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BLS > Chptr 2 > Flashcards

Chptr 2 Flashcards

1
Q

ARC stands for

A

Access, Recognize, Care

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2
Q

Preforming a visual survey (if scene is safe)

Checking for responseiveness

Are considered what?

A

Essential 1st steps in

Rápid Assessment for adults

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3
Q

PPE (gloves, Breathing Barriers, gowns, face shields, eye wear, biohazard bags)

Hand hygine

Engineering controls

Work place practice controls

Proper equipment cleaning

Proper spill clean up

Are all examples of….

A

Standard precautions

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4
Q

Rapid Assessment for adults

Visual Survey for Safety

Initial impression (Suspicion) (appear sick / unresponsive) (Skin: Pale, Mottled, Cyanotic) (Breathing) (Bleeding- Stop Bleeding 1st)

Resources (Who can help / Additional Equipment)

  1. Check for Responseiveness… How?
  2. If unresponsive, what? 2 Parts
  3. Then what follows, when they are responsive?
A

1.If they are speaking, making noise, moving

2.(A) Shout, Tap, Shout.
Are you ok? Tap both hands on Clavicle, Miss Jones, are you okay?

(B) Shout for someone to activate the Emergency Response System & Bring an AED

  1. Ask for permission to help
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5
Q

In an unresponsive Adult Paitent

  1. Shout, Tap, Shout.
    Are you ok? Tap both hands on Clavicle, Miss Jones, are you okay?
  2. Shout for someone to activate the Emergency Response System & Bring an AED

Then…

A

Have them face up and Open Airway
with Head Tilt, Chin Lift Technique

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6
Q

A modified jaw thrust maneuver is used when?

A

In a paitent with suspected neck or spinal cord injury

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7
Q

After opening the airway in an unresponsive paitent what do you do next?

For how long?

A

Check fir Breathing & Pulse simultaneously

Atleast 5 seconds not more than 10

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8
Q

How do you check the pulse

A

Coratid Pulse

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9
Q

When looking for breathing check (3)

A

That the chest is rising and falling

Listen for escaping air

Feel for breaths against the side of your cheek

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10
Q

When checking for pusle…

A

Palpate the coratid artery by sliding 2 fingers into the groove of the paitents neck

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11
Q

Paitent must be in the face up position aka

A

Supine

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12
Q

ABC stands for

A

The order of the Rapid Assessment

Airway Opening
Breathing or lack thereof
Circulation (Simultaneously with Breathing)

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13
Q

Assessing for safety
initial impressions
Life threatening Bleeding
Need for additional resources

Are all part of….

A

Visual Survey

1st part if the Rapid Assessment

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14
Q

After preforming the visual survey on a respoive paitent what do you do before beginning treatment?

A

Obtain consent

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15
Q
  1. ID yourself to paitent or legal guardian
  2. (Fill in Blank)
  3. Expalin what you observed
  4. Explain what you plan to do
  5. Ask for permission to provide care

Are all part of obtaining consent

Which is done after the Visual Survey before providing care

A

State you level of training

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16
Q

When can you administer care to an adult paitent without consent (4)

A

Unresponsive
Altered mental state
Mentally impared
Unable to give consent verbally or through gestures

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17
Q

To check for breathing and pulse you must first open the adults airway to a ____ position

Using either the Head-tilt/ chin-lift tech

Or

Modified Jaw-Thrust maneuver

A

Past-neutral

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18
Q

Press down on the forehead with 1 hand

While

Pulling up on the bony underside part of the chin with 2 or 3 fingers of the other hand

Then tilt head to a past neutral position

This technique is called?

Is used for

A

Head-tilt / Chin-lift

Opening airway without suspected Spinal Injury

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19
Q

Posistion self above paitents head (behind them)

Hands on both sides of patients head with Thumbs near Corner of the Mouth- Pointed towards the chin

Slide fingers under Angle of Jaw Bone without Moving Head or Neck

Thurst Jaw up without moving head or neck to open airway

Is this technique

Used when

A

Modified Jaw-thrust

Spinal Injury

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20
Q

Paitent is not breathing (ineffective ventilation) and Central Pulse is present implement care for…

A

Respitory Arrest or Respitory Failure

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21
Q

Paitent is not breathing or only gasping and their central pulse is absent implement care for….

