Chptr 2 Flashcards
ARC stands for
Access, Recognize, Care
Preforming a visual survey (if scene is safe)
Checking for responseiveness
Are considered what?
Essential 1st steps in
Rápid Assessment for adults
PPE (gloves, Breathing Barriers, gowns, face shields, eye wear, biohazard bags)
Hand hygine
Engineering controls
Work place practice controls
Proper equipment cleaning
Proper spill clean up
Are all examples of….
Standard precautions
Rapid Assessment for adults
Visual Survey for Safety
Initial impression (Suspicion) (appear sick / unresponsive) (Skin: Pale, Mottled, Cyanotic) (Breathing) (Bleeding- Stop Bleeding 1st)
Resources (Who can help / Additional Equipment)
- Check for Responseiveness… How?
- If unresponsive, what? 2 Parts
- Then what follows, when they are responsive?
1.If they are speaking, making noise, moving
2.(A) Shout, Tap, Shout.
Are you ok? Tap both hands on Clavicle, Miss Jones, are you okay?
(B) Shout for someone to activate the Emergency Response System & Bring an AED
- Ask for permission to help
In an unresponsive Adult Paitent
- Shout, Tap, Shout.
Are you ok? Tap both hands on Clavicle, Miss Jones, are you okay? - Shout for someone to activate the Emergency Response System & Bring an AED
Then…
Have them face up and Open Airway
with Head Tilt, Chin Lift Technique
A modified jaw thrust maneuver is used when?
In a paitent with suspected neck or spinal cord injury
After opening the airway in an unresponsive paitent what do you do next?
For how long?
Check fir Breathing & Pulse simultaneously
Atleast 5 seconds not more than 10
How do you check the pulse
Coratid Pulse
When looking for breathing check (3)
That the chest is rising and falling
Listen for escaping air
Feel for breaths against the side of your cheek
When checking for pusle…
Palpate the coratid artery by sliding 2 fingers into the groove of the paitents neck
Paitent must be in the face up position aka
Supine
ABC stands for
The order of the Rapid Assessment
Airway Opening
Breathing or lack thereof
Circulation (Simultaneously with Breathing)
Assessing for safety
initial impressions
Life threatening Bleeding
Need for additional resources
Are all part of….
Visual Survey
1st part if the Rapid Assessment
After preforming the visual survey on a respoive paitent what do you do before beginning treatment?
Obtain consent
- ID yourself to paitent or legal guardian
- (Fill in Blank)
- Expalin what you observed
- Explain what you plan to do
- Ask for permission to provide care
Are all part of obtaining consent
Which is done after the Visual Survey before providing care
State you level of training
When can you administer care to an adult paitent without consent (4)
Unresponsive
Altered mental state
Mentally impared
Unable to give consent verbally or through gestures
To check for breathing and pulse you must first open the adults airway to a ____ position
Using either the Head-tilt/ chin-lift tech
Or
Modified Jaw-Thrust maneuver
Past-neutral
Press down on the forehead with 1 hand
While
Pulling up on the bony underside part of the chin with 2 or 3 fingers of the other hand
Then tilt head to a past neutral position
This technique is called?
Is used for
Head-tilt / Chin-lift
Opening airway without suspected Spinal Injury
Posistion self above paitents head (behind them)
Hands on both sides of patients head with Thumbs near Corner of the Mouth- Pointed towards the chin
Slide fingers under Angle of Jaw Bone without Moving Head or Neck
Thurst Jaw up without moving head or neck to open airway
Is this technique
Used when
Modified Jaw-thrust
Spinal Injury
Paitent is not breathing (ineffective ventilation) and Central Pulse is present implement care for…
Respitory Arrest or Respitory Failure
Paitent is not breathing or only gasping and their central pulse is absent implement care for….
Cardiac Arrest
You see a paitent laying on the floor and must 1st preform a Visual Survey which actions do you take.
