Acls Flashcards

1
Q

I’m what does CAB stand for?

A

Chest compressions airway breathing

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2
Q

What are the steps of CPR?

A

Check carotid artery
Chest compressions
Open airway with head tilt, chin lift
Ventilations

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3
Q

How long do you check the carotid artery for?

A

At least five seconds no longer than 10 seconds

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4
Q

How often do you administer rescue breathing?

A

10 breaths per minute
One every six seconds

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5
Q

How do you know if you’re giving enough air to a patient?

A

Be patient till chest rises once rise is stopped squeezing bad

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6
Q

How many compressions do you give?

A

30 compressions

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7
Q

How many breaths do you give?

A

Two breaths

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8
Q

What is the ratio of compressions to breaths for how many cycles?

A

30 to 2
Five cycles before you switch

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9
Q

When do you switch CPR?

A

Every two minutes

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10
Q

How soon should compressions be initiated within recognition of the rest?

A

10 seconds

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11
Q

At what rate should compressions be given?

A

100 to 120
Each set of 30 compression should take a approximately 18 seconds or less

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12
Q

What is the depth of of a compression?

A

2 inches

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13
Q

Why should compressions not be given at a rate greater than 120?

A

It does not allow the chest to recoil not allowing enough perfusion

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14
Q

What is the newest position in a code team called?

A

CPR coach

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15
Q

What is the adult ventilation rate with or without an advanced airway?

A

10 bpm

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16
Q

What is the adult ventilation rate with or without an advanced airway?

A

10 bpm

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17
Q

How often do you rotate your CPR coach?

A

Every two minutes

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18
Q

How often do you rotate your CPR coach?

A

Every two minutes

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19
Q

What are alternatives to CPR Coach?

A

Electrodes that test CPR standards
Check for CO2

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20
Q

Why do you avoid hyperventilation during CPR with a basic airway

A

It will fill the belly faster

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21
Q

Why do you avoid hyperventilation during CPR with a basic airway

A

It will fill the belly faster

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22
Q

Why do you avoid hyperventilation with an advanced airway?

A

It decreases cardiac output

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23
Q

Why do you avoid hyperventilation with an advanced airway?

A

It decreases cardiac output

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24
Q

When is an IO recommended for drug therapy?

A

When a peripheral IV cannot be established

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25
Q

How many attempts do you get to put in a peripheral IV in a patient who is coding?

A

Two attempts

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26
Q

How many attempts do you get to put in an IO

A

1 Attempt in bone

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27
Q

What are three general locations in intraosseous can be placed?

A

Sternum
Humoral head
Proximal tibia

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28
Q

What are some contraindications of IO?

A

Fractures

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29
Q

What is the recommended use? If the HCP is not proficient and intubation techniques?

A

LMA or supraglottic tube

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30
Q

What is the preferred device used to determine if an ET is in the right placement?

A

Continuous quantitive waveform capnography

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31
Q

What is the minimum acceptable CO2 return?

A

10

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32
Q

What do you do if the CO2 return is under 10?

A

Fix CPR and give lots of fluids

33
Q

What does it mean when the CO2 return is closer to 35?

A

You were closer to resuscitation

34
Q

What is the baseline of CO2?

A

35 to 45

35
Q

What do you use to treat V fib or pulse less VTach

A

Amiodarone
Or lidocaine

36
Q

What can a dopamine drip at?

A

5 to 20 mcg/kg/min

37
Q

If a patient is bradycardia and inotrope forces myocardial contraction to what

A

Increase blood pressure

38
Q

If a patient has bradycardia, how much atropine do you get them?

A

1 mg

39
Q

How often do you give atropine

A

3 to 5 minutes do not exceed 3 mg

40
Q

How often do you give atropine

A

3 to 5 minutes do not exceed 3 mg

41
Q

What is the number one cause of bradycardia?

A

Ischemia
Myocardial lack of O2

42
Q

After an cardiac resuscitation occurs in the patient is resuscitated. What is the range of oxygen saturation?

A

92 to 98

43
Q

What is the normal range of a non-arrest patient for oxygen

A

95 to 98

44
Q

What are the positions of a CPR team?

A

One CPR
2. airway management
3. Vascular access (priority order)
4. Timekeeper recorder.
5. Cardiac monitoring defibrillating.
6. Team leader.

