Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Emergency Medicine > Cardiopulmonary Resuscitation > Flashcards

Cardiopulmonary Resuscitation Flashcards

You may prefer our related Brainscape-certified flashcards:
Royal College: Emergency Medicine flashcards
1
Q

What is the most important factor that could lead to successful CPR?

A

Immediate recognition of arrest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define CPR…

A

Cardiopulmonary resuscitation - a means to support the body and try and restart the circulatory and respiratory systems when a patient stops breathing or its heart stops beating.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Define respiratory arrest…

A

Cessation of effective breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Define cardiorespiratory arrest….

A

Cessation of cardiac output and breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How do you assess whether a patient has arrested?

A

Look for spontaneous breathing
Auscultate the heart
Feel for apex beat
Palpate pulses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the clinical signs that often precede arrest?

A

Hypoventilation

Bradycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is vasovagal syncope/vagal arrest?

A 
Stimulation of vagus nerve by 
V+
Defecation/urination
Resp/abdo disease
Ocular/neck surgery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How is vasovagal syncope/vagal arrest treated?

A

Oxygen

Atropine IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How can anaesthesia cause arrest? What are the possible complication of this?

A

Overdose of anaesthetic agent or hypoventilation

  • Blindness
  • Dysphoria
  • Neuro dysfunction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the roles within the CPR team?

A 
Ventilation
Compressions
IV access
ECG monitoring
Runner
Scribe
Pulse taker
Team leader
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Outline the ABCs of CPR

A

A - establish and secure a patent airway
B - provide +ve pressure ventilation
C - chest/cardiac compressions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Outline how breathing is restored in CPR…

A 
Ambu bag/anaesthesia system
\+ve pressure ventilation
100% oxygen
10-12 BPM
Deliver breaths with compression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How many breaths should be delivered per minute in CPR? What can hyperventilation cause?

A

10-12BPM

  • Increased intrathoracic pressure
  • Reduced CO
  • Reduced cerebral/coronary perfusion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How many compressions should be delivered /minute in CPR? Why is it important not to interrupt compressions? Where are you trying to maximise perfusion?

A

100BPM
Effectiveness of compressions builds up and plateaus - an interruption starts it back at base level.
- Myocardium
- Cerebrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Outline how compressions are carried out in CPR…

A

Widest part of the chest
100BPM
Allow chest to fully expand after each compression
Lateral recumbency
1 hand in cats/small dogs, 2 in large dogs
Switch person every 2 minutes
Don’t stop!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

When is open chest CPR indicated?

A 
Large dogs
Pleural space disease
Chest wall disease
Pericardial effusions
Intraop arrest
Haemabdomen
17
Q

What are the issues related to open chest CPR?

A

Need experienced personnel
Need financial and surgical back up
Risk of infection

18
Q

What can occur following chest compressions and adrenaline and atropine administered together? How is this treated?

A

Ventricular fibrillation

Electrical defibrillation, pre-cordial thump if unavailable

19
Q

Which drugs can be administered via and ET tube and how?

A 
Lipid soluble drugs only:
Naloxone
Atropine
Vasopressin
Epinephine
Lidocaine
Apply double the dose down ET tube, flush down with 10ml of saline follwed by a big breath.
20
Q

What routes are suitable for administering drugs during CPR?

A

IV
Intra-osseous
ET Tube

21
Q

Name 7 drugs and reasons for administration during CPR…

A

Atropine - arrests due to vagal stimulation
Ca - Hyperkalaemia or hypocalaemia
Epinephine or vasopressin - Increases myocardial perfusion
Glucose - Hypoglycaemia
Lidocaine - Ventricular tachycardia
Na bicarbonate - Hyperkalaemia/metabolic acidosis

22
Q

What always indicates atropine, how is it administered?

A

Bradycardia, one dose early in CPR

23
Q

How is fluid therapy used in CPR?

A

Infusion after drug administration

Treat existing hypovolaemia

24
Q

What factors affect when CPR is stopped?

A 
Time from arrest to CPR
Time of efforts
Pre-arrest health status
Consensus between staff
Owner informed early
25
Q

A dog vomits, collapses and arrests. Which drug would you use and why?

A

Atropine - is likely to be vagal arrest.

Emergency Medicine (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions