ACLS Practical application

What is the recommended compression rate for high-quality CPR

100 to 120 compressions per minute

What action minimizes the risk of air entering the victim's stomach during bag-mask ventilation?

ventilation until you see the chest rise

How does complete chest recoil contribute to effective CPR?

allows maximum blood return to the heart

Your patient is not responsive and is not breathing. You can palpate carotid pulse. Which action do you take next?

start rescue breathing

You are providing bag-mask ventilations to a patient in respiratory arrest. How often should you provide ventilations?

about every 5-6 seconds

What action should you take immediately after providing an AED shock?

resume chest compressions

Your patient is a 56 year old woman with a history of type 2 diabetes who reports feeling dizzy. She is pale and diaphoretic. Her blood pressure is 80/60 mm Hg. The cardiac monitor documents the rhythm shown here. She is receiving oxygen at 4 L/min by nas

Atropine 0.5 mg IV

You are the code team leader and arrive to find a patient with CPR in progress. On the next rhythm check you see the rhythm shown here. (normal) Team members tell you that the patient was well but reported chest discomfort and then collapsed. She has no p

Epinephrine 1 mg

You arrive on the scene to find CPR in progress. Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapsed. Two shocks have been delivered, and an IV has been initiated. What do you administer now?

Epinephrine 1 mg IV

how often should you switch chest compressors?

every 2 minutes

A 45 year old women with a history of palpitations develops light-headedness and palpitations. She has received adenosine 6 mg IV for the rhythm shown here (gradual SVT), without conversion of the rhythm. She is now extremely apprehensive. Her blood press

administer adenosine 12 mg IV

Your patient is not responsive and is not breathing. You can palpate a carotid pulse. Which action do you take next?

start rescue breathing

A patient 12 lead ecg is transmitted by paramedics and shows a STEMI. When patient arrives in the ED the same rhythm is occurring. The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. Blood pressure is 104/70

reperfusion therapy