A

Cardiac Arrest

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22
Q

You see a paitent laying on the floor and must 1st preform a Visual Survey which actions do you take.

A. Check for breathing and a Carotid pulse.

B. Observe for any sign of illness or injury, including life threatening bleeding

C. Determine whether additional help is needed

D. Check for Responseiveness

E. Open paitents airway

A

B & C

Before you help

1.Access for immediate Dangers

  1. Gather initial impressions (Life threatening bleeding )
  2. ID which additional resources
    Rapid Response Team / Resuscitation Team Or an AED machine
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23
Q

The first part of helping is called a VISUAL SURVEY and contains 3 elements.

Name them

A

Before you help

1.Access for immediate Dangers

  1. Gather initial impressions (Life threatening bleeding )
  2. ID which additional resources
    Rapid Response Team / Resuscitation Team Or an AED machine
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24
Q

As you check for breathing you

  1. Look for chest rises and falls
  2. Listen for air escaping
  3. Feel fir breathing against the side of your cheek

True or False

A

True

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25
Q

Breathing revels irregular, gasping breaths.

This breathing pattern is known as

A

Agonal breaths

Isolated or infrequent gasps that occur in absence of normal breathing in an unconscious patient

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26
Q

Adult paitent responsive ask for consent then…(4)

A

ABC

Posistion paitent in supine (on back Posistion)

Perform 2nd assessment as condition allows

Reasses paitent, recognize issues, provide care as needed.

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27
Q

Adult paitent is unresponsive 1st (3) things you do

A
  1. Active EMS, rapid response team. Call for AED
  2. Check breathing and pulse for no more than 10 secs.

Meanwhile

  1. Scan body for life threatening bleeding
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28
Q

Adult paitent is unresponsive
After active EMS / response team and call for AED

You check the Pulse and Breathing

Not Breathing but Pulse present

What do you call this

What is the course of action

A

Respitory Arrest or Failure

Deliver 1 ventilation every 6 seconds

Preform Primary Assessment
Airway, Breathing, Circulation

Check Breathing and pulse every 2 minutes (if Pulse is absent go to care for Cardiac Arrest)

Posistion for clinical conditions

2nd Assessment (ABC)

Reassess Paitent, Recognize issues, provide care as needed

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29
Q

Adult paitent is unresponsive
After active EMS / response team and call for AED

You check the Pulse and Breathing

Not Breathing, Pulse absent present

What do you call this

What is the course of action

A

Cardiac Arrest

Start CPR: Single and Multiple Providers 30:2

AED ASAP

CPR until AED arrives

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30
Q

AED arrives at a paitent who has no pulse or breathing, while you are preforming CPR.

Shockable Rythm? No

A

Resume CPR for 2 minutes until the AED is ready to analyze

Continue cycles of CPR/ AED until;

Leader tells you to stop
Trained providers releave you
Signs of ROSC
Presented with DNR order
Too tired
Situation is unsafe

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31
Q

Compression to ventilation ratio

A

30:2

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32
Q

CPR hand position

A

Centered on the lower half of the sternum

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33
Q

CPR depth of compressions

A

2in or 5 cm

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34
Q

Rate of CPR compressions

A

100 to 120 per minute

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35
Q

Switch CPR compressors (3)

A

Every 2 minutes
During Rythm check
If provider is tired

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36
Q

Each ventilation should last how long?

When do you deliver the next one

A

1 second

And air is exited from chest

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37
Q

Preforming multiprovider CPR using AED on adult in cardiac arrest. They now show signs of ROSC (return of spontaneous circulation)

Which actions would the team perform?

