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Flashcards in resusitation Deck (66)
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1

what is the most common cause of sudden detah

heart disese

2

what is clinically dead

hwne there is no heart beat but its reversible uo to 6 mins

3

what is biological death

after clinical death when the tissues are now damaged and its non reversible

4

can we do mechanical cpr

yes

5

how do you confirm cardiac arrest

no response from patient
open airway
check fro normal breathing (not including agonal breathing)
check sign sof life
check carotid pulse

6

how long can you take to check breathing pulse sign sof life before deciding cpr

10 seconds

7

once you have confirmed a cardiac arrest what do you do

call 2222 say where you are exactly and that you have a cardiac arrest
start cpr

8

what is the ratio and depth of cpr and rate

30:2
5-6cm
100-120bpm

9

when should you swap compression givers and when s the best time to swap

after every 2 mns when ventilating

10

during cpr are you perfusing the myocardium throughout

no not when ventilating

11

how sould yu be positioned fpr cpr and why is it imporatbt

with shouldres directly above patient as if higher then you wont alow full recoil

12

how long should it take you to do 2 rescue breaths

10 seconds

13

what does ventilaiting help with in cpr

redces hypoxia
good if resp causesd and in children

14

what are important notes about usuing a bag valve mask to ventilate in cpr

need 2 people
no more than 800mls oherwise will put air in stomach that causes vomiting when you start compression again

15

what specific graoh tool will aneathetsist use to monitor effectiveness of cpr and when it is no longer needed and ow is it done

capnography
measures co2 oitput
aiming for 2-2.5 in cpr
if goes up to 5 coming out then they have resumed spont resp

16

what sorts of things effect transthoracic impedimence in shocking for cpr

age
body fat
energy selected
electrode size
distance between electrodes
size of chest
hairy chest
poor electrode contact
air trapping beneath pads

17

what does vf look like on ecg and is it shockale

shockable
bizzare and irregular with no recorded qrs complexes
that's uncoordinated

18

what do you need to confirm if you see vf on ecg

that there is no movement of the patient or electrical interferanec

19

what does monomorphic and polymorphic vt look like

monomorphic - regular broad complex rhythm with rapid rate and qrs complexes that are wide
polymorphic - torsades des pois

20

do you check for a pulse in vf and vt

just vt as vf will never have one but if vt does then do cardioversion over cpr

21

can you continue cpr whilst using a defib

you can if manual but if automatic then you need to stop whilst it analyses rhythm

22

if you have persistent vt/vf after the first shock wjat is the managemen

2 mins cpr
2 shock
2 mins cpr
3rd shock
2 mins cpr
adrenaline 1mgiv
amiodarone 300mg iv

23

why do we guve adrenaline if shocking sint working for vt/vf

as its a vasoconstrictor and will pull blood back to heart

24

how many times do we give amiodarone in vf/vt

only once

25

what does asystole look like on ecg

flat line that sint completely flat and may have some p waves

26

what is the management of asystole

isn't shockable so give adrenaline straight away and then every 3-5mons

27

what is the management of pulseless electrical activity

adrenaline at beginning and then every 3-5mns

28

a tachycardia on ecg with narrow qrs complexes

svt

29

a tachy on ecg with wide qrs complexes

vent techy

30

flatish line on ecg

asystole