Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Anesthesiology > 1. CPR > Flashcards

1. CPR Flashcards

1
Q

PCAS

A

Post cardiac arrest syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Chain of survival

A

1) Early recognition and call for help
- to prevent cardiac arrest

2) Early CPR
- to buy time

3) Early defibrillation
- to restart the heart

4) Post CPR therapy
- to restore quality of life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Call CPR team - say

A

1) Your name
2) What happened (ongoing cpr)

3) Where you are
- how to get there
Detailed (building, floor, corridor)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

CPR team devices

A
  • Defibrillator

- CPR equipments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

High quality chest compressions

A
  • At least 100/min (not over 120/min)
  • At least 5 cm deep (not over 6 cm)
  • Release pressure totally
  • Minimize interruptions (communication)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

CoCPR

A

Compression only CPR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

AED

A

Automated external defibrillator

- Cheap, easy, safe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

ABCDE

A 
A: Airways
B: Breathing
C: Circulation
D: Neurological disability
E: Environment/event
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

OMV

A

Oxygen, monitor, vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

SBAR

A
  • Request/recommendation
  • Assessment
  • Background
  • Situation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

DNAR (BLS)

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ALS - when to shock

A

Assess rhythm every 2 minutes (shockable vs non-shockable)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Shockable rhythm

A

Pulseless VT and VF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Non-shockable rhythms

A

PEA and asystole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Chest compressions during shocking patient

A
  • Chest compressions during charging

- Pause max 5 sec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What energy of shock?

A

1) According to description on device!

2) If unknown;
- Biphasic defibrillator: 200J+360J (or max)
- Monophasic: all shocks 360J

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Max time allowed to pause chest compressions when using defibrillator

A

5 sec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Chest compressions with advanced airway in place

A

Continuous

19
Q

Medications to give during ALS

A
  • Adrenaline every 3-5 min

- Amiodarone after 3 shocks

20
Q

Reversible causes of heart arrest

A

4 Hs and 4 Ts

1) Hypoxia
2) Hypovolemia
3) Hypo/hyperkalemia + metabolic
4) Hypo/hyperthermia

1) Thrombosis
2) Tension pneumothorax
3) Tamponade (cardiac)
4) Toxins

21
Q

Correction of hypokalemia

A

Mg + K

22
Q

Correction of hyperkalemiaa

A

Ca2+

23
Q

How to recognize ptx

A

Auscultation

24
Q

CPR devices

A
  • LUCAS

- AutoPulse

25
Q

IV during ALS

A
  • Peripheral first if not established yet

- Central line best if already established

26
Q

Peripheral venous access - which veins to avoid

A

Distal of cubitalis or diaphragm

27
Q

Intraosseous devices

A
  • FAST (hedgehog)
  • BIG (gun)
  • EZ-IO (drill)
28
Q

When and how much drug to give during ALS

A

Shock #3

  • 1 mg epinephrine
  • 300 mg amiodarone

Shock #5

  • 1 mg epinephrine
  • 150 mg amiodarone

Shock #7
- 1 mg epinephrine

29
Q

NTS

A

Non-technical skills

- e.g team work, communication

30
Q

RoSC

A

Return of spontaneous circulation

31
Q

PCAS / post cardiac arrest treatment (6)

A

1) ABCDE
2) Aim for O2 of 94-98 %
3) Aim for normal PaCO2
4) 12-lead ECG
5) Treat precipitating cause(s)
6) Targeted temperature management

32
Q

Severity of PCAS is related to

A
  • degree of ischemia
  • cause of cardiac arrest
  • patient´s condition before cardiac arrest
33
Q

Ventilation numbers

A
  • etCO2: 35-40 mmHg

- paCO2: 40-45 mmHg

34
Q

Spontaneous breathing activity =

A

Does NOT equal «adequate breathing»

35
Q

Visible breathing =

A 
Respiratory insufficiency
(when ventillation makes WOB cease = adequate treatment)
36
Q

With intubation we bypass

A
  • The warming and moisturing function (nose)
  • The auto-PEEP (3-5 cmH20)
  • The mucociliary clearance of airways
37
Q

With intubation we increase:

A
  • Airway resistance (R~I; R~1/r^4) «straw»

- WOB (work of breathing)

38
Q

Target MAP

A

65-90 - (-100) mmHg

39
Q

Target Tcore

A

32-36 degrees (celcius)

40
Q

Post cardiac arrest temperature control duration

A

24 hours

41
Q

Methods of temperature control in post cardiac arrest pts

A
  • 30 ml/ttkg
  • 4 degr celcius crystalloid
  • (1,5 degr celcius / 30min)
42
Q

Use of Mg in maintenance of normothermia

A

Decreases shivering treshold

43
Q

Maintenance of normothermia

A
  • Sedation +/- neuromuscular blockade

- Mg (decrease shivering-treshold)

Anesthesiology (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions