Management of Adult Cardiac Arrest Flashcards
(27 cards)
What should be done if compressions have not been provided or the arrest was not witnessed?
Begin chest compressions while a second rescuer sets up the AED or defibrillator.
What is the primary focus during the initial efforts of resuscitation?
Creating a ‘low flow’ state with high-quality CPR or a ‘normal flow’ state through ROSC.
What is the recommended rate of chest compressions during CPR?
100/min to 120/min.
To what depth should chest compressions be performed?
At least 2 inches (5 cm).
What should be allowed after each chest compression?
Full chest recoil.
What is the recommended ventilation method after 30 compressions?
Deliver 2 breaths.
List the four possible cardiac arrest rhythms.
- Pulseless VT
- VF
- Asystole
- PEA
Which cardiac arrest rhythms are considered shockable?
Pulseless VT and VF.
What should the provider continue doing while a second rescuer charges the defibrillator?
Continue chest compressions.
What is the procedure after delivering a shock?
Resume chest compressions immediately.
When should resuscitation efforts be paused to check the rhythm?
After 2 minutes or five cycles of CPR.
What should be done if there’s no pulse after checking the rhythm?
Resume CPR and move down the asystole-PEA pathway.
What should be done if the rhythm is VF or VT?
Resume CPR while charging the defibrillator.
How can rescuer fatigue be minimized during CPR?
Switch the CPR compressor and ventilator every 2 minutes.
What should be achieved without interrupting chest compressions?
Vascular access.
What is the dosage and administration route for epinephrine during resuscitation?
1 mg IV or IO every 3 to 5 minutes.
What should be done immediately after administering epinephrine?
Follow it with a 20-mL flush of normal saline IV.
What is the compression to ventilation ratio for adults in cardiac arrest without an advanced airway?
30:2.
How should each breath be delivered during ventilation?
Over about 1 second.
What is used to verify placement of an advanced airway?
Waveform capnography.
How often should breaths be delivered after securing an advanced airway?
1 breath every 6 seconds (10 breaths/min).
What antidysrhythmic may be considered for VF/VT unresponsive to CPR?
Amiodarone.
What alternative antidysrhythmic may be considered?
Lidocaine.
What should be considered to identify possible reversible causes of cardiac arrest?
The Hs and Ts.
