Cardiac Arrest

Question 1

Do not delay management to obtain ___

Answer 1

history

Question 2

What do you need to document in cardiac arrest

Answer 2

Preceding symptoms
Witnessed arrest (yes or no)
Down time
Presence or absence of
bystander CPR
Medications/allergies
History of cardiac disease or
hypertension
Evidence of drug ingestion
Presence of Advance Directive
or DNAR orders

Question 3

Airway should be addressed with ___. Ventilation rate
should be ___ breaths/minute

Answer 3

NO INTERRUPTION TO CPR, 8-10

Question 4

If ___ or more consecutive shocks have been performed, initiate Double Sequential External
Defibrillation protocol

Answer 4

3

Question 5

Sodium bicarbonate is not recommended for___but may be
considered in a dose of 1 mEq/kg after prolonged arrest. Half of the original dose may be
repeated every 10 minutes, if it is used.

Answer 5

routine cardiac arrest sequence

Question 6

Sodium bicarbonate should be used early in cardiac arrest of known ____
__ or patients with possible__(high potassium).

Answer 6

cyclic antidepressant OD or hyperkalemia

Question 7

If patient is intubated, consider insertion of __ to alleviate gastric distention.

Answer 7

OG tube

Question 8

How many joules are the first three shocks

Answer 8

360

Question 9

With first shock infuse 1Litre ___

Answer 9

chilled saline

Question 10

what are sequence of antirythmic drugs?

Answer 10

Amiodarone x2, x2esmolol, lidocaine x2

Question 11

If the rhythm is Torsades, administer __2 grams IV/IO as primary antiarrhythmic.

Answer 11

magnesium sulfate

Question 12

Double sequential defibrillation is to be used only for patients > __ years old or > 40 kg

Answer 12

12, 40

Question 13

If patient was not defibrillated or cardioverted, do not administer an___

Answer 13

antidysrhythmic

Question 14

If patient was defibrillated or cardioverted with no antidysrhythmic: Give a lidocaine bolus (1.5 mg/kg) and re-bolus with 0.75 mg/kg every ___minutes x2 if needed (cumulative MAX dose 3 mg/kg).

Answer 14

10

Question 15

If amiodarone was the last antidysrhythmic given: Re-dose 30 minutes after ROSC with amiodarone 150 mg over __minutes.

Answer 15

10

Question 16

If esmolol was the last antidysrhythmic given: start esmolol drip at __ mcg/kg /min

Answer 16

100

Question 17

For Torsades, if first bolus of magnesium was effective, administer 2nd magnesium 2 grams bolus. If unsuccessful, administer lidocaine 1.5 mg/kg and re-bolus with 0.75 mg/kg every __ minutes x2 if needed (cumulative MAX dose 3 mg/kg).

Answer 17

10

Question 18

If hypotensive (MAP < 65 mmHg or systolic BP < 90 mmHg),
follow __ protocol

Answer 18

Shock

Question 19

Asystole if rhythm is unclear and possibly Ventricular Fibrillation then __

Answer 19

defibrillate as for VF

Question 20

Cardiac tamponade and PE need this after cardiac arrest

Answer 20

immediate transport

Question 21

Administration of lidocaine or amiodarone is not indicated unless ___ was present during resuscitation

Answer 21

VF/PVT

Question 22

5 PEA symptoms

Answer 22

1. Electromechanical dissociation 4. Pulseless bradycardic rhythm
2. Idioventricular rhythm 5. Post defibrillation idioventricular rhythm
3. Ventricular escape rhythm

Question 23

Hyperkalemia- consider ___

Answer 23

calcium gluconate 3 grams

Question 24

For acidosis and cyclic antidepressant OD consider

Answer 24

consider sodium bicarbonate 1 mEq/kg IV/IO

Question 25

CPR with continuous manual ___ using the two-handed method shown below. (

Answer 25

left lateral uterine displacement

Question 26

How many weeks for pregnancy cardiac arrest?

Answer 26

22

Question 27

Early transport is preferable regardless of___

Answer 27

ROSC status

Question 28

except in the presence of mechanical CPR when the patient can be attached to a board and the board is lifted __degrees in left lateral decubitus position)

Answer 28

30

Question 29

In pregnancy Consider using an endotracheal tube __ smaller than you would normally use.

Answer 29

1-2 sizes

Question 30

IN pregnancy__is preferable (Class B in Pregnancy) to amiodarone (Class C in Pregnancy) in the setting of ventricular fibrillation or pulseless ventricular tachycardia

Answer 30

Lidocaine

Question 31

f mechanical CPR is in place, continue the left lateral uterine displacement by tilting the backboard 30° to the___ or by continuing manual displacement

Answer 31

left

Question 32

Cardiac arrest in children is often secondary to ____. Ventilation may cause spontaneous return of cardiac function!

Answer 32

Respiratory failure

Question 33

Defibrillate at ____joules/kg.

Answer 33

4

Question 34

Adult EPi dose

Answer 34

1 mg

Question 35

Adult Amiodarone

Answer 35

300/150 mg

Question 36

Esmolol

Answer 36

500mcg

Question 37

lidocaine

Answer 37

1.5 mg/kg

Question 38

Defibrillate at 4 joules/kg.