A. Check for breathing and a Carotid pulse.
B. Observe for any sign of illness or injury, including life threatening bleeding
C. Determine whether additional help is needed
D. Check for Responseiveness
E. Open paitents airway
B & C
Before you help
1.Access for immediate Dangers
- Gather initial impressions (Life threatening bleeding )
- ID which additional resources
Rapid Response Team / Resuscitation Team Or an AED machine
The first part of helping is called a VISUAL SURVEY and contains 3 elements.
Name them
Before you help
1.Access for immediate Dangers
- Gather initial impressions (Life threatening bleeding )
- ID which additional resources
Rapid Response Team / Resuscitation Team Or an AED machine
As you check for breathing you
- Look for chest rises and falls
- Listen for air escaping
- Feel fir breathing against the side of your cheek
True or False
True
Breathing revels irregular, gasping breaths.
This breathing pattern is known as
Agonal breaths
Isolated or infrequent gasps that occur in absence of normal breathing in an unconscious patient
Adult paitent responsive ask for consent then…(4)
ABC
Posistion paitent in supine (on back Posistion)
Perform 2nd assessment as condition allows
Reasses paitent, recognize issues, provide care as needed.
Adult paitent is unresponsive 1st (3) things you do
- Active EMS, rapid response team. Call for AED
- Check breathing and pulse for no more than 10 secs.
Meanwhile
- Scan body for life threatening bleeding
Adult paitent is unresponsive
After active EMS / response team and call for AED
You check the Pulse and Breathing
Not Breathing but Pulse present
What do you call this
What is the course of action
Respitory Arrest or Failure
Deliver 1 ventilation every 6 seconds
Preform Primary Assessment
Airway, Breathing, Circulation
Check Breathing and pulse every 2 minutes (if Pulse is absent go to care for Cardiac Arrest)
Posistion for clinical conditions
2nd Assessment (ABC)
Reassess Paitent, Recognize issues, provide care as needed
Adult paitent is unresponsive
After active EMS / response team and call for AED
You check the Pulse and Breathing
Not Breathing, Pulse absent present
What do you call this
What is the course of action
Cardiac Arrest
Start CPR: Single and Multiple Providers 30:2
AED ASAP
CPR until AED arrives
AED arrives at a paitent who has no pulse or breathing, while you are preforming CPR.
Shockable Rythm? No
Resume CPR for 2 minutes until the AED is ready to analyze
Continue cycles of CPR/ AED until;
Leader tells you to stop
Trained providers releave you
Signs of ROSC
Presented with DNR order
Too tired
Situation is unsafe
Compression to ventilation ratio
30:2
CPR hand position
Centered on the lower half of the sternum
CPR depth of compressions
2in or 5 cm
Rate of CPR compressions
100 to 120 per minute
Switch CPR compressors (3)
Every 2 minutes
During Rythm check
If provider is tired
Each ventilation should last how long?
When do you deliver the next one
1 second
And air is exited from chest
Preforming multiprovider CPR using AED on adult in cardiac arrest. They now show signs of ROSC (return of spontaneous circulation)
Which actions would the team perform?
A. Continue compressions for 1 minute
B. Stop CPR / AED
C. Check for breathing and carotid or femoral pulse
D. Give 2 ventilations
E. Remove the AED pads
F. Monitor the paitent until advanced cardiac life support team takes over
B, C, F
Adult paitent suffers cardiac arrest in bed.
Which of the following techniques promotes High Quality CPR
A. CPR board or active system in bed to ensure firm surface
B. Posistion self so shoulders are directly over hands
C. Adjust bed or use secure steps so your at appropriate working height
D. Place hands center of paitents chest above the nipple lines.
E. Overlap hands, slightly bend elbows and use arm muscles to compress chest
F. Place one hand on top of the other and interlace your fingers or hold them up so they are not resting on paitents chest.
A, B, C, F
Which are roles in a BLS team
A. Environmental technologist
B. Airway manager/ ventilator
C. AED operator
D. Compressor
E. Communication Specialists
F. Team leader
B, C, D, F
After Rapid Assessment on Adult Paitent they are Unresponsive but breathing and with pulse.
