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Nursing · NCLEX-RN

Code Blue and Emergency Response Nursing

Basic ACLS algorithm concepts, rapid response activation criteria, and the nurse's role during a code.

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What does a 'Code Blue' announcement typically indicate in a hospital?
A patient in cardiac or respiratory arrest requiring immediate resuscitation
Recommended chest compression rate for adult CPR
100 to 120 compressions per minute
Recommended chest compression depth for an adult
At least 2 inches (5 cm)
Compression-to-ventilation ratio for one or two rescuers without an advanced airway (adult CPR)
30 compressions to 2 breaths
Why should rescuers allow full chest recoil between compressions?
It lets the heart refill with blood between compressions, improving perfusion
Maximum time recommended to check for a pulse during CPR
No more than 10 seconds
Which two cardiac arrest rhythms are shockable?
Ventricular fibrillation and pulseless ventricular tachycardia
Which two cardiac arrest rhythms are non-shockable?
Asystole and pulseless electrical activity (PEA)
Typical initial energy setting for a biphasic defibrillator in adult cardiac arrest
120 to 200 joules
Standard epinephrine dose given during adult cardiac arrest
1 mg IV or IO
How often is epinephrine repeated during cardiac arrest?
Every 3 to 5 minutes
First dose of amiodarone for shock-refractory VF or pulseless VT
300 mg IV or IO
What do the 'H's and T's' represent in ACLS?
A mnemonic for the reversible causes of cardiac arrest
Name one of the 'H's' in the ACLS reversible causes mnemonic related to oxygen
Hypoxia
Name one of the 'H's' in the ACLS reversible causes mnemonic related to blood volume
Hypovolemia

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