45
Q

What are the rules of vascular access during a code?

A

It is the priority order
You have two attempts at a peripheral IV
Then you change to IO
Then you get a central line

46
Q

What does the timekeeper recorder do?

A

Runs crash cart documents everything that happens in legal timeline

47
Q

How often do you defibrillate?

A

Once every two minutes

48
Q

What is communication in a code?

A

Close loop communication

49
Q

What is closed loop communication

A

Someone gets an order they repeat it back in detail

50
Q

What is the highest amount of joules for defibrillation?

A

200

51
Q

If the patient is in ventricular fibrillation or ventricular tachycardia what do you do?

A

Defibrillate them
Resume CPR immediately
Give epinephrine 1 mg every 3 to 5 minutes
CPR
Defibrillate
CPR
Amiodarone

52
Q

How do you give amiodarone in a code?

A

For V fib or v tach
First dose 300 mg
Second dose, 150 mg
No more than two doses
Max out at 450
Alternate with epinephrine

53
Q

How do you give epinephrine in a code?

A

Every 3 to 5 minutes, 1 mg no Max
Start with

54
Q

How do you give drugs to someone who is in v fib or v tach

A

One drug per two minutes rotate drugs, start with Eli move to amiodarone

55
Q

If a patient has torsades state points, what do you give them?

A

Magnesium

56
Q

How to size N OPA

A

Corner of the mouth to angle of mandible

57
Q

What do you do if a patient is in a systole or has a PEA (pulse less electrical activity)

A

Start CPR
Give them epinephrine 1 mg every 3 to 5 minutes
NO SHOCK NO AMIODARONE

58
Q

What are the H AND TS

A

Hypovolemia
Hypoxia
Hydrogen ion acidosis
Hypo or hyperkalemia
Toxins
Tamponade cardiac
Tense shown pneumothorax
Thrombosis

59
Q

If a patient is ROSC
After they were resuscitated, what do you do in the first 24 hours?

A

Mandatory to maintain a systolic blood pressure above 90

Pulse between 92 and 99

Targeted temperature management

Early 12 lead EKG

60
Q

What is the core goal temperature of someone in TTM targeted temperature management

A

32 to 36

61
Q

When is TTM indicated?

A

Vio within six hours
There’s a deeply unresponsive hemodynamically stable

62
Q

How long is TTM?

A

24 hours minimum

63
Q

When is TTM contraindicated?

A

If the patient wakes up at any level

64
Q

What is bradycardia considered?

A

Heart rate less than 50 bpm

65
Q

What is absolute bradycardia?

A

Seeking medical care under 50 bpm

66
Q

If a patient is bradycardia, what do you consider?

A

Atropine 1 mg
Max dose 3 mg

67
Q

If a patient is bradycardia, what do you consider?

A

Atropine 1 mg
Max dose 3 mg

68
Q

What is tachycardia considered?

A

Heart rate greater than or equal to 150 bpm

69
Q

What are the two treatment options for tachycardia with a pulse?

A

Chemicals/drugs
Electricity

70
Q

How do you know if you choose chemicals or drugs versus electricity in tachycardia?

A

Chemicals if it’s asymptomatic (stable)
Cardiac synchronization if it’s symptomatic ( unstable)

71
Q

If the heart rate is high and the blood pressure is low, what do you do?

A

Synchronized cardioversion

72
Q

If the heart rate is high and the blood pressure is low, what do you do?

A

Synchronized cardioversion

73
Q

What do you do if you have tachycardiac that stable?

A

12 lead EKG
Adenosine 6 mg followed by bolus of normal saline
Second dose 12 mg filed by flush
Followed by a calcium channel blocker or beta blocker

74
Q

What do you do for unstable tachycardia SVT

A

Synchronize cardioversion

75
Q

What do you do if you have a rapid atrial fib that’s stable

A

12 lead EKG
Calcium channel blocker
Or beta blocker

76
Q

What do you do with unstable atrial fibrillation?

A

Synchronized cardioversion
Minimum jewels 120
Maximum jewels 200

77
Q

What do you do with VTEC with a pulse? That’s stable

A

Amiodarone 150 mg over 10 minutes

78
Q

What are you do with VTEC with a pulse that’s unstable like a blood pressure 77/40

A

Synchronized cardioversion

79
Q

What medication can you not give through an iO ?

A

Adenosine