You suspect they have head or neck injury
Which action should you take
A. Wait to active EMS until you concluded 2nd Assessment
B. Preform primary Assessment (Airway, Breathing, Circulation, Disability, Exposure) and emergent / initial interventions
C. Place them in left lateral decubitus posistion
D. Perform 2ndary Assessment as condition allows
E. Reassess patient, Recognize issues, and provide care as needed
B, D,E
You are working on a BLS team CPR on 62 old femal
Which are high Quality CPR
A. Smooth ventilations about 1 second each and make chest rise
B. Interupt chest compressions to frequently assess paitent
C. Compress chest to a depth of about 1.5 inches
D. Compress chest rate 100 - 120 per minute
E. Allow for full chest recoil after each compression
A, D,E
ID situations in which it is safe to use an AED machine
A. Pregnant, providing the AED pads do not incorporate any breast tissue
B. Wearing jewelry or body piercing, provided the pads aren’t directly over metalic jewelry.
C. Pacemaker ir Implantable Cardioverter-Defibrillator ICD, providing the pads are not placed directly over device
D. Near flammable or combustible material, such as free flowing oxygen
E. Paitent is laying on metal, provided pads dont touch metal and no one touches paitent during shock
F. Laying in water
A,B, C, E
Adult with Endotracheal Tube (ET) experiences cardiac arrest and needs CPR.
WHICH of the following are true
A. 20 ventilations per minute
B. Remove ET before delivering ventilations
C. 1 ventilation per 6 seconds
D. Continous compressions without pausing for ventilations
E. Preform compressions at one-half normal rate
C, D
Adult in respitory arrest.
Which of the following are correct
A. Start CPR immediately
B. 1 ventilation every 6 seconds
C. 2 ventilations each lasting 1 second
D. Check breathing and pulse every 2 minutes. If pulse becomes absent, start CPR
E. Use AED ASAP
B, D
In-Hospital Cardiac Chain of survival imcreases patients likelihood of survival.
Place the following in order
A. Surveillance and prevention
B. Recognition of cardiac emergency and activation of emergency response systems.
C. Early high quality CPR
D. Early defibrillation
E. Integrated post-cardiac arrest care
F. Recovery
They are in correct order
Female 30 weeks gestation in cardiac arrest. Patients fundus is above the umbilicus.
Which of the follow are appropriate steps
A. Activate maternal and neonatal resuscitation team
B. Provide high quality CPR and left uterine displacement.
C. Make sure AED pads do not incorporate any breast tissue
D. Apply fetal monitors to access fetal state.
E. Place paitent in left lateral decubitus position and preform CPR
F. Preform resuscitative cesarean delivery RCD if trained within 5 minutes of arrest
A,B,C, F
You and another provider recognize that an adult is in cardiac arrest. An advance airway is not in place.
Which are appropriate care
A. Switch posistion every 5 minutes to prevent fatigue
B. Use compression to ventilation ratio of 15:2
C Use compression to ventilation ratio of 30:2
D. begin CPR immediately after ID cardiac arrest
E. Provide continuous compressions without pausing for ventilation
C,D,
AED placement
Paitents upper right chest below Clavicle and Right of Sternum
Paitents lower left chest along the midaxilary line a few inches below the left arm pit
Is referred to as…
Anterior/ Lateral Placement
You and a team are providing CPR on an Adult. One member has gone to get the AED
WHICH OF THE FOLLOWING STATEMENTS ARE TRUE
A. The compressor should continue compressions until the AED pads are applied and the AED promopts that it is analyzing
B. After the shock is delivered and the AED prompts shock delivered, the team should immediately resume CPR.
C. The AED operator and airway manager/ventilator should clear the patient while AED analyzes, however the compressor should continue giving compressions until AED prompts shock/no shock advised
D. When the AED arrives, the team should stop CPR to set up the AED and apply the pads
E. Team members should rotate every 2 minutes, which is generally during AED analysis, to prevent fatigue.
A,B, E
You and another person are delivering ventilations with a bag-valve-mask (BMV) resuscitator in cardiac arrest.
