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Cardiac Arrest Algorithms (CPR, ACLS) · NCLEX Exam

Which is the correct order of steps in the ACLS adult cardiac arrest algorithm for a shockable rhythm?

  1. Give epinephrine first, then start CPR, then defibrillate.
  2. Start CPR, defibrillate, resume CPR, gain IV/IO access, give epinephrine, then consider an anti-arrhythmic.
  3. Defibrillate before starting any chest compressions.
  4. Administer amiodarone before delivering the first shock.
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Correct answer: Start CPR, defibrillate, resume CPR, gain IV/IO access, give epinephrine, then consider an anti-arrhythmic.

For VF/pVT: begin CPR, shock as soon as the defibrillator is ready, immediately resume CPR, obtain IV/IO access, give epinephrine every 3-5 minutes, and add an anti-arrhythmic after the second shock.

Difficulty: Medium Question 10 of 10

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