BLS Flashcards
Mastery
When a choking infant becomes unresponsive, what is one thing you need to do differently when performing CPR?
Check the airway for the obstructing object
Steps for Unwitnessed collapse: Children and Infants (when Alone)
If you are alone, START CPR (30:2), After 2 min (if still alone) active emergency response system and get an AED
Steps for unwitnessed collapse: Children and Infant (not Alone)
Send someone to get the AED, begin CPR, Use AED as soon as it is available
Correct rate of ventilation delivery for a child or infant in respiratory arrest or failure
1 Ventilation every 2 to 3 seconds
You suspect that an unresponsive patient has sustained a neck injury. Which technique should you use to open the patient’s airway?
Modified Jaw-Thrust Maneuver
You and two nurses have been performing CPR on 76- year old Patient Bobby Shay. Mr. Shay shows signs of ROSC, where should you perform the pulse check?
Carotid and femoral artery
You have assessed your patient and recognized that they are in cardiac arrest, you should begin CPR____
Immediately
You are providing high-quality CPR on a 6 year old girl who weighs 44 pounds. The AED arrives, it does not have a pediatric setting and includes only ADULT AED Pads, what should you do?
Use the Adult AED Pads
You walk into your patients’ room and notice they are slumped over in the chair and APPEAR unresponsive and cyanotic. You do not see signs of life-threatening bleeding. Which is the next appropriate action?
Check for responsiveness
During a resuscitation, the team leader assigns team roles. You recognize that a task has been overlooked. Which is the most appropriate action?
ALERT the team leader immediately and identify for them what task has been overlooked
After immediately initiating the emergency response system, what is the next link in the Adult-in-Hospital Cardiac chain of survival?
Early high quality CPR
Nurse assesses a RESPONSIVE adult and determines she is CHOKING. What intervention should the nurse implement?
Cycles of 5 black blows and 5 abdominal thrust
Your patient, Ms. Morgan, suddenly goes into cardiac arrest. She is 28 weeks pregnant and her fundus is ABOVE the umbilicus. What should you do?
Providers should perform high quality CPR and Continuous LUD until the infant is delivered, even if ROSC is achieve
7 year old goes into sudden cardiac arrest, you initiate CPR and perform chest compressions at what rate?
100 to 120 compressions per minute
Working as a dental assistant in a medical facility, you find a patient who is UNRESPONSIVE int he exam room. You yell to your medical assistant “Go get the AED” what should your medical assistant respond to demonstrate closed-loop communication?
‘I’ll go get the AED’
You are alone performing high quality CPR when a second PROVIDER arrives to take over compressions. When switching roles, you should minimize interruptions in chest compressions to LESS than how many seconds?
10 seconds
You are alone caring for a 4 months old infant who has gone into CARDIAC arrest, which is the most EFFECTIVE CPR technique to perform until helps arrives?
Standin/Kneeling at the side of the infant with your hips at a slight angle, provide chest compressions using the ENCIRCLING Thumbs technique and deliver ventilations with a pocket mask or face shield
A well organized team response when performing high quality includes ensuring switching off providers performing compressions every ___minutes
2
Well-organized team response when performing high quality CPR, ensures providers are switching off performing compressions every ___ CYCLES
5
What is the appropriate compression depth for a 6-month-old who weighs 17 pounds?
About 1.5 inches
Your patient has endotracheal tube in place, how does it affect compressions and ventilations?
Team should provide 1 ventilation every 6 seconds without pausing compressions
You are preparing to deliver ventilations to an ADULT patient experiencing RESPIRATORY Arrest, you should give 1 ventilation every ___
6 seconds
You are alone caring for a 10 month old infant with an obstructed airway who becomes UNRESPONSIVE, which action should you perform first?
Provide 30 chest compressions
The Code team has arrived to take over resuscitative efforts, among members of the BLS Team, whose role is it COMMUNICATE to the code team the patients status and the care already provided
Team Leader
You perform a rapid assessment and determine that your patient is experiencing CARDIAC arrest. Based on your assessment findings, you begin CPR to improve the patient’s chances of survival. Which term refers to CLEARLY and RATIONALLY IDENTIFYING the CONNECTION BETWEEN INFORMATION AND ACTIONS?
Critical Thinking
Hou is a child defined in terms of CPR/AED Care?
