Advanced Cardiac Life Support
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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.
- 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.
- 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
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