CPR & Crash Cart QUIZ

Question 1

An adult dog has presented after HBC (hit by car), and cardiac arrest occurs prior to an IV catheter being placed. If an IV line (central or peripheral) is not available, the next best location for drug administration during CPR is
1. IT (intratracheal)
2. IP (intraperitoneal)
3. SQ (subcutaneous)
4. IM (intramuscular)

Answer 1

1. IT (intratracheal)

Question 2

When using the defibrillator:
1. Alcohol is used to ensure good contact between the paddles and the patient
2. Staff does not need to “clear” away from patient, because dog/cat energy doses are too low to injure humans
3. Patient should be in contact with a metal table to ground the patient
4. It is most effective in normalizing the ventricular fibrillation arrhythmia

Answer 2

4. It is most effective in normalizing the ventricular fibrillation arrhythmia

Question 3

Warning signs of an imminent cardiopulmonary arrest would include:
1. hypothermia, hypotension, or changes in breathing pattern
2. hyperthermia, hypotension, or changes in breathing pattern
3. bradycardia, hypertension or hyperthermia
4. tachycardia, hypotension or hypothermia

Answer 3

1. hypothermia, hypotension, or changes in breathing pattern

Question 3

When performing chest compressions during CPR, the sternum should go down
1. 1” any size pet
2. 3” any size pet
3. 1/3” any size pet
4. 1/3 depth of chest

Answer 3

4. 1/3 depth of chest

Question 4

The primary goal of performing CPR/Advanced Life Support is to generate
1. a spontaneous pulse
2. pupil anisocoria
3. spontaneous breathing
4. a heart rhythm on the EKG

Answer 4

1. a spontaneous pulse

Question 5

Drugs that should be (allowed) included in a small animal treatment room crash cart include:
1. atropine, epinephrine, oxymorphone, lidocaine
2. oxytocin, atropine, epinephrine, phenobarbital
3. phenobarbital, atropine, epinephrine, oxytocin
4. atropine, epinephrine, dexamethasone, dopram

Answer 5

4. atropine, epinephrine, dexamethasone, dopram
   - controlled substances (i.e. oxymorphone or phenobarbital) can’t be stored in an unsecured location such as a crash cart

Question 6

What will happen to the end-tidal CO2 if a heartbeat is restarted after an arrest (ROSC)?
1. ET CO2 will not be affected
2. ET CO2 will rapidly fall to 10 mmHg
3. ET CO2 will rapidly rise to above 40 mmHg
4. ET CO2 will be in normal range 30-40 mmHg

Answer 6

3. ET CO2 will rapidly rise to above 40 mmHg

Question 7

T/F: The acupuncture point for stimulation of breathing is between the toes.

Answer 7

False

Question 8

T/F: IV fluids should be turned off, if the patient does not have a pulse.

Answer 8

True

Question 9

T/F: It is not possible to perform the “Heimlich” maneuver on dogs.

Answer 9

False

Question 10

List three reasons an “Arrest Record” should be completed during the CPR/Advanced Life Support.

Answer 10

1. Record of drugs given and timing
2. Record of all events and techniques associated with CPR (ET CO2, defibrillation, shock pants, etc)
3. Legal record
4. Post CPR care plan reference
5. Team training post event (debriefing) (what was done well, what could be improved)

Question 11

Describe the current recommended CPR technique.

a. Ventilation rate?
b. Chest compression rate?
c. Best evaluation of chest compression effectiveness?

Answer 11

1. Ventilation rate of 12-30 breaths per minute (q. 2-5 seconds)
2. Chest compression rate 120 bpm
3. ET CO2 is best eval tool, but used in combination with femoral pulses and EKG

Question 12

What is the purpose of a pressure infuser?

Answer 12

Administer fluids quickly without having to squeeze the bag with your hands

Question 13

List three must do’s when working with a defibrillator in CPR

Answer 13

1. No metal
2. No physical contact
3. If separate EKG, disconnect it for shock
4. No alcohol

Question 14

FINISH