This ACLS Quiz focuses on the bradycardia algorithm of the ACLS Protocol.
Answer all 10 questions and then your practice test will be graded.
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Question 1 of 10
1. Question
What is generally considered the most important and clinically significant degree of block?
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Question 2 of 10
2. Question
Which drugs are involved in the Bradycardia Algorithm?
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Question 3 of 10
3. Question
Bradyarrhythmia is defined as:
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Question 4 of 10
4. Question
Symptomatic bradycardia exists when_________.
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Question 5 of 10
5. Question
Symptoms of bradycardia include acutely altered mental status, signs of shock, and ischemic chest discomfort.
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Question 6 of 10
6. Question
Signs of symptomatic bradycardia include hypotension and acute heart failure
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Question 7 of 10
7. Question
The primary decision point in the bradycardia algorithm is the determination of:
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Question 8 of 10
8. Question
After it is determined that the patient does not have adequate perfusion your first step is to:
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Question 9 of 10
9. Question
What is the first-line agent for treatment of symptomatic bradycardia?
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Question 10 of 10
10. Question
Which rhythm is most likely to be associated with symptomatic bradycardia?
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Chantel Moody says
For the previous question about the HR for bradycardia being less than 60 I completly agree with that but my Bradycardia With a Pluse Algorithm say that “Heart rat typically <50/min if bradyarrhythmia."
Jeff with admin. says
Bradycardia include a number of abnormal rhythms that are collectively referred to as bradyarrhythmias. When dealing with the Bradycardia algorithm, you will most commonly see heart rates that are less than 50.
If a HR is great than 50 and less than 150 will not produce symptoms because blood perfusion is adequate.
Kind Regards,
Jeff
Elaine McKinney says
I have gone over this several times and I must say I am better for it and I will pass my ACLS on the 20th. THANKS
Diana Savallisch says
Why VT?
Jeff with admin. says
On page 113 of the AHA ACLS provider manual it states “With severe bradycardia,
some patients will develop wide-complex ventricular beats that can precipitate VT or VF.
Pacing may increase the heart rate and eliminate bradycardia-dependent ventricular rhythms.”
Jeff
aisha shafi says
The 3 must be present to call it symptomatic bradycardia.. that is what Jeff is trying to get at. Yes, a low heart rate is also defined as bradycardia but it will not be considered symptomatic because you have no symptoms relating to your slow heart rate.
ERNEST LINDSEY says
Great questions!!!!
elizabeth miles says
Marvelous and a bit challenging. This is working. I’d recommend this site to anyone! Nice work
camille costa-kuglin says
thank you 🙂
Heather Morrison says
I thought this was supposed to be the new 2010 ACLS Guidelines? I just heard in my ACLS class today NOT to use Atropine!
jeff with admin. says
Atropine is used for bradycardia but is no longer used in the pulseless arrest algorithm.
kathy brown says
Love it!!
Maya says
Helpful.
patience says
it is very helpful warm up
miguelt says
May I add… in the same manual (2006 version), p79, under “Symptomatic Bradycardia” it reads “… a well-trained athlete may have a heart rate in the 40 to 50 bmp range or occasionally lower.” Further down, under “A symptomatic bradycardia exists… 2. [when t]he patient has symptoms…[and] 3. [these] are due to the slow heart rate.”
Now Shawn, we hope you do not get brady (slow) with tachy (fast) cardic rhythms mixed up – as you state with “…diagnose bradycardia in a [pt.] with VT (ventricular tachycardia). What we should keep present is that we health care providers may end up using portions of several ACLS algorithms during a so-called code. Yes, it does happen.
The effort placed in this site is to help save lives. Get, and this goes to all readers, your BLS card, then get yourself ACLS-certified! And btw, the newly updated 2010 guidelines modify/streamline many aspects with a goal of making both BLS and ACLS more accesible to trained and untrained responders.
Valerie D. Brock says
Was beneficial the bradycardia test for a review
Shawn says
Signs of bradycardia include hypotension, orthostatic hypotension, diaphoresis, pulmonary congestion, frequent PVC’s or VT.
Explain to the world how you diagnose bradycardia in a PT with VT?
jeff with admin. says
Shawn,
Thanks for the comment. Bradycardia simply means “Any rhythm disorder with a heart rate less than 60 beats per minute.” (AHA ACLS Manual 2006 pg. 79 in the box titled “Definitions.) Also, quoted from AHA Manual pg. 79 “A symptomatic bradycardia exists clinically when 3 criteria are present: 1. The heart rate is slow.; 2. The patient has symptoms.; and 3. The symptoms are due to the slow heart rate. ” I hope that this helps your understanding.
jeff with admin. says
AHA ACLS Manual Pg. 81 toward the top of the page states “signs include hypotension; orthostatic hypotension …..frequent PVC’s or VT. ” When symptomatic bradycardia occurs, this can produce other intermittent arrhythmias . Short runs of PVC’s and VT can occur when symptomatic bradycardia occurs.
Shawn says
Symptomatic bradycardia exists when_________.
The heart rate is slow shouldn’t be part of this answer. I have a resting HR of 54 bpm without symptoms.
jeff with admin. says
Shawn,
Thanks for the comment. This question is taken straight out of the AHA Manual Pg. 79. The Manual says ““A symptomatic bradycardia exists clinically when 3 criteria are present: 1. The heart rate is slow.; 2. The patient has symptoms.; and 3. The symptoms are due to the slow heart rate.”
Your resting heart rate of 54 without symptoms would be classified as bradycardia not symptomatic bradycardia.
Thanks,
Jeff