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Bhutan Advanced Cardiac Life Support

Bhutan Advanced Cardiac Life Support

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If Ventricular Fibrillation (VF) / pulseless Ventricular Tachycardia (VT) persists after the delivery of 2 shocks, Adrenaline and CPR, the next step is:

Give IV Amiodarone 300 mg every 3 to 5 minutes

Consider 3 stacked shocks at 200J, 300J and 360J

Stop the resuscitation

Give IV Amiodarone 300mg stat

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For the above rhythm, 6mg of Adenosine was given IV but was ineffective in terminating the rhythm. What is the next drug that should be administered?

Amiodarone 300mg IV

Adenosine 6mg IV repeat

Adenosine 12mg IV

Adrenaline 1mg IV

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A 65- year old male suffered a syncopal episode while golfing. The cardiac monitor shows a sinus tachycardia at 120/minute without ectopy. His blood pressure is presently 60/34 mmHg. Despite IV fluid therapy, the patient remains hypotensive. Of the following drugs, which might be considered for administration to this patient?

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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?

Asystole ecg

Epinephrine 1mg IV

Transcutaneous pacing

Atropine 0.5 mg iv

Endotracheal intubation

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A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been administered to a total dose of 3mg. A transcutaneous pacemaker has failed to capture. The patient is confused and her blood pressure is 88/56 mmHg. Which therapy is now indicated?

Epinephrine 2 to 10 mcg/min

Adenosine 6mg

Atropine 1mg

Normal saline 250 mL to 500 mL blous

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A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1mg IV twice, and an initial dose of amiodarone 300mg IV. The patient is intubated. Which best describes the recommended second dose of amiodarone for this patient?

150 mg IV push

100%

1 to 2 mg/min infusion

1mg/kg IV push

300 mg IV push

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What is the indication for the use of magnesium in cardiac arrest?

Shock refractory ventricular fibrillation

Pulseless ventricular tachycardia associated torsades de pointes

Ventricular tachycardia associated with a normal QT interval

100%

Shock refractory monomorphic ventricular tachycardia