  
  100
3.

For an unwitnessed, in hospital VF/VT cardiac arrest, the sequence of actions is:
- A.
  
  3 'stacked' shock followed by a rhythm check
- B.
  
  3 'stacked' shocks followed by 2minutes of CPR (chest compressions/ventilation)
- C.
  
  1 shock followed by rhythm check
- D.
  
  1 shock followed by 2 minutes of CPR (chest compressions/ventilation)
- E.
  
  Pre cordial thump followed by 3 'stacked' shocks
4.

When using an unfamiliar biphasic defibrillator, the initial energy level selected is:
- A.
  
  360J
- B.
  
  260J
- C.
  
  200J
- D.
  
  150J
- E.
  
  100J
5.

When using a monophasic deifbrillator, the initial energy level should be:
- A.
  
  150J
- B.
  
  200J
- C.
  
  260J
- D.
  
  300J
- E.
  
  360J
6.

If the monitored rhythm is believed to be fine VF, the recommended action should be:
- A.
  
  Defibrillate
- B.
  
  Commence CPR
- C.
  
  Administer Amiodarone
- D.
  
  Administer Adrenaline
- E.
  
  Change gain settings
7.

In the protocol for VF/VT, adrenaline is administered:
- A.
  
  After every shock
- B.
  
  Before every shock
- C.
  
  Every 1-2 minutes
- D.
  
  Every 3-5 minutes
- E.
  
  After the second shock and with alternate shocks
8.

In the protocol for VF/VT, Amiodarone is given:
- A.
  
  A bolus of 300mg, followed by 150mg and an infusion of 15mg/kg over 24 hours
- B.
  
  After the 3rd shock, during rhythm check prior to 4th shock
- C.
  
  After Lignocaine 1mg/kg
- D.
  
  Via the endotraceal tube if intravenous access is not available
- E.
  
  Via the intraosseous route if intravenous access is not available
9.

During the resuscitation with an endotracheal tube in place,
- A.
  
  There is a pause for ventilation during CPR
- B.
  
  Oxygen should be turned off during defibrillation
- C.
  
  The ventilator or bag-valve device should be disconnected and moved 1m from the patient
- D.
  
  Nasal cannulae or oxygen mask should be moved 1m away from the patient during defibrillation attempts
- E.
  
  The use of self adhesive pads may minimise the risk of sparks compared to paddles