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ACLS Bradycardia Quiz #2 focuses on the bradycardia algorithm of the ACLS Protocol.
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Question 1 of 10
1. Question
The correct dose of atropine given in the bradycardia algorithm is:
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Question 2 of 10
2. Question
The correct dose of dopamine given in the bradycardia algorithm is:
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Question 3 of 10
3. Question
The key clinical question when determining steps to take for the patient with symptomatic bradycardia is:
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Question 4 of 10
4. Question
The treatment sequence for bradycardia with poor perfusion is:
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Question 5 of 10
5. Question
Transcutaneous pacing should be started immediately if:
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Question 6 of 10
6. Question
If transcutaneous pacing is ineffective for symptomatic bradycardia, the next step would be to prepare for:
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Question 7 of 10
7. Question
(True or False)
Atropine doses of less than 0.5mg may paradoxically result in further slowing of the heart rate.CorrectIncorrect -
Question 8 of 10
8. Question
For bradycardia unresponsive to atropine, what other drug should be considered?
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Question 9 of 10
9. Question
The treatment of choice for symptomatic bradycardia with signs of poor perfusion is ____________.
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Question 10 of 10
10. Question
The correct dose of epinephrine given in the bradycardia algorithm is:
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Dr Janet j says
It is very useful for everyone appearing for ACLS condition God bless you.
Daba George Warmate says
Thanks Jeff for the differentiation on trans VENOUS and transcutaneous pacing
Rosali Elizabeth says
Informative discussions. Great indeed.
Roberta Choban says
Question 7 if transcutaneous pacing is ineffective you have the the answer as prepare for transcutaneous pacing? Please explain???
Jeff with admin. says
The answer was “prepare for transVENOUS pacing.” TransVENOUS pacing is used when transcutaneous pacing is ineffective.
With transCUTANEOUS pacing, pacer patches are placed on the exterior skin surface. And the electrical impulse is delivered through all of the tissue. There can be a high degree of electrical impedance.
TransVENOUS pacing is when intravenous guide wire delivers electrical impulses directly into the venous system. The transmission of the electrical impulse for transVENOUSpacing is much more effective than transCUTANEOUS pacing.
Kind Regards, Jeff
jamieringel says
The last question asks what would be the first-line treatment for symptomatic bradycardia. Is it not atropine and THEN TCP? Isn’t atropine tried first unless you’re dealing with 2nd degree Type II or 3rd degree heart block?
Jeff with admin. says
The question reads: “The treatment of choice for symptomatic bradycardia with signs of poor perfusion is ___________?”
Atropine would be the drug of choice, however, if signs of poor perfusion is present, TCP becomes the treatment of choice and should not be delayed.
AHA ACLS Manual pg. 126 Transcutaneous pacing should not be delayed for patients who are unstable due to a slow heart rate. It is noninvasive and has a high rate of success for improving the clinical condition of patients with symptomatic bradycardia.
Kind regards, Jeff
JUDITHGRAHAM says
WOULD A DNR NOT BE THE PRIMARY CONSIDERATION?
Jeff with admin. says
With regard to a patient with symptomatic bradycardia, DNR would not be a consideration because the patient is still alive and does not need resuscitation. The patient with symptomatic bradycardia needs increased cardiac output. DNR (do not resuscitate) is only a consideration for the patient that is dead or pulseless and in need of resuscitation.
Kind regards,
Jeff