A. Continue compressions for 1 minute

B. Stop CPR / AED

C. Check for breathing and carotid or femoral pulse

D. Give 2 ventilations

E. Remove the AED pads

F. Monitor the paitent until advanced cardiac life support team takes over

A

B, C, F

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38
Q

Adult paitent suffers cardiac arrest in bed.

Which of the following techniques promotes High Quality CPR

A. CPR board or active system in bed to ensure firm surface

B. Posistion self so shoulders are directly over hands

C. Adjust bed or use secure steps so your at appropriate working height

D. Place hands center of paitents chest above the nipple lines.

E. Overlap hands, slightly bend elbows and use arm muscles to compress chest

F. Place one hand on top of the other and interlace your fingers or hold them up so they are not resting on paitents chest.

A

A, B, C, F

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39
Q

Which are roles in a BLS team

A. Environmental technologist

B. Airway manager/ ventilator

C. AED operator

D. Compressor

E. Communication Specialists

F. Team leader

A

B, C, D, F

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40
Q

After Rapid Assessment on Adult Paitent they are Unresponsive but breathing and with pulse.

You suspect they have head or neck injury

Which action should you take

A. Wait to active EMS until you concluded 2nd Assessment

B. Preform primary Assessment (Airway, Breathing, Circulation, Disability, Exposure) and emergent / initial interventions

C. Place them in left lateral decubitus posistion

D. Perform 2ndary Assessment as condition allows

E. Reassess patient, Recognize issues, and provide care as needed

A

B, D,E

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41
Q

You are working on a BLS team CPR on 62 old femal

Which are high Quality CPR

A. Smooth ventilations about 1 second each and make chest rise

B. Interupt chest compressions to frequently assess paitent

C. Compress chest to a depth of about 1.5 inches

D. Compress chest rate 100 - 120 per minute

E. Allow for full chest recoil after each compression

A

A, D,E

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42
Q

ID situations in which it is safe to use an AED machine

A. Pregnant, providing the AED pads do not incorporate any breast tissue

B. Wearing jewelry or body piercing, provided the pads aren’t directly over metalic jewelry.

C. Pacemaker ir Implantable Cardioverter-Defibrillator ICD, providing the pads are not placed directly over device

D. Near flammable or combustible material, such as free flowing oxygen

E. Paitent is laying on metal, provided pads dont touch metal and no one touches paitent during shock

F. Laying in water

A

A,B, C, E

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43
Q

Adult with Endotracheal Tube (ET) experiences cardiac arrest and needs CPR.

WHICH of the following are true

A. 20 ventilations per minute

B. Remove ET before delivering ventilations

C. 1 ventilation per 6 seconds

D. Continous compressions without pausing for ventilations

E. Preform compressions at one-half normal rate

A

C, D

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44
Q

Adult in respitory arrest.

Which of the following are correct

A. Start CPR immediately

B. 1 ventilation every 6 seconds

C. 2 ventilations each lasting 1 second

D. Check breathing and pulse every 2 minutes. If pulse becomes absent, start CPR

E. Use AED ASAP

A

B, D

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45
Q

In-Hospital Cardiac Chain of survival imcreases patients likelihood of survival.

Place the following in order

A. Surveillance and prevention
B. Recognition of cardiac emergency and activation of emergency response systems.
C. Early high quality CPR
D. Early defibrillation
E. Integrated post-cardiac arrest care
F. Recovery

A

They are in correct order

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46
Q

Female 30 weeks gestation in cardiac arrest. Patients fundus is above the umbilicus.

Which of the follow are appropriate steps

A. Activate maternal and neonatal resuscitation team

B. Provide high quality CPR and left uterine displacement.

C. Make sure AED pads do not incorporate any breast tissue

D. Apply fetal monitors to access fetal state.

E. Place paitent in left lateral decubitus position and preform CPR

F. Preform resuscitative cesarean delivery RCD if trained within 5 minutes of arrest

A

A,B,C, F

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47
Q

You and another provider recognize that an adult is in cardiac arrest. An advance airway is not in place.

