CPR

Question 1

What are the two shockable rhythms in CPR?

Answer 1

Pulseless ventricular tachycardia or Ventricular fibrillation

Question 2

What drugs could be considered with prolonged VF/pulseless VT (refractory shockable) according to RECOVER 2024 guidelines?

Answer 2

Antiarrhythmics -Amiodarone in cats or lidocaine for dogs
Esmolol

Question 3

For basic life support what are the recommendations for chest compressions?

Answer 3

Rate 100-120/min
Lateral recumbent
Depth 1/3- 1/2 depth of chest
Keel Chested over heart
Wide chest over the widest/tallest point

Question 4

According to RECOVER guidelines 2024 when should bicarbonate therapy be considered?

Answer 4

After prolonged CPA >10- 15 mins especially is pH <7.0

Question 5

What are the non-shockable rhythms in CPR?

Answer 5

Asystole
Pulseless electrical activity

Question 6

What are the 3 areas of focus for post-cardiac arrest care in the RECOVER algorithm?

Answer 6

1.Respiratory optimisation
2. Hemodynamic optimisation
2. Neuroprotective

Question 7

What is the target SpO2 and PaO2 in post cardiac arrest patients?

Answer 7

Sp02 94-98%
PaO2 80-100mmHg

Question 8

What is the target SAP and MAP (blood pressure) as by RECOVER guidelines 2024?

Answer 8

sAP 100-200mmHg
MAP80-120 mmHg

Question 9

In post-cardiac arrest, if there is hypertension (MAP >120mmHg) what are the 3 strategies that RECOVER. 2024 suggest?

Answer 9

Decrease pressor
Treat pain
Anti-hypertensive

Question 10

What is the dose of vasopressin for CPR?

Answer 10

0.8U/kg

Question 11

What is the dose of adrenaline?

Answer 11

1000:1

0.01mg/kg

Question 12

What is the dose of atropine in CPR?

Answer 12

0.05mg/kg
Give once and as early as possible