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1
Q

I’m what does CAB stand for?

A

Chest compressions airway breathing

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2
Q

What are the steps of CPR?

A

Check carotid artery
Chest compressions
Open airway with head tilt, chin lift
Ventilations

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3
Q

How long do you check the carotid artery for?

A

At least five seconds no longer than 10 seconds

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4
Q

How often do you administer rescue breathing?

A

10 breaths per minute
One every six seconds

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5
Q

How do you know if you’re giving enough air to a patient?

A

Be patient till chest rises once rise is stopped squeezing bad

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6
Q

How many compressions do you give?

A

30 compressions

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7
Q

How many breaths do you give?

A

Two breaths

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8
Q

What is the ratio of compressions to breaths for how many cycles?

A

30 to 2
Five cycles before you switch

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9
Q

When do you switch CPR?

A

Every two minutes

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10
Q

How soon should compressions be initiated within recognition of the rest?

A

10 seconds

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11
Q

At what rate should compressions be given?

A

100 to 120
Each set of 30 compression should take a approximately 18 seconds or less

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12
Q

What is the depth of of a compression?

A

2 inches

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13
Q

Why should compressions not be given at a rate greater than 120?

A

It does not allow the chest to recoil not allowing enough perfusion

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14
Q

What is the newest position in a code team called?

A

CPR coach

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15
Q

What is the adult ventilation rate with or without an advanced airway?

A

10 bpm

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16
Q

What is the adult ventilation rate with or without an advanced airway?

A

10 bpm

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17
Q

How often do you rotate your CPR coach?

A

Every two minutes

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18
Q

How often do you rotate your CPR coach?

A

Every two minutes

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19
Q

What are alternatives to CPR Coach?

A

Electrodes that test CPR standards
Check for CO2

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20
Q

Why do you avoid hyperventilation during CPR with a basic airway

A

It will fill the belly faster

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21
Q

Why do you avoid hyperventilation during CPR with a basic airway

A

It will fill the belly faster

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22
Q

Why do you avoid hyperventilation with an advanced airway?

A

It decreases cardiac output

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23
Q

Why do you avoid hyperventilation with an advanced airway?

A

It decreases cardiac output

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24
Q

When is an IO recommended for drug therapy?