Which are appropriate care

A. Switch posistion every 5 minutes to prevent fatigue

B. Use compression to ventilation ratio of 15:2

C Use compression to ventilation ratio of 30:2

D. begin CPR immediately after ID cardiac arrest

E. Provide continuous compressions without pausing for ventilation

A

C,D,

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48
Q

AED placement

Paitents upper right chest below Clavicle and Right of Sternum

Paitents lower left chest along the midaxilary line a few inches below the left arm pit

Is referred to as…

A

Anterior/ Lateral Placement

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49
Q

You and a team are providing CPR on an Adult. One member has gone to get the AED

WHICH OF THE FOLLOWING STATEMENTS ARE TRUE

A. The compressor should continue compressions until the AED pads are applied and the AED promopts that it is analyzing

B. After the shock is delivered and the AED prompts shock delivered, the team should immediately resume CPR.

C. The AED operator and airway manager/ventilator should clear the patient while AED analyzes, however the compressor should continue giving compressions until AED prompts shock/no shock advised

D. When the AED arrives, the team should stop CPR to set up the AED and apply the pads

E. Team members should rotate every 2 minutes, which is generally during AED analysis, to prevent fatigue.

A

A,B, E

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50
Q

You and another person are delivering ventilations with a bag-valve-mask (BMV) resuscitator in cardiac arrest.

Which of the following are true

A. Seal the mask and open the airway by lifting the jaw into the mask

B. Ensure that the chest begins to rise

C. Bag-valve-mask BVM ventilations should be preformed as a 2 person technique to provide better seal and ventilation volume.

D. Maintain the airway in a neutral position

E. Hold the mask in place with the E-C hand position

A

A,B,C,E

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51
Q

Which methods can you use to evaluate the quality of CPR

A. Visual observation
B. Aterial Blood Gas
C. Chest compressions fractions
D. Capnography
E. Feedback devices

A

A,C,D,E

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52
Q

If an Adult is conscious or unconscious and Breathing with a Pulse provide care in the following steps

  1. Active EMS and call for AED
    2.Preform primary assessment (Airway, Breathing, Circulation, Disability, Exposure) and emergency/initial interventions
  2. Posistion paitent in appropriate clinical conditions (if spine injury not suspected) Recovery Posistion
  3. Preform 2ndary assessment as condition allows
  4. Reassess paitent,Recognize issues, provide care as needed

True or False

A

True

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53
Q

Kneel at patients side

Place patients arm closest to you up next to their head

Place arm furthest from you next to their side

Grasp leg closest to you, flex at hip and bend knee towards head

Place your hands on paitents shoulder and other hand on hip furthest from you.

Using smooth motion, roll paitent by pulling their shoulder and hip with your hands. Make sure paitents head remains in contact with their arm.

Stop movement when paitent is on thier side.

Place their knee on top of other knee so both knees are bent posistion

Place paitents free hand under their chin to support their head and airway.

What is this called and when is it used

A

Recovery Posistion

When a paitent has a pulse and can breath but are in distress

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54
Q

What is used for suspected opiod overdose

A

Naloxone

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55
Q

Early defibrillation may…

A

Restore effective heart rhythm, increasing survival

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56
Q

Adult paitent is in cardiac arrest if they are not breathing or only gasping and central pulse is absent

True or False

A

True

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57
Q

MI or heart attack is when…

A

Necrosis of heart tissue due to lack of oxygen

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58
Q

What does CPR stand for

A

Cardio Pulmonary Resuscitation

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59
Q

Depth of compressions

Atleast….
No more than…

A

2 in / 5cm
2.4 / 6cm

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60
Q

Tidal volume of 1 second of ventilation

A

400ml - 700ml

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61
Q

During chest compressions minimize interruptions to less than ____ seconds

A

10

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62
Q

Do you expose the chest in CPR? ie. Remove clothes

A

Yes

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63
Q

Heel of 1 hand on the center of paitents chest, lower half of the sternum

Place other hand on top and interlace fingers so they dont rest on paitents sternum

Posistion self so shoulders are directly over hands

This describes what?

