ch. 11 Flashcards

1
Q

Define cardiac arest

A

the hear ceases to pump blood adequately to the body

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2
Q

Define respiratory arrest

A

patient is unable to breath causing the body to become inadequately oxygenated

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3
Q

What is cardiorespiratory arrest

A

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

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4
Q

CPR must be initiated within _____ minutes after cardiac arrest for a high survival rate

A

4 minutes

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5
Q

____ minutes after cardiac arrest ACLS must be administered

A

8 minutes

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6
Q

What does ROSC stand for

A

Return of spontaneous circulation

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7
Q

ROSC must be initiated within _____ minutes

A

8 min.

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8
Q

What does BLS stand for

A

Basic Life Support

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9
Q

What does ACLS stand for

A

Advanced Cardiac Life Support

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10
Q

Emergency meds should be checked _____

A

monthly

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11
Q

The crash cart is checked ____ by either an RT or RN

A

daily

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12
Q

What is another name equivalent to endogenous adrenaline is _____.
It is produced by the _____.

A
  1. Epinephrine

2. Adrenal gland

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13
Q

The first line of defense for cardio respiratory arrest is ____

A

Epinephrine

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14
Q

____ receptors play no role in ROSC

A

(return of spontaneous circulation)

Beta receptors

  • only alpha receptors*
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15
Q

Low dose of epinephrine stimulates:

High dose of epinephrine stimulates:

A
  1. Beta receptors

2. Alpha receptors

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16
Q

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

A
  1. Epinephrine
  2. high doses
  3. Alpha receptors
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17
Q

What is ADH

A

anti diuretic hormone

18
Q

Epinephrine are ___ when exposed to light.

This turns the medication into which 2 colors:

A

unstable

  1. Pink
  2. Brown
19
Q

____ is a standard therapy as an alternative to epnipherine

A

vasopressin

20
Q

if a patient has asystole , the first line of defense is _____.

A

Vasopressin

21
Q

*What is the onset of action for vasopressin

and how is it administered?

What is it?

A

3 minutes

through IV

Vasocontrictor and Anti diuretics’

22
Q

What is the stability of vasopressin

A

Good until expiration date

23
Q

____ is equivalent to endogenous dopamine

A

Dopamine

2nd line of therapy in cardiac arrest

24
Q

Extraversation can lead to ___ ( name 4)

A
  1. necrosis
  2. Cellulitis
  3. Ulceration
  4. Tissue sloughing
25
Q

____ medication is used for bradycardia

A

Atropine

26
Q

___ is the most frequently used antidysrhythmic drug for cardiac arrest

A

lidocaine

27
Q

____ Is a strong alkalizing agent used for cardiac arrest

A

Sodium bicaranate

28
Q

Need of sodium Ph is guided by the _____

A

serum Ph

29
Q

____ are paralyzing agents

What are they used for

A

neuromuscular blockers

-Used for intubation to relax all skeletal muscles

30
Q

the most common emergency in radiology department requiring drug therapy is _____

A

cardiorespiratory arrest

31
Q

A patient who is in respiratory arrest , if not treated promptly it can lead to _____>

A

Cardiorespiratory arrest

32
Q

_____ is a set of guidlines developed by AHA for use in managing a patient undergoing cardiac arrest

A

ACLS

advanced cardiac life support

33
Q

When combined with chest compressions , _____ is used to cause a ROSC.

A

Epinepherine

34
Q

Epinepherine is the synthetic adrenaline

where as Vassopressin is the syntheitc _____.

A

ADH
anti diuretic hormone
( released by pituitary gland)

35
Q

What are indications for Epinepherine

A
  1. 1st line of defense for cardiac arrest
  2. PEA
  3. Ventricular fibrillation
  4. Asytole
36
Q

_____ is a precursor to norepinepherine and epinepherine naturally produced by the body

A

dopamine

37
Q

What are the indications for dopamine?

A

hypotension secondary to CHF, myocardial infarcition , or after epinepherine and fluids have failed to attain ROSC

38
Q

_____ is an antimuscarinic agent used in patients experiencing cardiac arrest or bradycardia

A

Atropine

39
Q

____ is an antidysrythmic agent used in patients experiencing cardiac arrest

What are the indications

A

Amiodarone

  1. Pulseless ventricular tachycardia
  2. Shock resistant ventricular fibrillation
  3. Rate control in A-Fib or flutter
40
Q

_____ is used to treat severe metabolic or respiratory acidosis

A

sodium bicarbonate