Which of the following are true
A. Seal the mask and open the airway by lifting the jaw into the mask
B. Ensure that the chest begins to rise
C. Bag-valve-mask BVM ventilations should be preformed as a 2 person technique to provide better seal and ventilation volume.
D. Maintain the airway in a neutral position
E. Hold the mask in place with the E-C hand position
A,B,C,E
Which methods can you use to evaluate the quality of CPR
A. Visual observation
B. Aterial Blood Gas
C. Chest compressions fractions
D. Capnography
E. Feedback devices
A,C,D,E
If an Adult is conscious or unconscious and Breathing with a Pulse provide care in the following steps
- Active EMS and call for AED
2.Preform primary assessment (Airway, Breathing, Circulation, Disability, Exposure) and emergency/initial interventions - Posistion paitent in appropriate clinical conditions (if spine injury not suspected) Recovery Posistion
- Preform 2ndary assessment as condition allows
- Reassess paitent,Recognize issues, provide care as needed
True or False
True
Kneel at patients side
Place patients arm closest to you up next to their head
Place arm furthest from you next to their side
Grasp leg closest to you, flex at hip and bend knee towards head
Place your hands on paitents shoulder and other hand on hip furthest from you.
Using smooth motion, roll paitent by pulling their shoulder and hip with your hands. Make sure paitents head remains in contact with their arm.
Stop movement when paitent is on thier side.
Place their knee on top of other knee so both knees are bent posistion
Place paitents free hand under their chin to support their head and airway.
What is this called and when is it used
Recovery Posistion
When a paitent has a pulse and can breath but are in distress
What is used for suspected opiod overdose
Naloxone
Early defibrillation may…
Restore effective heart rhythm, increasing survival
Adult paitent is in cardiac arrest if they are not breathing or only gasping and central pulse is absent
True or False
True
MI or heart attack is when…
Necrosis of heart tissue due to lack of oxygen
What does CPR stand for
Cardio Pulmonary Resuscitation
Depth of compressions
Atleast….
No more than…
2 in / 5cm
2.4 / 6cm
Tidal volume of 1 second of ventilation
400ml - 700ml
During chest compressions minimize interruptions to less than ____ seconds
10
Do you expose the chest in CPR? ie. Remove clothes
Yes
Heel of 1 hand on the center of paitents chest, lower half of the sternum
Place other hand on top and interlace fingers so they dont rest on paitents sternum
Posistion self so shoulders are directly over hands
This describes what?
High Quality CPR
For a patient in cardiac arrest, deliver (How many ventilations for how long each)
2 ventilations that last about 1 second each.
Make the chest begin to rise.
Allow air to exit before delivering the next ventilation
4 methods to provide ventilation
Pocket mask ventilation
Bag-valve-mask resuscitator
Mouth to mouth
Mouth to nose
Which ventilador is recommended for single provider CPR
Pocket Mask
Use of ____ during multiple provider CPR is recommended when only 1 person is available to deliver ventilations
Pocket mask
Place webbing between index finger and thumb at top of mask above the valve. Remaining fingers on side of paitents face
Other hand
Thumb on bottom of mask and bent fingers under chin.
Then open airway to past neutral
Take normal breath
And give 2 ventilations about 1 second each
Describes the process for which ventilation
Pocket mask
When do you break the seal on the pocket ventilator
Between ventilations?