A

High Quality CPR

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64
Q

For a patient in cardiac arrest, deliver (How many ventilations for how long each)

A

2 ventilations that last about 1 second each.

Make the chest begin to rise.

Allow air to exit before delivering the next ventilation

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65
Q

4 methods to provide ventilation

A

Pocket mask ventilation
Bag-valve-mask resuscitator
Mouth to mouth
Mouth to nose

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66
Q

Which ventilador is recommended for single provider CPR

A

Pocket Mask

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67
Q

Use of ____ during multiple provider CPR is recommended when only 1 person is available to deliver ventilations

A

Pocket mask

68
Q

Place webbing between index finger and thumb at top of mask above the valve. Remaining fingers on side of paitents face

Other hand

Thumb on bottom of mask and bent fingers under chin.

Then open airway to past neutral

Take normal breath

And give 2 ventilations about 1 second each

Describes the process for which ventilation

A

Pocket mask

69
Q

When do you break the seal on the pocket ventilator

A

Between ventilations?

You take the mask off every time after the 2 breaths

70
Q

What is the prefere ventilador for 2 person team

A

Bag-valve-mask

71
Q

Describe the 1 person position to hold the Bag-valve-mask

A

E - C

Thumb and index form a C around the valve

While other fingers form an E

72
Q

Left jaw into the mask in the E-C position with the Bag-valve-mask

True or False

A

True

73
Q

How far do you decompress the Bag-valve-mask

A

About half way

74
Q

Mouth to Mouth Adult

Open airway to _____

Pinch nose shut, take normal breath, make seal with your mouth

A

Past neutral

75
Q

Use nose to mouth if unable to make a seal around paitents mouth

Tilt their head back and ______

Seal your mouth around their nose and breathe

If possible open paitents mouth between ventilations

A

Close their mouth by pushing up on the chin

76
Q

When supplemental oxygen or basic airway (Oropharyngeal Airway) is used how is CPR preformed

If advanced airway eg. Endotracheal Tube is used, how is CPR preformed

A

Supplemental Oxygen or Oropharyngeal Airway CPR is preformed normally

Advanced airway or Endotracheal Tube: 1 provider delivers 1 ventilation every 6 seconds while another delivers continuous chest compressions Without pausing for ventilation

77
Q

Adult paitents CPR includes ____ chest compressions followed by ___ ventilation(s)

A

30: 2

78
Q

CPR for advanced airway is described as ___ ventilation(s) every ___ seconds

While the provider continues chest compressions without pausing for ventilations

A

1:6

79
Q

When Drowning is the suspect cause of cardiac arrest. What do you do before starting CPR

A

2 ventilations

80
Q

In multi provider CPR how do you know when to switch positions about every 2 minutes

A

The person giving the chest compressions will say: Switch instead of 1 during the cycle and they rotate the following time

81
Q

The provider managing the airway with the Bag-valve-mask should seal the mask using the EC technique and simultaneously open the airway to the neutral position?

True or False

A

False

Simultaneously open the airway to the past-neutral position

82
Q

One provider delivers 1 ventilation every 6 seconds while the other delivers continuous chest compressions without pausing for ventilations.

Describes the correct CPR in which circumstance?

A

Multi-provide4 Advanced airway

83
Q

What does an AED do?

A

Analyzes heart and provides defibrillation

84
Q

AED delivers defibrillation to 2 types of arrhythmia

A

Ventricular fibrillation & Ventricular tachycardia

85
Q

If no one is available to get you an AED what do you do?

