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ACLS > ACLS > Flashcards

ACLS Flashcards

1
Q

Rate of high quality CPR

A

100/min (at least)

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2
Q

Ratio of breaths to compressions

A

30 to 2

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3
Q

depth of adult compressions

A

1/2 AP depth of chest - 2inches

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4
Q

depth of child compressions

A

1/3 AP depth of chest - 1.5inches

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5
Q

avoid interruptions in compressions of more than?

A

10seconds

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6
Q

how often should compressors be switched?

A

2 minutes

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7
Q

why is a manual defibrillator preferred to AED?

A

decreases interruption of chest compressions

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8
Q

when should rhythm be checked when using AED?

A

after 2 minute cycle of CPR

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9
Q

when should pulse be checked with AED use?

A

only if organized rhythm is present

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10
Q

Monophasic defibrillation strength

A

200-360joules

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11
Q

biphasic defibrillation strength

A

120-200joules

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12
Q

what strength is used if in doubt with defibrillation?

A

default of machine or 200 joules

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13
Q

ventillation rates with no definitive airway

A

use BVM, 2 ventillations every 30 compressions

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14
Q

ventillation rates with advanced airway

A

use ET, 1 ventillation every 6-8 seconds (8-10/min) without pausing compressions

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15
Q

Ventillation rates with respiratory arrest

A

BVM or ET tube, 1 ventillation every 5-6 seconds (10-12/min)

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16
Q

after advanced airway is place, are CPR cycles needed?

A

no

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17
Q

Why are circumfrential ties around the neck avoided with ET tube?

A

to prevent obstruction of venous return to the brain

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18
Q

suction attempts should not exceed?

A

10seconds

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19
Q

Most reliable method of confirming and monitoring ET tube placement?

A

continuous quantitative waveform capnography

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20
Q

what does continuout quantitative waveform capnography do?

A

monitors effectiveness of chest compressions during CPR

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21
Q

What is effective CPR measured as?

A

PETCO2 >10mmHg

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22
Q

What is ROSC measured as?

A

PETCO2 35-40mmHg

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23
Q

What hsould pulse ox be held above?

24
Q

epinephrine

A

first drug in any arrest rhythm (vasopressor)

25
Q

Amiodarone

A

antiarrhythmic (preferred over lidocaine), wide complex tachy, narrow complex tachycardia under expert consultation

26
Q

Vasopressin

A

one time only in place of 1st or 2nd dose of Epi (vasopressor)

27
Q

Atropine

A

0.5mg for all bradycardia rhythms before pacing unless IV not accessable (max 3mg)

28
Q

Adenosine

A

treatment of wide complex tachycardia if stable, regular and monomorphic, narrow SVT

29
Q

Chronotropic drug infusions

A

dopamine, epi drips as an alternative to pacing for symptomatic/unstable bradycardias

30
Q

Morphine

A

use with caution in unstable angina

31
Q

At what point should you consider adding drugs to the CPR cycle?

A

during cycles of CPR as soon as possible after rhythm check

32
Q

Hypotension

A

SBP <90mmHg

33
Q

Treatment of HOTN

A

IV/IO bolus 1-2L NS or LR, inotropic or vasopressore (dopamine, epi drip)

34
Q

When should you consider therapeutic hypothermia

A

when the pt is not responsive to verbal commands

35
Q

What labs are needed for ROSC

A

VS, 12 lead EKG, CXR, ABG

36
Q

METs

A

medical emergency response teams

37
Q

RRTs

A

rapid response teams

38
Q

LR

A

lactated ringers

39
Q

Measures with presentation of stroke Pt

A

immediate CT for fibrinolytic therapy determination

40
Q

CSS

A

canadian stroke scale

41
Q

goals of ACS presentation

A

identify STEMI, relieve chest discomfort, prevent MACE, treat acute, life-threatening complications

42
Q

MACE

A

major adverse cardiac events

43
Q

Treatment of ACS

A

ABCs, O2, EKG, ASA, nitro, morphine

44
Q

when should EKG be done in ACS?

A

before O2 therapy if VSS, no resp distress, polse ox >94%

45
Q

first step in evaluating PEA/asystole

A

scheck a second lead for asystole

46
Q

treatment of PEA/asystole

A

epi 1mg IV/IO every 3-5 minutes or vasopressin 40units IV/IO x1 in place of 1st or 2nd dose of epi

47
Q

H’s and T’s

A

hypovolemia, hypoxia, hydrogen ion, hypo/hyperkalemia, hypothermia, tension pneumo, tamponade, toxins, thrombosis (pulmonary/coronary)

48
Q

treatment of bradycardia

A

atropine 0.5mg IV/IO, beta adrenergic agonists (dopamine drip 2-10mcg/kg/min, Epi drip 2-10mcg/min)

49
Q

consider?. If no response to atropine in bradycardia

A

transcutaneous pacing, immediately if pacing is unstable with high degree heart block or when IV no available

50
Q

evaluation of tachycardia

A

pulse? No = CPR, yes = stable/unstable

51
Q

unstable tachycardia examples

A

narrow irregular (Afib), narrow regular (SVT,Aflutter), wide regular (monomorphic VT), wide irregular (torsades)

52
Q

cardioversion for Afib

A

120-200joules

53
Q

cardioversion for SVT/aflutter

54
Q

cardioversion for monomorphic VT

A

100J, increase subsequent shocks

55
Q

types of stable tachycardia

A

Narrow (SVT), wide (Vtach)

56
Q

treatment of narrow stable tachycardia

A

EKG, vagal maneuvers, adeonosine 6mg, repeat at 12mg prn x2, BB or CCB, expert cosult

57
Q

treatment of wide stable tachycardia

A

EKG, adenosine if monomorphic and regular, antiarrhythmics (amiodarone 150mg in 50ml D5W over 10 minutes, maintenance of 1mg/min), expert consult

ACLS (1 decks)

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