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Flashcards in CPCR Deck (38)
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1
Q

what percentage of dogs and cats do not survive CPA?

A

90%

2
Q

what percentage of cats and dogs will survive CPA under anaesthesia?

A

47%

3
Q

what does RECOVER stand for?

A

Reassessment Campaign on Veterinary Rescusitation

4
Q

what are the 2 key goals of the RECOVER guidelines?

A

develop evidence based guidelines for dogs and cats experiencing CPA
identify knowledge gaps or areas of CPA management that require further investigation

5
Q

what are the 5 domains of the RECOVER guidelines?

A
preparedness and prevention
basic life support
advanced life support
monitoring
post cardiac arrest
6
Q

what is involved in basic life support (BLS)?

A

recognition of CPA
chest compressions
ventilation
airway patancy

7
Q

what is involved in advanced life support (ALS)?

A

vasopressor therapy
vagolytic therapy
electrocardioversion
correction of condition that lead to arrest

8
Q

what is involved in the monitoring domain of the RECOVER guidelines?

A

diagnosis of CPA and conformation of ET tube presence

general monitoring of patient during CPR

9
Q

what is involved in post cardiac arrest (PCA) care?

A

IVFT
O2 therapy
referral

10
Q

how can you be prepared for CPA/CPR?

A

have equipment ready and know where it is (ask when arriving on placement)
have range of emergency drugs ready to use - and know what they do!
ensure staff are trained on what to do and protocols in place

11
Q

how can CPA be identified in animals?

A

patient is unresponsive, apnoeic with no palpable pulses

12
Q

when should CPCR be initiated in the anaesthetised animal?

A

if pulses/apex beat are lost

apnoea

13
Q

what is a basic rule for beginning CPCR?

A

if CPA cannot be ruled out start CPCR

14
Q

define CPCR

A

cardiopulmonary cerebral resuscitation

15
Q

when CPA is suspected what should happen straight away?

A

compressions commence straight away with intubation and ventilation performed simultneously

16
Q

what is the correct ventilation rate for patients?

A

10 breaths per min (one every 6 seconds)

17
Q

how many compressions should be preformed every minute?

A

100 compressions (stayin’ alive) with time for chest to recoil between

18
Q

how long should each cardiac compression cycle last?

A

2 mins and then compressor should swap

19
Q

describe the correct cardiac compression technique

A

aim to compress the chest by one third to half of its width in lateral recumbancy

20
Q

what position should animals be in during CPCR?

A

lateral recumbancy

21
Q

what are the key roles of a tam involved in CPR?

A
lead
2 x cardiac compressions
ventilation
writer/notes
runner
22
Q

what can be used to identify correct placement of hands during CPR?

A

point of elbow when elbow extended against chest

23
Q

where should the animal be positioned relative to you for compressions?

A

their back to your front

24
Q

what compression technique should be used for large dogs?

A

both hands on top of each other

25
Q

what compression technique should be used for small dogs and cats?

A

thumb and forefinger over thorax

26
Q

where should the animal be placed to perform compressions?

A

non-slip surface

27
Q

what position should you be in to give cardiac compressions?

A

using a step to raise yourself above patient and enable you to extend elbows to allow compressions to be generated through the whole body

28
Q

why is ventilation of patients in CPA vital?

A

hypoxia and hypercapnia can reduce likelihood of return to normal rhythm
ventilation is vital in CPA that is not of cardiac origin (common in animals)

29
Q

what can be used to ventilate patients?

A

breathing system with oxygen or anbu-bag

30
Q

what monitoring aid can be used to help assess ventilation effectiveness?

A

capnography

31
Q

what can be used to gain airway access for CPCR?

A

ET tube

tight fitted mask

32
Q

what needs to be provided to the patient alongside compressions and ventilation during CPA?

A
drug therapy
monitoring
fluid therapy
occular care
warmth provision
IV catheter placement
33
Q

via what route may drugs be given during CPCR?

A

IV

endotracheal - using urinary catherter

34
Q

if a patient goes into CPA during anaesthesia what additional step must be taken when arrest is identified?

A

turn off anaesthetic drugs

35
Q

what is vital during CPR?

A

clear and concise record keeping and clear communication

36
Q

what will be recorded during CPCR?

A

drugs, IV line placement, monitoring and timings

37
Q

why is a debrief after CPCR so essential?

A

things may or may not go well
highly emotional and stressful situation
staff may feel guilt and blame

38
Q

what can be discussed during a debrief?

A

what went well
what could’ve gone better
additional support needs

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