Basic And Advanced Life Support Flashcards

(34 cards)

1
Q

For the life to continue, the body requires an adequate supply of oxygen . If a casualty is deprived of oxygen, the brain begins to fail, after ______________ without oxygen, casualty will lose consciousness  the heart & breathing will stop  death will result.

A

3 or 4 minutes

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2
Q

The aim of CPR is to maintain victim’s breathing and circulation by providing adequate _________ and _________ __________ until emergency aid arrives.

A

cerebral

coronary

perfusion

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3
Q

Roles during the code

Stabilizing/managing ______
____________
Observes and Records _______ of events Managing _______/______ administration
Monitor / ___________
Checking ______ and _____ medical history
Thinking through _____ and ______
Calling the _________ _________

A

airway; Chest compressions

timing ; code cart

Meds ; Defibrillator

labs ; past

Hs and Ts

patient’s family

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4
Q

Principles of team resuscitation

______-loop communication
_____ message
_______ roles and responsibilities
Knowing one’s ________
_________ sharing
Constructive _________ and _________ Reevaluation and summarizing
Mutual _________

A

Closed; Clear

Clear ; limitation

Knowledge ; intervention

debriefing

Mutual respect

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5
Q

Why start CPR immediately?

Life threatening
Brain damage starts in ________
Brain damage occur after _______ without CPR

Goal- early CPR and early Defibrillation

A

4-6 minutes

10 minutes

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6
Q

BLS sequence of CPR

•Assess ________
•Check ________
•Call for ________ and ________
•Correctly ________ the victim and ensure the ________ ________
•Circulation
Check ________ if absent
Start ________
•Defibrillation
check for ________ ________

A

danger ; responsiveness

help ; AED

place ; open airway

pulse ; CPR

shockable rhythm

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7
Q

If signs of circulation exist:
give ____ breath every ________ , recheck pulse every ________

If victim start to breath turn him into ________ position

If signs of circulation are absent:
Begin giving ___________ ( start CPR )

A

1 ; 5-6 seconds

2mins

recovery

chest compressions

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8
Q

Deliver compression at a rate of ______ compression per minute

A

100

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9
Q

Compression rate for adult : ???

A

30:2

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10
Q

Opening airway

NEVER __________ IN HEAD INJURY BUT A __________

A

HEAD TILT

JAW THRUST

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11
Q

Mouth to Mouth barrier devices

List 2

A

Masks

Shields

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12
Q

If pulse absent with or without breathing, then ???

A

start CPR

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13
Q

Defibrillation/AED
If no pulse check for shockable rythym Give shock as indicated
Follow each shock immediately with _________ , beginning with _________

A

CPR

compression

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14
Q

When can I stop CPR

Victim ______
___________ arrives
Cardiac arrest longer than ___________
Consider social implications

A

survive

Trained help

30 minutes

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15
Q

Injuries related to CPR

Rib _________
____________ related to the tip of the sternum
(_______,_______,________)

A

fractures

Laceration

Liver, lung, spleen

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16
Q

Causes of Choking

•The _________ is the most common obstruction in the unconscious victim

•Foreign body
◦food

•Swelling (_______ reactions/ irritants)

•Spasm (water is inhaled suddenly)

A

tongue ; allergic

17
Q

Heimlich maneuver

Activate the emergency response system.
Stand _______ the victim and wrap your arms around the victim’s ________ .
Make a _______ with one hand
Place the thumb side of your fist against the victim’s abdomen, in the midline.
Grasp your fist with the other hand and press into the ________ with a quick ____ward thrust
Repeat until object expelled or victim’s become unresponsive.

A

behind ; waist.

fist ; abdomen

upward

18
Q

ACLS Guidelines strongly recommend that every effort be made NOT to ______________ ; other less vital interventions (eg, tracheal intubation or administration of medications to treat arrhythmias) are made either __________________ or ____________________.

A

interrupt CPR;

while CPR is performed

during the briefest possible interruption.