Age of 1 to the onset of puberty
You and your colleagues are performing CPR On a 6-year-old child. What is the compression to ventilation ratio during multiple provider CPR
15:2
For Bag-valve-mask resuscitators, how many persons are preferred and why?
two person technique is preferred, because it provides better seal and ventilation volume
You adult patient is in respiratory arrect due to opioid overdoes. Your team delivers 1 ventilation every 6 seconds. You administered the recommended dose of naloxone (2 mg IN (intravenous). How often is the dose be repeated
Every 2 to 3 minutes as needed
Examples of Effective TEAM DYNAMICS
Clear Roles and responsibilities, knowledge sharing, debriefing, constructive intervention
Assigning your team members to individual roles and outlining what each member needs to do during the resuscitation attempt is an example of what element of high-performance team dynamics?
Clear Roles and Responsibilites
You and your team have initiated compressions and ventilation. The AED was ATTACHED, and ‘no shock’ was advised. Your team has continue CPR for 1 MINUTE, you tell your team “Gabby during the next analysis by the AED, I want you and Justin to switch positions and I want you to perform compressions for the next cycle.’ Gabby replies, ‘Got it, next time the AED Analyzes, I wil switch with Justin and assume the role of the compressor. This is an example of …
Closed-loop Communication
As a TEAM LEADER you notice that your COMPRESSOR is pushing too fast. It is important to correct actions that are incorrect and to be tactful. This is an example of what element of TEAM DYNAMICS?
Constructive Intervention
What are the resuscitation traingle roles in a High-performance team?
Airway, Compressor, AED/Monitor/Defibrillator
How can you achieve a high chest compression factor?
Minimize pauses in chest compressions
Your ADULT FRIEND suddenly collapses at home, you determine she needs CPR. You start CPR, starting with chest compressions, and are about to deliver breaths by using mouth-to-mouth breaths. You open the airway using the head titl-chin life, what are your next actions?
Pinch the nose, seal your lips around your friends mouth, give 1 breath and blow for about 1 second (making sure the chest rises), give a second breath
What is an indication for mouth-to-mouth rescue breaths?
A barrier device is NOT availabe
What is the ratio for Rescue Breathing in an ADULT
give 1 breath every 6 seconds (10 breaths/min), each breath is over 1 second (making the chest rise), check the victims pulse every 2 minutes
What are the steps for RESCUE breathing in Children and Infants
Give 1 breath every 2 to 3 seconds, give each breath over 1 second, make sure chest rise with each breath, check pulse every 2 minutes
Rescue breaths to a 3-year old (child/infant) should be 1 breath every ____
2 to 3 seconds
Having a bag-mask device provides ___ and consist of ___ and has a 1 way valve
Provides positive-pressure ventilation, consists of a bag attached to the a face mask
A chest compression feedback device monitor, gives feedback on _____
compression depth, compression rate, chest recoild
What are the steps for performing mouth-to-mouth-and-nose breaths for an INFANT
Perform head-tilt chin life, place your mouth over infant’s mouth and nose (create an airtight seal) give 1 breath for about 1 second (watching the chest rise)
A laryngeal mask airway, supraglottic airway device, and endotracheal tube are all types of _____ airway
Advanced Airway
When advanced airway is in place, how do you perform CPR?
Perform CONTINOUS compressions at a rate of 100 to 120, give 1 breath every 6 seconds for adults, every 2-3 seconds for child/infant, NO Pauses in compressions to give breaths
When providing rescue breaths to an ADULT victim, you should give breaths how
1 breath every 6 second
When advanced airway is in place, chest compressions should be given at
100 to 120 per minute
Opioid associate life threatening emergency causes the patient to ______ Breathing but still have a ______
Stop breathing, but still have a pulse
True or False: Naloxone is a medication that can TEMPORARILY reverse the effects of opiod overdose
TRUE
List the common routes of administration for naloxone
Intravenous, intramuscular, intranasal
Opioid associated life threatening emergency, is a person who is UNRESPONSIVE, NOT Breathing, but has a pulse, your appropriate should be
give 1 rescue breath every 6 seconds for an adult, 1 rescue breath every 2 to 3 seconds in a child or infant, when naloxone is available give it (If local protocol allows)
Cardiac arrest in pregnant patient is performing high quality CPR (to increase the mothers AND infants chance of survival), what other things should you do?
