ch. 11

Question 1

Define cardiac arest

Answer 1

the hear ceases to pump blood adequately to the body

Question 2

Define respiratory arrest

Answer 2

patient is unable to breath causing the body to become inadequately oxygenated

Question 3

What is cardiorespiratory arrest

Answer 3

cessation of the the heart pumping blood to the rest of the body and the patient unable to breath which causes the body to become inadequately oxygenated

Question 4

CPR must be initiated within _____ minutes after cardiac arrest for a high survival rate

Answer 4

4 minutes

Question 5

____ minutes after cardiac arrest ACLS must be administered

Answer 5

8 minutes

Question 6

What does ROSC stand for

Answer 6

Return of spontaneous circulation

Question 7

ROSC must be initiated within _____ minutes

Answer 7

8 min.

Question 8

What does BLS stand for

Answer 8

Basic Life Support

Question 9

What does ACLS stand for

Answer 9

Advanced Cardiac Life Support

Question 10

Emergency meds should be checked _____

Answer 10

monthly

Question 11

The crash cart is checked ____ by either an RT or RN

Answer 11

daily

Question 12

What is another name equivalent to endogenous adrenaline is _____.
It is produced by the _____.

Answer 12

1. Epinephrine

2. Adrenal gland

Question 13

The first line of defense for cardio respiratory arrest is ____

Answer 13

Epinephrine

Question 14

____ receptors play no role in ROSC

Answer 14

(return of spontaneous circulation)

Beta receptors

• only alpha receptors*

Question 15

Low dose of epinephrine stimulates:

High dose of epinephrine stimulates:

Answer 15

1. Beta receptors

2. Alpha receptors

Question 16

In an emergency scenario the first line of defense is _____. This is given in ____ doses to stimulate ____ receptors which constricts arterioles.
This increases blood pressure

Answer 16

1. Epinephrine
2. high doses
3. Alpha receptors

Question 17

What is ADH

Answer 17

anti diuretic hormone

Question 18

Epinephrine are ___ when exposed to light.

This turns the medication into which 2 colors:

Answer 18

unstable

1. Pink
2. Brown

Question 19

____ is a standard therapy as an alternative to epnipherine

Answer 19

vasopressin

Question 20

if a patient has asystole , the first line of defense is _____.

Answer 20

Vasopressin

Question 21

*What is the onset of action for vasopressin

and how is it administered?

What is it?

Answer 21

3 minutes

through IV

Vasocontrictor and Anti diuretics’

Question 22

What is the stability of vasopressin

Answer 22

Good until expiration date

Question 23

____ is equivalent to endogenous dopamine

Answer 23

Dopamine

2nd line of therapy in cardiac arrest

Question 24

Extraversation can lead to ___ ( name 4)

Answer 24

1. necrosis
2. Cellulitis
3. Ulceration
4. Tissue sloughing

Question 25

____ medication is used for bradycardia

Answer 25

Atropine

Question 26

___ is the most frequently used antidysrhythmic drug for cardiac arrest

Answer 26

lidocaine

Question 27

____ Is a strong alkalizing agent used for cardiac arrest

Answer 27

Sodium bicaranate

Question 28

Need of sodium Ph is guided by the _____

Answer 28

serum Ph

Question 29

____ are paralyzing agents What are they used for

Answer 29

neuromuscular blockers -Used for intubation to relax all skeletal muscles

Question 30

the most common emergency in radiology department requiring drug therapy is _____

Answer 30

cardiorespiratory arrest

Question 31

A patient who is in respiratory arrest , if not treated promptly it can lead to _____>

Answer 31

Cardiorespiratory arrest

Question 32

_____ is a set of guidlines developed by AHA for use in managing a patient undergoing cardiac arrest

Answer 32

ACLS | advanced cardiac life support

Question 33

When combined with chest compressions , _____ is used to cause a ROSC.

Answer 33

Epinepherine

Question 34

Epinepherine is the synthetic adrenaline | where as Vassopressin is the syntheitc _____.

Answer 34

ADH anti diuretic hormone ( released by pituitary gland)

Question 35

What are indications for Epinepherine

Answer 35

1. 1st line of defense for cardiac arrest 2. PEA 3. Ventricular fibrillation 4. Asytole

Question 36

_____ is a precursor to norepinepherine and epinepherine naturally produced by the body

Answer 36

dopamine

Question 37

What are the indications for dopamine?

Answer 37

hypotension secondary to CHF, myocardial infarcition , or after epinepherine and fluids have failed to attain ROSC

Question 38

_____ is an antimuscarinic agent used in patients experiencing cardiac arrest or bradycardia

Answer 38

Atropine

Question 39

____ is an antidysrythmic agent used in patients experiencing cardiac arrest What are the indications

Answer 39

Amiodarone 1. Pulseless ventricular tachycardia 2. Shock resistant ventricular fibrillation 3. Rate control in A-Fib or flutter

Question 40

_____ is used to treat severe metabolic or respiratory acidosis

Answer 40

sodium bicarbonate