Cardiology CPR

Question 1

CPCR

Answer 1

Cardiopulmonary Cerebrovasocular Resuscitation

Question 2

CPA

Answer 2

Cardiopulmonary Arrest

Question 3

CPA definition

Answer 3

The sudden cessation of spontaneous and effective ventilation and systemic perfusion

Question 4

Potential causes of CPA

Answer 4

Hypoxia 
Metabolic disorders
Trauma
Anesthetic or other drug
Environmental influences

Question 5

5 signs of CPA

Answer 5

No palpable pulse
No auscultable heart beat
No ventilatory attempts
Discolored mucus membranes
Dilate/fixed pupils

Question 6

Factors affecting survival rate

Answer 6

Pre-arrest condition
Time elapsed since arrest
Etiology of arrest
Ineffective external cardiac massage
Client wishes

Question 7

Goal of CPCR

Answer 7

Provide adequate circulation until normal function returns

Question 8

3 phases of CPCR

Answer 8

Basic life support
Advanced life support
Prolonged life support

Question 9

Basic life support

Answer 9

Temporary support of oxygenation and circulation

Question 10

Advanced life support

Answer 10

Drugs and dfib

Question 11

Prolonged life support

Answer 11

Anything that happens post CPR if patient survives

Monitor pt, preform diagnostic test, support pt.

Question 12

5 tasks involved in CPCR

Answer 12

Airway management
Cardiovascular management
Venous Access
Monitoring
Drug administration

Question 13

What goes in the crash cart?

Answer 13

Many different sizes of IVC
Tourniquet 
Tape/vet wrap
T-ports
Injection caps
Hepranized flush
Fluids and supplies

Question 14

Epinephrine HCI

Answer 14

Tx of CPA

Question 15

Epinephrine: 3 routes

Answer 15

1. Endo/intratracheal
2. IC
3. IV

Question 16

Dextrose

Answer 16

Tx of hypoglycemia

Question 17

Atropine

Answer 17

Anticolonergic

Tx of bradyarrhythmias

Question 18

Lidocaine

Answer 18

Tx of ventricular arrhythmias

Question 19

Dexamethasone

Answer 19

Tx of anaphylaxis

Question 20

Dobutamine HCI

Answer 20

Tx of hypotension and shock

Question 21

Dopram

Answer 21

Resp. stimulant

Post c- section to get neonates breathing

Question 22

Signs of impending CPA

Answer 22

Decreased mentation – depressed
Resp. changes – rate, depth, pattern
Pulse changes – pulse deficit, no pulse
Abnormal ECG patterns – ven arrhythmias

Question 23

Verify arrest

Answer 23

Check for femoral pulses
Listen for heart sounds -> palpate at same
time
Palpate for apical beat
If under GA turn off anesthesia immediately
Notify appropriate personnel ASAP
Upon verification of CPA, properly perform
CPCR

Question 24

ABCD’s

Answer 24

A = airway
B = breathing
C = circulation/cardiac massage
D = drugs/d fib

Question 25

Ensure pt airway

Answer 25

1. +/- clear airway -> finger sweep/suction
2. Properly place ET tube
3. +/- perform trachealoscopy

Question 26

Breathing:

Answer 26

Ventilate at 15-20 cm H2O pressure –> max pressure when you administer a breath
Give 2 initial breaths of 1.5 sec each –> sigh breath –> re-inflates the alveoli

Question 27

Breathing: ventilation rate

Answer 27

1 breath/3-5 compression = true CPA
1 breath/15 sec = reap. arrest
Breath can be same time as compression