Advanced Responder

ACLS Prestudy With the 2011 AHA Updates Recertification & Certification
8:00 8: 15 8:30 8:45 9:00 9:30 9:45 10:00 11:00 12:00 12:15

Advanced Cardiovascular Life Support Prestudy

Agenda for Recertification
Welcome/Introduction AHA ACLS Overview Video Instructor presentation of lethal rhythms & pretest AHA Video ACLS Primary/Secondary Survey Instructor presentation of 2011 BLS AHA ACLS Video Airway Management AHA BLS Video Practice BLS with manikins/BMV/Barrier/AED Instructor presentation of ACLS AHA video of Heart Attack and Stroke AHA video of Mega Code Instructor presentation of Mega Code Skills stations Written exam

Agenda for Certification

Day One 8:00 Welcome, Introduction, Pretest 8:30 Lethal Rhythm Review & Practice 9:30 Primary and Secondary Survey Video/Practice 10:00 Airway Management 11:00 BLS Practice 12:00 Lunch 1:00 VF/PEA/Asystole 2:00 Bradycardias Tachycardias Acute Coronary Syndrome/Stroke Practice Skills Airway Management Defibrillation Cardioversion 3:00 Scenario Discussions if time allows 4:00 Mega Code instructor presentation Day Two 8:00 Putting it all together 9:00 Mega Code Review 10:00 Mega Code and Written evaluation 11:00 Remediation if appropriate

Nurses Educational Opportunities www.nursesed.net Toll Free 866.266.2229 Copyright 2011

Objectives
Upon the completion this ACLS course the learner will be able to: Simulate a team leader and a team member Simulate airway management Verbalize the steps to assist in intubation Verbalize 5 steps in confirming ET tube placement Verbalize the definition of ROCS Verbalize the Hs and Ts with the signs and symptoms and interventions Verbalize the four interventions for Bradycardia Verbalize the technique of managing the pacemaker Discuss an unstable tachycardia and the steps in cardioversion Discuss a stable tachycardia and appropriate drug interventions Verbalize the time frame required to initiate stroke interventions Discuss the signs and symptoms of ACS and interventions Discuss the signs and symptoms of acute stroke and interventions. Discuss therapeutic hypothermia Upon completion of the ACLS course the learner will be able to recognize and select appropriate drugs for the following rhythms: Ventricular Fibrillation PEA Asystole Supraventricular Tachycardia Rapid Atrial Fibrillation Torsades de Pointes Bradycardia 1st, 2nd, 3rd Degree Blocks Paced rhythm Upon completion of this ACLS course the learner will be able to Demonstrate BLS with the AED Demonstrate Respiratory Management with a pulse Demonstrate Respiratory Management without a pulse Demonstrate interventions of Bradycardia VF Asystole Demonstrate intervention of Unstable Tachycardia VF PEA ROSC Demonstrate intervention of Stable Tachycardia VF PEA ROSC

.The

Electrical Impulse

When the electricity goes through the heart it travels from the SA node to the AV node. As that occurs it causes the atrium to contract and a P wave appears on the EKG paper. When the electricity travels on through the Bundle Branches it causes the ventricles to contract and the QRS complex appears. When the heart goes through its resting phase the T wave appears. If you have a P wave, QRS complex, and a T wave you have a Sinus Rhythm. A Q wave is an abnormal wave and should no appear. It is a downward deflection in the QRS complex. It indicates an infarction has or is occurring. To determine the age of the infarction we must examine the isoelectric line. The isoelectric line should be level as it is seen in the tracing on the following page. The dark heavy line that enters the QRS complex is at the same level that comes out of the QRS complex. This line may come out of the QRS complex elevated or depressed. Note the elevation in the above complex. Examine the 12-lead EKG on page 6. Note the elevation in Lead I and Lead AVL. Note the depression in V3 and V4. Q waves with ST segment elevation may indicate an ST segment elevated myocardial infarction (STEMI) and rapid and early reperfusion is essential for optimal outcome There are several ways to determine the rate of the rhythm. Your NEO instructor will show you the following way in class. Memorize the numbers in red on the next page. You may want to memorize them in groups of three. (300-150-100) (75-60-50) Then find a complex that lands on a bold line. Go to the next bold line and say 300, then 150, then 100, then 75, then 60. The second complex landed between 60 and 75. In resuscitation. Approximate rates are all that you need to know. The following rhythm is a sinus rhythm with a rate 60-75 bpm. There is no Q wave. The isoelectric line is level. The T wave is upright.