CPCR (Ngwenyama)

Question 1

What is CPA?

Answer 1

Cardiopulmonary arrest - sudden cessation of spontaneous respiration and heartbeat

Question 2

What is the most common cause of CPA in small animals?

Answer 2

Due to systemic illness (affects multiple organ systems)

Question 3

What are the types of cardiac arrest arrhythmia?

Answer 3

• Asystole (most common)
• Pulseless Electrical Activity (PEA)
• Pulseless ventricular tachycardia
• Ventricular fibrillation

Question 4

What is the cause of asystole?

Answer 4

high vagal tone, or hyperkalemia

Question 5

Ventricular tachycardia is more common with what kinds of diseases?

Answer 5

DCM…

Question 6

What are the steps to CPCR according to RECOVER

Answer 6

Preparedness and Prevention
Basic life support (ventilation, chest compressions)
Advanced life support
Monitory
Post arrest care

Question 7

Why don’t we want to go straight to a high dose Epinephrine with CPR

Answer 7

Too much will cause poor CO from too high of a heart rate

Question 8

Which drug should you reach for first with advanced life support

Answer 8

it depends, but generally Atropine since most arrests are asystole and are caused by high vagal tone

Question 9

When is the only time you need to use a defibrillator?

Answer 9

during ventricular fibrillation

biphasic better than monophasic

Question 10

What should be monitored during CPRC?

Answer 10

ETCO2 to indicate perfusion and effectiveness of CPRC

Question 11

There is no evidence to support routine use of which drugs?

Answer 11

corticosteroids

anti-seizure prophylaxis, mannitol, or metabolic protectants

Question 12

What does the Impedance Threshold Device (ITD) do?

Answer 12

Lowers intrathoracic pressures during chest decompression phase of CPR which may increase venous return to heart

Question 13

What is the prognosis for anesthesia-related arrests?

Answer 13

47%

Question 14

Overall CPR survival rate?

Answer 14

4-9.6%