A

When a peripheral IV cannot be established

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25
How many attempts do you get to put in a peripheral IV in a patient who is coding?
Two attempts
26
How many attempts do you get to put in an IO
1 Attempt in bone
27
What are three general locations in intraosseous can be placed?
Sternum Humoral head Proximal tibia
28
What are some contraindications of IO?
Fractures
29
What is the recommended use? If the HCP is not proficient and intubation techniques?
LMA or supraglottic tube
30
What is the preferred device used to determine if an ET is in the right placement?
Continuous quantitive waveform capnography
31
What is the minimum acceptable CO2 return?
10
32
What do you do if the CO2 return is under 10?
Fix CPR and give lots of fluids
33
What does it mean when the CO2 return is closer to 35?
You were closer to resuscitation
34
What is the baseline of CO2?
35 to 45
35
What do you use to treat V fib or pulse less VTach
Amiodarone Or lidocaine
36
What can a dopamine drip at?
5 to 20 mcg/kg/min
37
If a patient is bradycardia and inotrope forces myocardial contraction to what
Increase blood pressure
38
If a patient has bradycardia, how much atropine do you get them?
1 mg
39
How often do you give atropine
3 to 5 minutes do not exceed 3 mg
40
How often do you give atropine
3 to 5 minutes do not exceed 3 mg
41
What is the number one cause of bradycardia?
Ischemia Myocardial lack of O2
42
After an cardiac resuscitation occurs in the patient is resuscitated. What is the range of oxygen saturation?
92 to 98
43
What is the normal range of a non-arrest patient for oxygen
95 to 98
44
What are the positions of a CPR team?
One CPR 2. airway management 3. Vascular access (priority order) 4. Timekeeper recorder. 5. Cardiac monitoring defibrillating. 6. Team leader.
45
What are the rules of vascular access during a code?
It is the priority order You have two attempts at a peripheral IV Then you change to IO Then you get a central line
46
What does the timekeeper recorder do?
Runs crash cart documents everything that happens in legal timeline
47
How often do you defibrillate?
Once every two minutes
48
What is communication in a code?
Close loop communication
49
What is closed loop communication
Someone gets an order they repeat it back in detail
50
What is the highest amount of joules for defibrillation?
200
51
If the patient is in ventricular fibrillation or ventricular tachycardia what do you do?
Defibrillate them Resume CPR immediately Give epinephrine 1 mg every 3 to 5 minutes CPR Defibrillate CPR Amiodarone
52
How do you give amiodarone in a code?
For V fib or v tach First dose 300 mg Second dose, 150 mg No more than two doses Max out at 450 Alternate with epinephrine
53
How do you give epinephrine in a code?
Every 3 to 5 minutes, 1 mg no Max Start with
54
How do you give drugs to someone who is in v fib or v tach
One drug per two minutes rotate drugs, start with Eli move to amiodarone
55
If a patient has torsades state points, what do you give them?
Magnesium
56
How to size N OPA
Corner of the mouth to angle of mandible
57
What do you do if a patient is in a systole or has a PEA (pulse less electrical activity)
Start CPR Give them epinephrine 1 mg every 3 to 5 minutes NO SHOCK NO AMIODARONE
58
What are the H AND TS
Hypovolemia Hypoxia Hydrogen ion acidosis Hypo or hyperkalemia Toxins Tamponade cardiac Tense shown pneumothorax Thrombosis
59
If a patient is ROSC After they were resuscitated, what do you do in the first 24 hours?
Mandatory to maintain a systolic blood pressure above 90 Pulse between 92 and 99 Targeted temperature management Early 12 lead EKG
60
What is the core goal temperature of someone in TTM targeted temperature management
32 to 36
61
When is TTM indicated?
Vio within six hours There’s a deeply unresponsive hemodynamically stable
62
How long is TTM?
24 hours minimum
63
When is TTM contraindicated?
If the patient wakes up at any level
64
What is bradycardia considered?
Heart rate less than 50 bpm
65
What is absolute bradycardia?
Seeking medical care under 50 bpm
66
If a patient is bradycardia, what do you consider?
Atropine 1 mg Max dose 3 mg
67
If a patient is bradycardia, what do you consider?
Atropine 1 mg Max dose 3 mg
68
What is tachycardia considered?
Heart rate greater than or equal to 150 bpm
69
What are the two treatment options for tachycardia with a pulse?
Chemicals/drugs Electricity
70
How do you know if you choose chemicals or drugs versus electricity in tachycardia?
Chemicals if it’s asymptomatic (stable) Cardiac synchronization if it’s symptomatic ( unstable)
71
If the heart rate is high and the blood pressure is low, what do you do?
Synchronized cardioversion
72
If the heart rate is high and the blood pressure is low, what do you do?
Synchronized cardioversion
73
What do you do if you have tachycardiac that stable?
12 lead EKG Adenosine 6 mg followed by bolus of normal saline Second dose 12 mg filed by flush Followed by a calcium channel blocker or beta blocker
74
What do you do for unstable tachycardia SVT
Synchronize cardioversion
75
What do you do if you have a rapid atrial fib that’s stable
12 lead EKG Calcium channel blocker Or beta blocker
76
What do you do with unstable atrial fibrillation?
Synchronized cardioversion Minimum jewels 120 Maximum jewels 200
77
What do you do with VTEC with a pulse? That’s stable
Amiodarone 150 mg over 10 minutes
78
What are you do with VTEC with a pulse that’s unstable like a blood pressure 77/40
Synchronized cardioversion
79
What medication can you not give through an iO ?
Adenosine

Acls (1 decks)

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