Perform compressions and use an AED, shock from the AED will not harm the infant, if additional rescuers are present and they are trained, perform continuous lateral uterine displacement
After a pregnant patient is revived after sustaining a cardiac arrest, they should be placed on their _____Side to improve blood flow to her heart and therefore the infant
LEFT
In Choking, a severe airway obstruction the patient will show signs of poor air exchange and difficulty breathing such as…
silent cough, inability to speak or breath, cyanosis, universal sign of chocking (clutching the neck with both hands)
How to perform abdominal thrust on adult and children?
Stand or knee behind the victim, place your arms around the victims waist, locate the navel, make a fist, place thumb side of your first against victim abdomen, make quick forceful UPward thrust, repeat until object is expelled or patient becomes unresponsive
How to use a pocket Mask? Know the steps
Position yourself at the victim’s side, place the pocket mask on victim’s face (use the bridge of the nose to guide to the correct position), seal the mask (index and thumb along the edges), remaining fingers go along the bony margin of the jaw, lift the jaw, perform health tilt child to open airway, deliver 1 breath over 1 second enough to make the victims chest rise
If the chocking victim is obese or pregnant and you can not wrap your arms around the waist, you should…
wrap your arms around their chest, perform chest thrust instead of abdominal thrusts
At the nursing home, you are assisting an adult who is chocking. You have given them back blows and abdominal thrust, but they have become unresponsive, what do you do?
Send someone to activate the emergency response system, lower the victim to the ground, and perform CPR with the exemption of looking for the obstruction object after opening the airway and before giving breaths, if you see the object remove it, no blind sweeps
How is CPR performed differently when an advanced airway is in place?
No pauses for ventilations, compressions are continuous at a rate of 100 to 120
Naloxone is commonly administered
intramuscular, intravenous, intranasal
Severe airway obstructions usually means the patient is
unable to speak
You respond to a collapsed pregnant patient, you are the only rescuer, you follow the BLS sequence, she is unresponsive, not breathing, and had no pulse. She is visibly pregnant you activate the emergency response system. What is your next action?
Begin Chest Compressions
When performing abdominal thrust on adults/children what direction should your thrusts be?
Upward
If a chocking victim is too large to wrap your arms around the waist you should perform
chest thrust
What are the steps for a choking infant (up to 1 year)
Kneel or sit with infant on your lap, hold the infant facedown (head slightly lower that the chest), support the head and jaw with your hand, rest your forearm on thigh to provide support, 5 back slaps, turn baby for 5 quick downward chest thrust …repeat until object is removed or patient becomes unresponsive
Choking victim became unresponsive, you should for help and send someone to activate the emergency response system, what is next?
Lay the infant on a hard flat surface, begin CPR with 1 exception, each time you open the airway to give breaths look for the object, if you see the object and it can be easily removed remove it with a pinky sweep (no object no sweep)
If a choking infant becomes unresponsive, and you are alone you should
Perform 2 minutes or 5 cycles of CPR and then go activate the emergency response system
Minimizing interruptions while using an AED when 2 or more rescuers are present means
one rescuer should continue chest compressions while the other operates the AED
Rescuers should continue high quality CPR
until the AED delivers a prompt to clear for the victims analysis
During Cardiac Arrest, the AED said NO shock advised, you should
immediately resume CPR, STARTING with CHEST Compressions
How is CPR differ in an UNRESPONSIVE adult chocking victim?
the airway is checked for the obstructing object
What are special considerations for defibrillation in children less than 8 years of age?
A manual defibrillator is preferred for infants less than 1 year of age. Use smaller size pads if available, but can use adult pads, do not place both pads on the chest (pads should not touch), you can use smaller-sized pads on infants
You are alone and your phone is out of battery and witnessed a children/infant collapsed you should
Leave the victim to activate emergency response system, get the AED before beginning CPR, use the AED as soon as it is availableY
You and your friend are at downtown park and witnessed a child collapse, what should you do
send your friend to get the AED, begin CPR Immediately, use the AED as soon as it is available
You do not witness a child collapse, and are alone you should
Start CPR, Cycles of 30:2, after 2 minutes, if still alone activate emergency response system and get the AED
You and your friend did not see the child collapse, you should
send your friend to get the AED, begin CPR, use AED when avaible
