ACLS Practice Questions   ACLS PALS

The best answer is: hypovolemia, fever and pain

Sinus tachycardia is most often caused by: (underlying issues)

1. severe anxiety

2. fever

3. pain

4. hypovolemia

The best answer is: not at all likely that this patient has developed asystolic cardiac arrest vs. a transient pause

An asystolic cardiac arrest is almost always observed secondary to fatal issues. In addition, asystolic cardiac arrest is never transient and ends with a rapid return to stability. A diagnosis of asystole usually means essentially no good outcome likely. Thus, this patient presented with a history of what is likely a similar episode. All of this information suggests a transient conduction defect is present. With that in mind, CPR, epinephrine, etc. would be potentially dangerous choices. Atropine or immediate transcutaneous cardiac pacing would be the most efficient interventions. People whose ECG leads become detached do not turn blue and lose consciousness as a result. This young woman may be a candidate for a permanent cardiac pacemaker.

The best answer is: b. false

Health care professionals usually have no automatic duty to provide medical care to a person with whom no contract to do so exists. Some states have created certain automatic obligations, thus, a wise practitioner should understand the laws which govern their practice.

The best answer is: hyperthermia

The most recent ECC Guidelines list hypovolemia; hypoxia; hypothermia; tension pneumothorax; cardiac tamponade; toxins; and, thrombosis as potentially reversible causes of PEA. The clinical reality is that the patient should never die of an undetected/untreated tension pneumothorax. Treatment is simple and straight-forward. The others on the list are often too massive to treat fast enough to achieve return of spontaneous circulation.

The best answer is: true

Initiation of oral beta blocker therapy within the first 24 hours of ST elevation myocardial infarction (STEMI) is recommended unless there is a contraindication.