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 dopamine given in the bradycardia algorithm is:
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Question 2 of 10
2. Question
The key clinical question when determining steps to take for the patient with symptomatic bradycardia is:
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Question 3 of 10
3. Question
The treatment sequence for bradycardia with poor perfusion is:
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Question 4 of 10
4. Question
Transcutaneous pacing should be started immediately if:
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Question 5 of 10
5. Question
If transcutaneous pacing is ineffective for symptomatic bradycardia, the next step would be to prepare for:
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Question 6 of 10
6. Question
(True or False)
Atropine doses of less than 0.5mg may paradoxically result in further slowing of the heart rate.CorrectIncorrect -
Question 7 of 10
7. Question
For bradycardia unresponsive to atropine, what other drug should be considered?
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Question 8 of 10
8. Question
If atropine fails, the treatment of choice for symptomatic bradycardia with signs of poor perfusion is ____________.
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Question 9 of 10
9. Question
The correct dose of epinephrine given in the bradycardia algorithm is:
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Question 10 of 10
10. Question
The correct dose of atropine given in the bradycardia algorithm is:
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ioanarn53@yahoo.com says
Except for a comment I made previously about VT in a bradycardia algorithm, this site is exceptional !
Exceptionally written and prepared, thank you, thank you, you are making our lives easier !
Kay says
Jeff,
I wish you would just go ahead and take this test for me.
rosamaria says
What a good idea, can you take it for me too.
Jeff with admin. says
Sorry, No can do 🙂
But I can do the next best. I can help you get ready! 🙂
Study away!!
jason peacock says
this is directed at question 7,
“If Transcutaneous pacing is ineffective for symptomatic bradycardia, the next step would be to prepare for:”
transvenous pacing is to my knowlege out of the scope of practice for a pre hospital setting, i understand they would need it if TCP was ineffective, but what could i do to help the patient if
nothing is effective in reversing the brady arrythmia.
Jeff with admin. says
If Atropine had already been attempted, epinephrine and dopamine infusions at the prescribed rates for bradycardia. If this failed and the patients perfusion was severely compromised (to the point of unconsciousness) it would be acceptable to start CPR until the heart rate could be increased to an adequate level to restore perfusion.
claudette mcCormack says
Hi again, sorry, but I have another ?. I thought that Dopamine gtts. in the range of 2-5mcg/kg/min were for renal dose & would not have sig. effect on B.P., so I incorrectly selected the wrong ans. (5-10 ug/kg/min.) Thanks!
Jeff with admin. says
The main purpose for these dosage recommendations from page 110 of the AHA provider manual in the bradycardia section are to increase heart rate. Research has shown these dosages when used as an infusion to effectively increase the heart rate. In fact in some cases they have been show to be as effective as TCP.
claudine marshall says
what is the difference between transcutaneous pacing and transvenous pacing????
Jeff with admin. says
Transcutaneous pacing is accomplished by delivering pulses of electric current through the patient’s chest, which stimulates the heart contract.
Transvenous pacing is achieved by threading a pacing electrode through a vein into the right atrium, right ventricle, or both.—Jeff
claudine marshall says
this dose of epinephrine 10 mcg/min? Is this given via IV???
Jeff with admin. says
Yes, the epinephrine in this situation is given IV.
DANNY HALL says
So if you have transcutaneous pacer in one hand and atropine in the other hand, which do you go with? Does it depend on the severity of symptoms?
Jeff with admin. says
Yes, it depends on the severity of the symptoms. If they are symptomatic and deteriorating, I would go with the TCP. If they are stable with mild symptoms, I would first attempt atropine. (Unless it is Mobitz II or 3rd degree block). Since Mobitz II and Complete Heart Block are almost always associated with myocardial infarction, it would be ideal to keep the HR slow (50-60) to increase diastolic filling time. Anytime you increase HR, the diastolic filling time is what takes the biggest hit. Mobitz I is not usually associated with MI. –Regards, Jeff
leslie fulton says
Say I’m in the back of a jet and TCP is ineffective with a symptomatic brady patient. Then what?
Appreciate the site!
Jeff with admin. says
Increase the pacing dose of electricity for TCP. Consider epinephrine or dopamine infusion per the bradycardia protocol. Pray 🙂
Looralea825@yahoo.com says
Funny!!
Elaine McKinney says
I work in an area where I very seldom see strips if at all,so this has been very helpful.THANK you
Steve Dickman says
Thanks Jeff, that makes more sense on Transvenous pacing.
Patricia Niccum says
Thanks Chris, miss read the question : )
Patricia Niccum says
I don’t understand why the answer for #7 in Bradycardia is prepare for TCP when the statement above it say TCP was ineffective?
Chris with admin. says
The answer to question 7 is actually to prepare for Transvenous pacing. Frequently Transvenous pacing is successful when Transcutaneous pacing has not been successful. As the electrodes are inserted directly into the right ventricle, the electrical impulse is much more effective. I hope this helps.
Chris
angel morales says
Thanks Jeff!!!!
Dorothy Whittam says
Extremely helpful.Thank you for all of your hardwork.
Anna says
I really enjoyed using your site to review for ACLS; even after 30 years of ICU nursing. It was fun and informative.