CC Concepts: CPR

Question 1

What is the survival to discharge rate for small animal patients that undergo cardiopulmonary arrest?

Answer 1

6 - 7%

Question 2

True or False: Starting CPR on a patient not in CPA carries moderate risk.

Answer 2

False, starting CPR on a patient not in CPA carries minimal risk

Question 3

Occurring rapidly in patients with untreated CPA, primary focus should be placed on performing -?

Answer 3

Chest compressions, as a result of tissue hypoxia and ischemic injury

Question 4

Describe an appropriate chest compression technique.

Answer 4

Compression depth of one third to one half the width of the chest at a rate of 100 - 120 compressions/ minute for 2 minute uninterrupted cycles

Question 5

True or False: Leaning on the chest between compressions will reduce filling of the heart by preventing full elastic recoil.

Answer 5

True

Question 6

Describe an appropriate ventilation technique for patients in CPA.

Answer 6

10 breaths per minutes, short inspiratory time of 1 second, and a tidal volume of approximately 10 ml/kg

Ventilation techniques include intubation, mouth-to-snout

Question 7

Patients undergoing CPA should receive EPI at a ____ dose, prior to a ____ dose if it has been over 15 minutes.

What are those dosages?

Answer 7

Low (0.01 mg/kg); high (0.1 mg/kg)

Question 8

What dosage should be used for Atropine administration during CPA?

Answer 8

0.04 mg/kg

Question 9

What medication should be administered following a prolonged CPA or patient with a pH <7.0, and at what dosage?

Answer 9

Bicarbonate (1 mEq/kg)

Question 10

What medication should be administered if the patient is experiencing refractory ventricular tachycardia, or pulseless ventricular tachycardia if Amiodarone is unavailable? What dosage is used?

Answer 10

Lidocaine (2mg/kg) SLOWLY

Question 11

To reverse opioids, what drug and dosage is used?

Answer 11

Naloxone (0.4mg/kg)

Question 12

To reverse benzodiazepines, such as Diazepam or Midazolam, what medication and dosage is used?

Answer 12

Flumanezil (0.01 mg/kg)

Question 13

To reverse alpha-2 agonists, such as Xylazine or Dexmedetomidine, what medication and dosage is used?

Answer 13

Atipamezole (50 ug/kg or 0.05 mg/kg)

Question 14

Corticosteroid administration during CPA carries what significant complication from repeated or high dose administration?

Answer 14

Gastrointestinal ulceration