You take the mask off every time after the 2 breaths
What is the prefere ventilador for 2 person team
Bag-valve-mask
Describe the 1 person position to hold the Bag-valve-mask
E - C
Thumb and index form a C around the valve
While other fingers form an E
Left jaw into the mask in the E-C position with the Bag-valve-mask
True or False
True
How far do you decompress the Bag-valve-mask
About half way
Mouth to Mouth Adult
Open airway to _____
Pinch nose shut, take normal breath, make seal with your mouth
Past neutral
Use nose to mouth if unable to make a seal around paitents mouth
Tilt their head back and ______
Seal your mouth around their nose and breathe
If possible open paitents mouth between ventilations
Close their mouth by pushing up on the chin
When supplemental oxygen or basic airway (Oropharyngeal Airway) is used how is CPR preformed
If advanced airway eg. Endotracheal Tube is used, how is CPR preformed
Supplemental Oxygen or Oropharyngeal Airway CPR is preformed normally
Advanced airway or Endotracheal Tube: 1 provider delivers 1 ventilation every 6 seconds while another delivers continuous chest compressions Without pausing for ventilation
Adult paitents CPR includes ____ chest compressions followed by ___ ventilation(s)
30: 2
CPR for advanced airway is described as ___ ventilation(s) every ___ seconds
While the provider continues chest compressions without pausing for ventilations
1:6
When Drowning is the suspect cause of cardiac arrest. What do you do before starting CPR
2 ventilations
In multi provider CPR how do you know when to switch positions about every 2 minutes
The person giving the chest compressions will say: Switch instead of 1 during the cycle and they rotate the following time
The provider managing the airway with the Bag-valve-mask should seal the mask using the EC technique and simultaneously open the airway to the neutral position?
True or False
False
Simultaneously open the airway to the past-neutral position
One provider delivers 1 ventilation every 6 seconds while the other delivers continuous chest compressions without pausing for ventilations.
Describes the correct CPR in which circumstance?
Multi-provide4 Advanced airway
What does an AED do?
Analyzes heart and provides defibrillation
AED delivers defibrillation to 2 types of arrhythmia
Ventricular fibrillation & Ventricular tachycardia
If no one is available to get you an AED what do you do?
Put paitent in recovery position and retrieve it
Adult AED pads are for which type of children
Over 8 or 55 lbs
AED placement is
Upper right chest below Clavicle and right of the sternum
Feedback device is placed in the center of the chest
Left along midaxilary line a few inches below the armpit
True or False
True
Don’t do CPR while AED is attached
True or False
False
Do it after the shock when instructed
Continue doing CPR while AED is attached for 2 minutes until:
AED prompts that it is reanalyzing
Return of Spontaneous Circulation (ROSC)
Team leader says stop
True or False
True
Which of these actions are appropriate to minimize interruption of chest compressions
A. Continue CPR while the AED is analyzing the heart rhythm
B. Continue CPR while th3 AED pads are applied
C. Immediately resume CPR after the shock is delivered
D. Continue CPR while the shock is delivered
B & C
During the rythm analysis and shock delivery you should (2)
Stop CPR
Clear the paitent when the AED prompts (Clear- everyone get away)
Single Provider CPR on adult
Which technique is the best
A. 30 chest compressions, rate 100 - 120 per minute. Then deliver 2 ventilations, each lasting 1 second, with a BVM
B. 15 chest compressions, rate 80 - 100, 2 ventilations 1 second, with a pocket mask or mouth to mouth
C. 30 chest compressions, rate 100 - 120 per minute. 2 ventilations 1 second each with pocket mask or mouth to mouth
C
If the fundus is below the umbilicus or fetal age is less than 20 weeks follow basic life support for adults
True or False
True
After preforming rapid Assessment on pregant paitent
If not responsive
Start Obstretic Life Support
Activate Materinal and neonatal resuscitation teams
Check breathing and pulse for no more than 10 seconds, scan for bleeding
Apply fetal monitors
True or False
False
Remove fetal monitors
If pregant paitent is responsive
Primary assessment Airway, Breathing, Circulation, Disability, Exposure
If no spinal injury place them in this posistion _____
Preform 2ndary assessment
Reassess paitent, Recognize issues, provide care
Lateral decubitus posistion
Prioritize transport care over care at the scene for a pregnant woman
True or False
True
Pregant paitent is not breathing what is the ventilation rate
1 ventilation every 6 seconds
Indications for Resuscitative Caerean Delivery
No ROSC after ____ cycles of CPR with Fundus at or above umbilicus or more than 20 weeks pregnant
Intermintant ROSC after 2 cycles of CPR
NONshockable rhythm
Immediately upon arrival to an emergency dept. Without ROSC
2
BAAC TO LIFE is the mnemonic to remember what?
