ch. 11 Flashcards
Define cardiac arest
the hear ceases to pump blood adequately to the body
Define respiratory arrest
patient is unable to breath causing the body to become inadequately oxygenated
What is cardiorespiratory arrest
cessation of the the heart pumping blood to the rest of the body and the patient unable to breath which causes the body to become inadequately oxygenated
CPR must be initiated within _____ minutes after cardiac arrest for a high survival rate
4 minutes
____ minutes after cardiac arrest ACLS must be administered
8 minutes
What does ROSC stand for
Return of spontaneous circulation
ROSC must be initiated within _____ minutes
8 min.
What does BLS stand for
Basic Life Support
What does ACLS stand for
Advanced Cardiac Life Support
Emergency meds should be checked _____
monthly
The crash cart is checked ____ by either an RT or RN
daily
What is another name equivalent to endogenous adrenaline is _____.
It is produced by the _____.
- Epinephrine
2. Adrenal gland
The first line of defense for cardio respiratory arrest is ____
Epinephrine
____ receptors play no role in ROSC
(return of spontaneous circulation)
Beta receptors
- only alpha receptors*
Low dose of epinephrine stimulates:
High dose of epinephrine stimulates:
- Beta receptors
2. Alpha receptors
In an emergency scenario the first line of defense is _____. This is given in ____ doses to stimulate ____ receptors which constricts arterioles.
This increases blood pressure
- Epinephrine
- high doses
- Alpha receptors
What is ADH
anti diuretic hormone
Epinephrine are ___ when exposed to light.
This turns the medication into which 2 colors:
unstable
- Pink
- Brown
____ is a standard therapy as an alternative to epnipherine
vasopressin
if a patient has asystole , the first line of defense is _____.
Vasopressin
*What is the onset of action for vasopressin
and how is it administered?
What is it?
3 minutes
through IV
Vasocontrictor and Anti diuretics’
What is the stability of vasopressin
Good until expiration date
____ is equivalent to endogenous dopamine
Dopamine
2nd line of therapy in cardiac arrest
Extraversation can lead to ___ ( name 4)
- necrosis
- Cellulitis
- Ulceration
- Tissue sloughing
____ medication is used for bradycardia
Atropine
___ is the most frequently used antidysrhythmic drug for cardiac arrest
lidocaine
____ Is a strong alkalizing agent used for cardiac arrest
Sodium bicaranate
Need of sodium Ph is guided by the _____
serum Ph
____ are paralyzing agents
What are they used for
neuromuscular blockers
-Used for intubation to relax all skeletal muscles
the most common emergency in radiology department requiring drug therapy is _____
cardiorespiratory arrest
A patient who is in respiratory arrest , if not treated promptly it can lead to _____>
Cardiorespiratory arrest
_____ is a set of guidlines developed by AHA for use in managing a patient undergoing cardiac arrest
ACLS
advanced cardiac life support
When combined with chest compressions , _____ is used to cause a ROSC.
Epinepherine
Epinepherine is the synthetic adrenaline
where as Vassopressin is the syntheitc _____.
ADH
anti diuretic hormone
( released by pituitary gland)
What are indications for Epinepherine
- 1st line of defense for cardiac arrest
- PEA
- Ventricular fibrillation
- Asytole
_____ is a precursor to norepinepherine and epinepherine naturally produced by the body
dopamine
What are the indications for dopamine?
hypotension secondary to CHF, myocardial infarcition , or after epinepherine and fluids have failed to attain ROSC
_____ is an antimuscarinic agent used in patients experiencing cardiac arrest or bradycardia
Atropine
____ is an antidysrythmic agent used in patients experiencing cardiac arrest
What are the indications
Amiodarone
- Pulseless ventricular tachycardia
- Shock resistant ventricular fibrillation
- Rate control in A-Fib or flutter
_____ is used to treat severe metabolic or respiratory acidosis
sodium bicarbonate
