Chapter 52 Flashcards

0
Q

Guidelines that are supported by very good evidence of effectiveness and safety in humans are class

A

2A

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1
Q

The general term used to describe the spectrum of disease from acute angina to myocardial infarction is

A

Acute coronary syndrome

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2
Q

Guidelines supported by fair to good evidence of effectiveness and safety in humans with evidence of harm are class

A

2B

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3
Q

Actions or interventions with insufficient evidence to support a final recommendation for clinical use are placed in class

A

Indeterminate

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4
Q

For the infant or child patient who is not breathing each rescue breath should be provided

A

Every 3-5 seconds

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5
Q

When providing ventilations without an advanced airway in the patient experiencing cardiac arrest the rescuer should avoid over ventilation because it

A

Impedes blood return to the heart

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6
Q

The guidelines 2010 are considered

A

Consensus standards

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7
Q

Initial dose for shocking V fib using a monophasic waveform for treatment is

A

360j

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8
Q

If a patient received an adequate trial of ALS in the field, which circumstance should you continue the arrest and transport

A

A low body temperature

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9
Q

In out of hospital setting, 5yr old collapses from sudden cardiac arrest you should

A

2 minutes of CPR

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10
Q

Of all interventions available to cardiac arrest patient, which has the most scientific evidence in favor

A

Defibrillation

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11
Q

Where is the best bang for buck in saving cardiac arrest patients

A

Removing barriers to implementing PAD

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12
Q

In the guideline 2010 updates in health care provider training for CPR on a child applies to

A

Patients from 1 year old to the onset of puberty

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13
Q

In what situation should you phone first instead of phone fast

A

A child with a previous MI

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14
Q

In adults when should the rescuer consider phoning fast instead of phoning first

A

Poisoning or drug overdose

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15
Q

True or false

The jaw thrust can be used with one rescuer technique on a trauma patient

A

False

16
Q

When smaller tidal volumes are used with the bag mask the

A

Chest should rise visibly

17
Q

When a victim suddenly collapses and has no signs of circulation the rescuer should first provide

A

To rescue breaths

18
Q

What evidence helped researchers recommend dropping the pulse check step for laypersons

A

They were frequently wrong in their assessment

19
Q

If a foreign body airway obstruction is suspected in an adult patient the health care provider should

A

Reposition the neck and reattempt to ventilate

20
Q

The initial shock dose for a child in V fib using monophasic or biphasic defibrillator is

A

2j/kg

21
Q

Where are the hands placed to do CPR on an adult

A

In the center of the chest between the nipples

22
Q

Under certain clinical conditions evidence shows that

A

The LMA and combitube are better than a bag mask

23
Q

Principles of _____ medicine classify interventions into one of five categories

A

Evidence based

24
Q

Which statement is incorrect about the combitube airway device

A

This device requires extensive training to use

25
Q

During cardiac arrest resuscitation emergency, cardiac drugs should be administered

A

During CPR, as soon as possible after rhythm checks

26
Q

_____ is a vasopressor that may be given to replace the first or second dose of epinephrine in cardiac arrest

A

Vasopressin

27
Q

_____ is the preferred anti arrhythmic in the management of potentially fatal pediatric dysrhythmias

A

Amiodarone

28
Q

One major change in neonatal resuscitation and management of meconium staining is

A

Routine suctioning is no longer recommended

29
Q

____ is an agent that appears to be as effective as epinephrine in cardiac arrest and lasts between 10 and 20 minutes, so only one dose is recommended

A

Vasopressin

30
Q

The treatment of choice for an overdose of tricyclic antidepressants is the induction of

A

Systemic alkalosis

31
Q

Cocaine overdose has been shown to be associated with serious

A

Ventricular dysrhythmias

32
Q

The guidelines recommended all of the following for cocaine overdose except

A

Beta-blocking agents as a second line therapy when the first line treatments fail

33
Q

Recommended prehospital medications for all patients with acs include_____ in the absence of contraindications

A

Aspirin