Causes of cardiac arrest in a pregnant woman
Technque used to move the gravid uterus up and toward the left to relieve pressure on the inferior vena cava and maximize return of blood to the heart and cardiac output
Left uterine displacement
Left Uterine Displacement
Left Side; Reach across paitent, place both hands on side of uterus, pull uterus Up & to the Left
Right side; Place both hands on the right side of uterus and Push Up and to the Left
True ir False
True
Resuscitive Cesarean Delivery should be preformed with in ____ Minutes of cardiac arrest.
5
How can you maximize the effectiveness of CPR in a 30 week pregnant paitent.
Which posistion
Supine and manual lef4 uterine displacement
Blank is found by dividing Time delivering compressions ÷ total duration of resuscitation event
It is an important factor in quality CPR
Chest compressions fraction
CCF
What is the first step of using an AED
Turn it on and follow prompts
How much air is delivered when a Bag-valve-mask is decompressed half way
400 - 700ml
CCF or Chest Compressions Factor should be atleast what percentage
What is the goal percentage?
60
80
How does cardiac arrest differ from heart attack
Cardiac Arrest is whn the paitent is unresponsive, not breathing, no pulse.
Heart attack will be awake and responsive
BLS stands for
Basic life support
Child cardic arrest. No way to call for help. What is your first action
Perform 2 minutes of CPR starting with chest compressions
Where do you place AED pads on an infant
Middle of chest & back between the scapulae
Regardless of child under 17s level of consciousness you must obtain presmission from parents
True or False
True
Use pediatric AED pads for which
A. 2 yrs 27 lbs
B. 10 yrs 85lbs
C. 12 yrs 95lbs
D. 7 yrs 75lbs
E. 5 yrs 43 lbs
A & E
CPR for child or infant with advanced airway in place
1 provider should deliver 1 ventilation every 2 or 3 seconds
Other delivers continuous chest compressions without pausing for ventilations
True or False
True
4 year old child is in resp failure. Pulse 65 bmp
Which of the following is appropriate
A. 1 ventilation every 6 secs
B. Start CPR immediately
C. 1 ventilation every 2 or 3 seconds
D. Check pulse and breathing ebery 2 minutes
C & D
Shout tap shout differs in infants how
Tap foot
Breathing and pulse check on an infant.
Open air way how?
Check pulse where?
Neutral position
Bracial pulse
What is the difference between respitory arrest and failure
Arrest is not breathing
Failure is ineffective breathing
Child infant
Pulse greater than 60 bmp
Deliver ___ ventilation(s) every ____ seconds
If advanced airway is in place it remains the same
1 ventilation every 2 or 3 seconds
Child or infant
Pulse less than 60 bmp with signs of poor perfusion
What do you do
Start CPR and monitor every 2 minutes
Infant and child CPR tech
Compressions to ventilation ratio
Single provider
Multiple Provider
Single 30:2
Multiple 15:2
Infant CPR hand position
2 thumbs palced in center of chest just below nipples
Or 2 fingers maybe used
Child 1 year old to start of puberty
CPR hand posistion
1 or 2 hands centered in the lower sterum
CPR depth for infants / children 1 - stsrt of puberty
1.5 in infants
2 in children
The rate of 100 - 120 compressions of CPR is the same for infants and children
True or False
True
In infants if advanced air way is in place one provider delivers 1 ventilation every 2 or 3 secs while the other provides continuous chest compressions no pausing
True or false
True
Rate of ventilation for child or infant in respitory failure
1 vent every 2 or 3 seconds
In children/ infants of pulse drops below 60 bmp do what
CPR immediately
During team CPR on a child what is the ratio of compressions to ventilation
15:2
Is it safe to use adult AED pads on an infant?
Yes
Placement of AED on infant
Anterior and Posterior
Chest and back
AED children less than 8 yrs or less than 55lbs use which type of AED pads
Infant
Pad right of sternum and below right Clavicle
1 pad left chest midaxilary line few inches below the arm pit
Is the correct placement for AED pads on children Less than 8 or under 55 lbs
True or False
True
Children older than 8 or more than 55 lbs use which type of AED PADS
Adult
You can use pediatric pads on a child older than 8 or more than 55 lbs
True or False
False
Breathing check differs in position in Infants, children, adults how?