A

Put paitent in recovery position and retrieve it

86
Q

Adult AED pads are for which type of children

A

Over 8 or 55 lbs

87
Q

AED placement is

Upper right chest below Clavicle and right of the sternum

Feedback device is placed in the center of the chest

Left along midaxilary line a few inches below the armpit

True or False

A

True

88
Q

Don’t do CPR while AED is attached

True or False

A

False

Do it after the shock when instructed

89
Q

Continue doing CPR while AED is attached for 2 minutes until:

AED prompts that it is reanalyzing
Return of Spontaneous Circulation (ROSC)
Team leader says stop

True or False

A

True

90
Q

Which of these actions are appropriate to minimize interruption of chest compressions

A. Continue CPR while the AED is analyzing the heart rhythm

B. Continue CPR while th3 AED pads are applied

C. Immediately resume CPR after the shock is delivered

D. Continue CPR while the shock is delivered

A

B & C

91
Q

During the rythm analysis and shock delivery you should (2)

A

Stop CPR

Clear the paitent when the AED prompts (Clear- everyone get away)

92
Q

Single Provider CPR on adult

Which technique is the best

A. 30 chest compressions, rate 100 - 120 per minute. Then deliver 2 ventilations, each lasting 1 second, with a BVM

B. 15 chest compressions, rate 80 - 100, 2 ventilations 1 second, with a pocket mask or mouth to mouth

C. 30 chest compressions, rate 100 - 120 per minute. 2 ventilations 1 second each with pocket mask or mouth to mouth

A

C

93
Q

If the fundus is below the umbilicus or fetal age is less than 20 weeks follow basic life support for adults

True or False

A

True

94
Q

After preforming rapid Assessment on pregant paitent

If not responsive

Start Obstretic Life Support
Activate Materinal and neonatal resuscitation teams

Check breathing and pulse for no more than 10 seconds, scan for bleeding

Apply fetal monitors

True or False

A

False

Remove fetal monitors

95
Q

If pregant paitent is responsive

Primary assessment Airway, Breathing, Circulation, Disability, Exposure

If no spinal injury place them in this posistion _____

Preform 2ndary assessment

Reassess paitent, Recognize issues, provide care

A

Lateral decubitus posistion

96
Q

Prioritize transport care over care at the scene for a pregnant woman

True or False

A

True

97
Q

Pregant paitent is not breathing what is the ventilation rate

A

1 ventilation every 6 seconds

98
Q

Indications for Resuscitative Caerean Delivery

No ROSC after ____ cycles of CPR with Fundus at or above umbilicus or more than 20 weeks pregnant

Intermintant ROSC after 2 cycles of CPR

NONshockable rhythm

Immediately upon arrival to an emergency dept. Without ROSC

A

2

99
Q

BAAC TO LIFE is the mnemonic to remember what?

A

Causes of cardiac arrest in a pregnant woman

100
Q

Technque used to move the gravid uterus up and toward the left to relieve pressure on the inferior vena cava and maximize return of blood to the heart and cardiac output

A

Left uterine displacement

101
Q

Left Uterine Displacement

Left Side; Reach across paitent, place both hands on side of uterus, pull uterus Up & to the Left

Right side; Place both hands on the right side of uterus and Push Up and to the Left

True ir False

A

True

102
Q

Resuscitive Cesarean Delivery should be preformed with in ____ Minutes of cardiac arrest.

A

5

103
Q

How can you maximize the effectiveness of CPR in a 30 week pregnant paitent.

Which posistion

A

Supine and manual lef4 uterine displacement

104
Q

Blank is found by dividing Time delivering compressions ÷ total duration of resuscitation event

It is an important factor in quality CPR

A

Chest compressions fraction

CCF

105
Q

What is the first step of using an AED

A

Turn it on and follow prompts

106
Q

How much air is delivered when a Bag-valve-mask is decompressed half way

A

400 - 700ml

107
Q

CCF or Chest Compressions Factor should be atleast what percentage

What is the goal percentage?

A

60

80

108
Q

How does cardiac arrest differ from heart attack

A

Cardiac Arrest is whn the paitent is unresponsive, not breathing, no pulse.