19
Q

Interventions that cannot be performed while CPR is in progress (eg, defibrillation) should be performed during brief interruptions at __________ intervals (after the completion of a full cycle of CPR).

20
Q

Chest compressions must be of sufficient depth (at least _____ cm, or ________ ) & rate (at least _____ per min), & allow for complete recoil of the chest between compressions, to be effective.

A

5 cm ; 2 inches

100

21
Q

A ______________________ defibrillation remains the recommended treatment for ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT).

A

single biphasic

22
Q

CPR should be performed until the defibrillator is ready for immediate discharge & resumed immediately after the shock is given, (with or without?) pausing to recheck a pulse at that moment.

23
Q

Interruptions in CPR (eg, for subsequent attempts at defibrillation or pulse checks) should occur no more frequently than every ____________, & for the shortest possible duration.
Patients are often over-___________ during resuscitations, which can compromise _____________ resulting in reduced cardiac output & inadequate cerebral & cardiac perfusion.

A

two minutes

ventilated

venous return

24
Q

A 30 to 2 compression to ventilation ratio (one cycle) is recommended in patients without advanced airways.

Asynchronous ventilations at ____ to ____ per minute are administered if an endotracheal tube or extraglottic airway is in place, while continuous chest compressions are performed simultaneously.
____ to ____ ventilations per minute are sufficient and help to prevent over-ventilation.

A

8 to 10

6 to 8

25
AED Operation Steps __________ AED ATTACH ________________ ANALYZE _________ SHOCK
POWER ON ELECTRODE PADS RYTHYM
26
Defibrillation procedure Position paddles “Clear” the patient Shock and then resume CPR for _____ cycles then re- analyze after each shock Prepare _______ therapy
5 drug
27
Post cardiac arrest care Increased chances of survival with ROSC when comprehensive interventions are provided Therapeutic ______thermia: ____c-___c Optimize ventilation and hemodynamics : to achieve Spo2 equal to/>______% and mean arterial pressure equal to/>_____mmhg Target moderate glycemic control _____-_____ mg/dl. Risk of hypoglycemia is high when < ____-______mg/dl
hypothermia 32c-34c 94% ; 65mmhg 144-180 mg/dl. 80-110mg/dl
28
Initial management and ECG Interpretation ____________ has taken a more prominent role in the initial management of cardiac arrest. The current sequence is: _________ , _________, _________ (____-____- ____).
Circulation circulation, airway, breathing C-A- B
29
Once unresponsiveness is recognized, resuscitation begins by addressing __________ (__________), followed by __________, & then __________.
circulation ; chest compressions airway opening rescue breathing.
30
The other initial interventions for ACLS include : administering _________ establishing ____________ placing the patient on a cardiac & oxygen saturation monitor obtaining an _______
oxygen vascular access ECG
31
Physician survey data & clinical practice guidelines suggest that factors influencing the decision to stop resuscitative efforts include: Duration of resuscitative effort >__________without a sustained perfusing rhythm Initial electrocardiographic rhythm of __________ Prolonged interval between estimated _____________ & _____________ Patient age & severity of comorbid disease Absent ________ reflexes ______thermia
30 min ; asystole time of arrest ; initiation of resuscitation brainstem Hypothermia
32
The best objective predictor of outcome may be the end tidal CO2 level following ________ of resuscitation. A very low end tidal CO2 (<_____ mmHg) following prolonged resuscitation (>_____ min) is a sign of absent circulation & a strong predictor of acute mortality.
20 min ; 10 mmHg 20 min
33
It is crucial to note that low end tidal CO2 levels may also be caused by a _____________________________________ , & this possibility needs to be excluded before the decision is made to terminate resuscitative efforts.
misplaced (esophageal) endotracheal tube
34
List the H’s and T’s
Thrombosis (pulmonary) Thrombosis (coronary) Tamponade Tension pneumothorax Toxins Hypoxia Hypovolemia Hydrogen ion (acidosis) Hypokalemia Hyperkalemia Hypothermia