Infant Neutral position
Children slightly past neutral position
Adults Past neutral position
Getting additional resources differs in Adults, Children, Infants
How?
Adult: If alone and no phone. Immediately leave and call for help then CPR
Child: Decide to leave or start CPR
Infant Decide to leave start CPR
How do you know to call or start CPR on a infant or Child
If you witness them collapse Leave and Call
If you find them collapsed Start CPR
Compression depths of Infants, Children, Adults
Adult 2- 2.5 in
Child 2 in
Infant 1.5
Children and infants CPR ratio differs from adults in multi provider care what is this ratio
15:2
In children and infant Advanced airway the CPR is
1 ventilation every 2 or 3 seconds
While other provider delivers continuous care
You find a child collapsed
You should start CPR for 2 minutes then leave to call for help if you don’t have a phone
True or False
True
Infant obstructed airway
Which technique use when administering back blows
Heel of hand between the scapulae
Choking adult, got consent. What next
5 back blows then 5 abdominal thrust. Until the person can cough forceful, speak, breath, or become unresponsive
Consent is implied for a choking child when?
When parents are not available
If a paitent is shorter than you. It maybe best to kneel when giving them back blows and abdominal thrust
True or False
True
Correct placement for hands in abdominal thrust
Place thumb side of your fist on the middle of the abdomen just above the navel
Imward and upward is the correct direction for abdominal thrust
True or False
True
When preforming chest thrust what is the direction
Pull straight back. Inward thrust
Infant obstructed airway remedy
5 backblows
5 chest compressions
Infant chest thrust should be hw deep
1.5 inches
If choking victim is able to cough or speak do what
Encourage them to cough, reasses as long as they keep coughing. If tjey stop call 911
If choking victim (How do you know they are a choking victim)is responsive what is the action
Infants, children, adults
Unable to speak or cough
Back blows and abdominal thrust 5 each for children and adults
Infants 5 backblows and 5 chest thrusts
If choking victim is unresponsive what do you do for
Infants, children, adults
CPR 30 compressions
After compressions before ventilations check mouth for objects
Remove via finger sweep for children and adults
Via pinky sweep for infants
Same 30:2 ratio
If abdominal thrust cant be preformed what do you do instead
Chest thrust
Wjere do you preform chest thrust
Center of chest lower half of sternum
If choking victim becomes unresponsive what do you do
Lower to ground and immediately start CPR
After Chest compressions on a unresponsive choking victim what do you do
Open mouth and check for and remove objects with finger for adults and children
Pinky for babies
Naloxone maybe adminsted how often
Every 2 or 3 minutes
Which findings would be associated with an opiod overdose.
A. Respitory depression
B. Pinpoint pupils
C. Hypotension
D. Rapid resipations
E. Unconscious
A, B, E
Adult patient with suspected opiod overdose is in respitory arrest. Which actions are most appropriate
A. Begin CPR immediately
B. Provide 1 ventilation every 6 seconds
C. Use AED
D. Check pulse and breathing every 2 minutes
E. Adminster naloxone
B, D, E
Ventilation rate in respitory arrest for pediatric patient is _____
Adult Ventilation rate in respitory arrest is _____
1 ventilation every 2 or 3 seconds infant
1 ventilation every 6 seconds adult
After administration of naloxone check for Responseiveness and access breathing and pulse
True or false
True
72 yr old who you have been preforming CPR on show signs of ROSC
Where do you perform pulse check?
Carotid & Femoral Artery
Providing care to Mrs. Bove who has an Endotracheal Tube
How does this affect compressions and ventilations for a team?
Team provides 1 ventilation every 6 seconds without pausing compressions
You are caring alone for a 9 month old infant with an obstructed air way who just became unresponsive.
What action should you preform first?
Start CPR with 30 chest compressions