Heart attack will be awake and responsive

109
Q

BLS stands for

A

Basic life support

110
Q

Child cardic arrest. No way to call for help. What is your first action

A

Perform 2 minutes of CPR starting with chest compressions

111
Q

Where do you place AED pads on an infant

A

Middle of chest & back between the scapulae

112
Q

Regardless of child under 17s level of consciousness you must obtain presmission from parents

True or False

A

True

113
Q

Use pediatric AED pads for which

A. 2 yrs 27 lbs
B. 10 yrs 85lbs
C. 12 yrs 95lbs
D. 7 yrs 75lbs
E. 5 yrs 43 lbs

A

A & E

114
Q

CPR for child or infant with advanced airway in place

1 provider should deliver 1 ventilation every 2 or 3 seconds

Other delivers continuous chest compressions without pausing for ventilations

True or False

A

True

115
Q

4 year old child is in resp failure. Pulse 65 bmp

Which of the following is appropriate

A. 1 ventilation every 6 secs
B. Start CPR immediately
C. 1 ventilation every 2 or 3 seconds
D. Check pulse and breathing ebery 2 minutes

A

C & D

116
Q

Shout tap shout differs in infants how

A

Tap foot

117
Q

Breathing and pulse check on an infant.

Open air way how?

Check pulse where?

A

Neutral position

Bracial pulse

118
Q

What is the difference between respitory arrest and failure

A

Arrest is not breathing
Failure is ineffective breathing

119
Q

Child infant

Pulse greater than 60 bmp

Deliver ___ ventilation(s) every ____ seconds

If advanced airway is in place it remains the same

A

1 ventilation every 2 or 3 seconds

120
Q

Child or infant

Pulse less than 60 bmp with signs of poor perfusion

What do you do

A

Start CPR and monitor every 2 minutes

121
Q

Infant and child CPR tech

Compressions to ventilation ratio

Single provider
Multiple Provider

A

Single 30:2
Multiple 15:2

122
Q

Infant CPR hand position

A

2 thumbs palced in center of chest just below nipples

Or 2 fingers maybe used

123
Q

Child 1 year old to start of puberty

CPR hand posistion

A

1 or 2 hands centered in the lower sterum

124
Q

CPR depth for infants / children 1 - stsrt of puberty

A

1.5 in infants
2 in children

125
Q

The rate of 100 - 120 compressions of CPR is the same for infants and children

True or False

A

True

126
Q

In infants if advanced air way is in place one provider delivers 1 ventilation every 2 or 3 secs while the other provides continuous chest compressions no pausing

True or false

A

True

127
Q

Rate of ventilation for child or infant in respitory failure

A

1 vent every 2 or 3 seconds

128
Q

In children/ infants of pulse drops below 60 bmp do what

A

CPR immediately

129
Q

During team CPR on a child what is the ratio of compressions to ventilation

A

15:2

130
Q

Is it safe to use adult AED pads on an infant?

A

Yes

131
Q

Placement of AED on infant

A

Anterior and Posterior

Chest and back

132
Q

AED children less than 8 yrs or less than 55lbs use which type of AED pads

A

Infant

133
Q

Pad right of sternum and below right Clavicle

1 pad left chest midaxilary line few inches below the arm pit

Is the correct placement for AED pads on children Less than 8 or under 55 lbs

True or False

A

True

134
Q

Children older than 8 or more than 55 lbs use which type of AED PADS

A

Adult

135
Q

You can use pediatric pads on a child older than 8 or more than 55 lbs

True or False

A

False

136
Q

Breathing check differs in position in Infants, children, adults how?

A

Infant Neutral position
Children slightly past neutral position
Adults Past neutral position

137
Q

Getting additional resources differs in Adults, Children, Infants

How?

