Code Blue

Question 1

CPR general protocols

Answer 1

1. CPR
2. IV access
3. 1 mg epinephrine
4. airway

Question 2

Chest compressions
• Push in centre of chest at ___ bpm

• Compress to a depth of ___ cm
• Minimize interruptions at all times

Answer 2

Chest compressions
• Push in centre of chest at 100-120 bpm • Compress to a depth of 5-6 cm • Minimize interruptions at all times

Question 3

BMV: ask initially for high ____ ___to be applied

• ventilate at ___ ratio

Answer 3

BMV: ask initially for high flow oxygen to be applied

• ventilate at 30:2 ratio

Question 4

T/F central line should be done in a coding patient

Answer 4

false. peripheral IV access is absolutely necessary thoguh

Question 5

epinephrine dose is The dose is 1 mg - only for ___ patient

Answer 5

The dose is 1 mg - only for pulseless patient

Question 6

Question 7

2 types of shockable rhythms

Answer 7

VF and pulseless VT

Question 8

shockable?

Answer 8

yes. ventricular fibrillation

Question 9

shockable rhythm?

Answer 9

yes. ventricular tachycardia

Question 10

when delivering a shock, select ___ J of energy first, then mroe for each subsequent shock.

Answer 10

200 J of energy.

then charge, clear, shock, restart CPR

Question 11

5H’s and 5Ts’

Answer 11

H:

hypothermia, hypovolemia, hypoxia, hyperkalemia or hypo, hydrogen ions (acidosis)

t: tamponade, tension pneumo, toxins, thrombosis (myocardial or pulmonary)

Question 12

how is hyperkalemia treated?

Answer 12

• IV calcium to stabilize membrane potential
• cocktail directed at shifting potassium back into cells; includes sodium bicarb, insulin, and glucose to prevent the insulin from causing hypoglycemia.

Question 13

T/F hypokalemia should be treated during the code blue.

Answer 13

false. unlike the hyperkalemia, hypoK is generally not treated during a code blue

Question 14

ECG findings of hyperkalemia

Answer 14

unstable ventricular tachyarrhthmia with eventual degeneration to an electrical sin-wave on the ECG

Question 15

tamponade can cause __- shock and ___ arrest.

confirmatory test would be ___, but this is generally not advised due to needing CPR.

If suspicion is high, a spinal needle is attached
to a syringe, inserted below the ____
process and oriented on a shallow trajectory
towards the head and slightly to the left

Answer 15

tamponade can cause OBSTRUCTIVE- shock and PEA arrest.

confirmatory test would be ECHO, but this is generally not advised due to needing CPR.

If suspicion is high, a spinal needle is attached
to a syringe, inserted below the xiphoid
process and oriented on a shallow trajectory
towards the head and slightly to the lef

Question 16

Tension pneumo can also cause ___ shock an ___ arrest

Answer 16

obstructive shock and PEA arrest