Cardiac Arrest Flashcards
What type of PT HX should you ask?
- SAMPLE/OPQRST from bystanders
- Events leading up to arrest
- Estimated leading up to arrest
- DNI/R or living will
- HX: CP/SOB
- HX: HTN/HLD
- HX: Illicit Drug Use/Accidental OD
- HX: Dialysis/renal failure
What are some S/S?
- Unresponsive
- Pulseless
- Apnea/agonal respirations
- Absent heart sounds on auscultation
What are the guidelines for SL 1?
- Call ALS/additional resources as required
- Established pulselessness/apnea
- Evaluate for non-initiation/termination criteria or patient DNI/R
- Initiate high-quality CPR/AED
- Airway
- Suspected overdose
- Assess for hypothermia and BGL
- Pregnant patients
- ROSC
What do you do for airway?
BVM with 100% O2, place NPA and OPA
What do you give for suspected overdose?
Naloxone
How do you handle pregnant patients?
Position leaning to the left side; perform all interventions/medications/defibrillation as needed
What does ROSC stand for?
return of spontaneous circulation
What are the guidelines for SL2?
- Capnometry
- SGA
- Needle decompression
What should the capnometry be inlined with and where should it be maintained?
Inlined with BVM or SGA and maintained at 10-20mmHg to ensure high quality CPR
What do you do with needle decompression?
BL needle decompression with thoracic trauma
When do you contact OLMD to discuss termination of resuscitation?
20 min after high-quality CPR
What are the guidelines for SL3?
- Vascular access
- BLG
When do you get vascular access and what do you do additionally?
Establish access ASAP then get an addtional IV/IO when able to
What do you administer immediately after getting vascular access?
Epinephrine 1mg IV/IO X 1
What do you administer for hypovolemia?
NS/LR 1L bolus