A

Adult: If alone and no phone. Immediately leave and call for help then CPR

Child: Decide to leave or start CPR

Infant Decide to leave start CPR

138
Q

How do you know to call or start CPR on a infant or Child

A

If you witness them collapse Leave and Call

If you find them collapsed Start CPR

139
Q

Compression depths of Infants, Children, Adults

A

Adult 2- 2.5 in
Child 2 in
Infant 1.5

140
Q

Children and infants CPR ratio differs from adults in multi provider care what is this ratio

A

15:2

141
Q

In children and infant Advanced airway the CPR is

A

1 ventilation every 2 or 3 seconds

While other provider delivers continuous care

142
Q

You find a child collapsed

You should start CPR for 2 minutes then leave to call for help if you don’t have a phone

True or False

A

True

143
Q

Infant obstructed airway

Which technique use when administering back blows

A

Heel of hand between the scapulae

144
Q

Choking adult, got consent. What next

A

5 back blows then 5 abdominal thrust. Until the person can cough forceful, speak, breath, or become unresponsive

145
Q

Consent is implied for a choking child when?

A

When parents are not available

146
Q

If a paitent is shorter than you. It maybe best to kneel when giving them back blows and abdominal thrust

True or False

A

True

147
Q

Correct placement for hands in abdominal thrust

A

Place thumb side of your fist on the middle of the abdomen just above the navel

148
Q

Imward and upward is the correct direction for abdominal thrust

True or False

A

True

149
Q

When preforming chest thrust what is the direction

A

Pull straight back. Inward thrust

150
Q

Infant obstructed airway remedy

A

5 backblows
5 chest compressions

151
Q

Infant chest thrust should be hw deep

A

1.5 inches

152
Q

If choking victim is able to cough or speak do what

A

Encourage them to cough, reasses as long as they keep coughing. If tjey stop call 911

153
Q

If choking victim (How do you know they are a choking victim)is responsive what is the action

Infants, children, adults

A

Unable to speak or cough

Back blows and abdominal thrust 5 each for children and adults

Infants 5 backblows and 5 chest thrusts

154
Q

If choking victim is unresponsive what do you do for

Infants, children, adults

A

CPR 30 compressions

After compressions before ventilations check mouth for objects

Remove via finger sweep for children and adults

Via pinky sweep for infants

Same 30:2 ratio

155
Q

If abdominal thrust cant be preformed what do you do instead

A

Chest thrust

156
Q

Wjere do you preform chest thrust

A

Center of chest lower half of sternum

157
Q

If choking victim becomes unresponsive what do you do

A

Lower to ground and immediately start CPR

158
Q

After Chest compressions on a unresponsive choking victim what do you do

A

Open mouth and check for and remove objects with finger for adults and children

Pinky for babies

159
Q

Naloxone maybe adminsted how often

A

Every 2 or 3 minutes

160
Q

Which findings would be associated with an opiod overdose.

A. Respitory depression
B. Pinpoint pupils
C. Hypotension
D. Rapid resipations
E. Unconscious

A

A, B, E

161
Q

Adult patient with suspected opiod overdose is in respitory arrest. Which actions are most appropriate

A. Begin CPR immediately
B. Provide 1 ventilation every 6 seconds
C. Use AED
D. Check pulse and breathing every 2 minutes
E. Adminster naloxone

A

B, D, E

162
Q

Ventilation rate in respitory arrest for pediatric patient is _____

Adult Ventilation rate in respitory arrest is _____

A

1 ventilation every 2 or 3 seconds infant

1 ventilation every 6 seconds adult

163
Q

After administration of naloxone check for Responseiveness and access breathing and pulse

True or false

A

True

164
Q

72 yr old who you have been preforming CPR on show signs of ROSC

Where do you perform pulse check?

A

Carotid & Femoral Artery

165
Q

Providing care to Mrs. Bove who has an Endotracheal Tube

How does this affect compressions and ventilations for a team?

A

Team provides 1 ventilation every 6 seconds without pausing compressions

166
Q

You are caring alone for a 9 month old infant with an obstructed air way who just became unresponsive.

What action should you preform first?

A

Start CPR with 30 chest compressions

BLS (1 decks)

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