Recover Guidelines Flashcards
(23 cards)
What is the minimum target end-tidal CO2 (ETCO2) during CPR?
18 mm Hg
End-tidal CO2 is a measure of the concentration of carbon dioxide in exhaled air, which is important for monitoring during CPR.
What ETCO2 value confirms proper endotracheal tube placement?
≥12 mm Hg
This value indicates effective ventilation and placement of the endotracheal tube.
What plasma concentration should be measured in all animals undergoing CPR?
Plasma potassium concentration
Monitoring potassium levels is crucial for assessing metabolic status during CPR.
What should be measured serially in the postcardiac arrest (PCA) period?
Plasma lactate concentration
The goal is to normalize plasma lactate concentration as quickly as possible.
What serum concentration should be monitored serially in the PCA period to identify acute kidney injury?
Serum creatinine concentration
Serial measurement helps in optimal treatment and monitoring of kidney function.
Should blood glucose concentration be measured routinely in the PCA period?
Yes
Routine measurement aids in managing metabolic status after cardiac arrest.
What monitoring is recommended for patients at risk of CPA or re-arrest?
Continuous ECG and frequent blood pressure measurement
This monitoring helps in early detection of complications.
What is the recommended chest compression depth for a patient in lateral recumbency?
One-third to one-half of the thoracic width
Correct depth ensures effective circulatory support during CPR.
What is the recommended chest compression depth for a patient in dorsal recumbency?
One-fourth of the thoracic depth
This is a shallower depth compared to lateral positioning.
When should chest compressions be interrupted?
Only with strong objective evidence of return of spontaneous circulation
Minimizing interruptions is crucial for maintaining circulation.
How long should pauses between chest compression cycles be limited to?
<10 seconds
Short pauses help maintain blood flow during CPR.
What is recommended when performing CPR in patients undergoing mechanical ventilation?
Convert to manual ventilation
Manual ventilation provides better control during CPR.
What should be used when endotracheal intubation is not possible?
A tight-fitting facemask with oxygen supplementation
This provides positive pressure breaths effectively.
What are the three techniques for performing chest compressions in cats and small dogs?
- Circumferential
- One-handed palm
- One-handed thumb-to-fingers
These techniques are adapted for the size and anatomy of smaller animals.
What is the recommended chest compression depth for nonintubated patients in dorsal recumbency?
25%
This is less than the depth for intubated patients.
How should breaths be delivered for nonintubated cats and dogs when a tight-fitting face mask is not available?
Mouth-to-nose breaths (if risk is low) or chest compression-only CPR (if risk is high)
This approach varies based on the safety of the rescuer.
What is the goal for optimizing circulatory support during CPR?
Achieve ETCO2 ≥18 mm Hg
This target indicates adequate ventilation and perfusion.
What dose of high-dose epinephrine is no longer recommended?
0.1 mg/kg
The recommended dose is now reduced to improve outcomes.
What is the recommended epinephrine dose when used during CPR?
0.01 mg/kg
This lower dose aims to enhance effectiveness while minimizing side effects.
When should atropine be administered during CPR?
Once early in the CPR effort and do not repeat
This prevents potential complications from repeated dosing.
What should be done if a shockable rhythm persists after the first defibrillation attempt?
- Double the initial defibrillation energy dose
- Remain at this dose for all subsequent shocks
This strategy helps improve the chances of successful defibrillation.
What should be considered to support vasomotor tone every other 2-minute cycle?
Standard-dose epinephrine or vasopressin
These agents help maintain blood pressure during CPR.
What antiarrhythmics should be considered for cats and dogs?
- Amiodarone in cats
- Lidocaine in dogs
These medications are used to manage arrhythmias during resuscitation.
