CPR

Question 0

CPR compression ratio:

Answer 0

30:2

Question 1

O2 consumption in adults at rest:

Answer 1

250 ml/min

Question 2

Chest compression should be delivered at a rate of at last:

Answer 2

100/min

Question 3

Jake peocento normalniho CO dosahneme pri CPR:

Answer 3

25 - 30%

Question 4

Jak nastavit ventilator pri CPR ?

Answer 4

DF 8 - 10 /min

Vt 6 - 7 ml/kg (500ml in average, one hand technique)

Question 5

Defibrilace je synchronni/asynchronni?

Answer 5

asynchronni

Question 6

CPR -4T:

Answer 6

Tension PNO / Tamponade / Trombembolism / Toxins

Question 7

CPR - 4H:

Answer 7

Hypoxia / Hypovolemia / Hypotermia / Hypokalemia

Question 8

CPP (Coronary Perfusion Pressure) is defined:

Answer 8

DAP - RAP

Question 9

Adrenalin and CPR:

Answer 9

dose: 1mg

increase in CPP of 30% for 3min

Beta-mediated cardiac stimulation

Question 10

Vasopressin and CPR:

Answer 10

dose: 40 U

causes coronary vasoconstriction

no Beta stimulation

Question 11

Endotrachealni podani u CPR - leky:

Answer 11

Adrenalin

Vasopressin

Lidocaine

Question 12

U endotrachealniho podani se davky zvyssuji:

Answer 12

2 - 2.5x

Question 13

Davky amiodaronu u CPR:

Answer 13

1. 300 mg (po 3.vyboji)

2. 150mg (po 4.vyboji)

Question 14

Magnesium u CPR:

Answer 14

pouze u Torsade de pointes

1 - 2 g i.v. na 5min

Question 15

Lidocaine u CPR:

Answer 15

1 mg/kg i.v. bolus

pak 0.5 mg/kg kazdych 5-10min

max.davka 3mg/kg

Question 16

Jaka je hladina ETCO2 rozhodujici o preziti ve 20min resuscitace ?

Answer 16

10 - 15 mmHg

Question 16

Jaka je hladina ScvO2 rozhodujici o uspechu resuscitace ?

Answer 16

30%

norma: 70 - 80%

Question 17

Co znamena zkratka ROSC ?

Answer 17

Return Of Spontaneous Circulation

Question 18

Jake % pacientu prezivsich resuscitaci neodejde z nemocnice ?

Answer 18

70%

Question 19

Post-cardiac arrest syndrome is:

Answer 19

SIRS triggered by release of blood from areas of ischemia (reperf.inj.)

1. Brain injury (failure to awaken, myoclonus, gen.seizures)
2. Cardiac dysfunction (systolic and diastolic, stunning -> card.shock)
3. SIRS (whole-body reperfusion injury)

Question 20

What are shockable rythms?

Answer 20

VF (ventricular fibrilation)

VT (pulseless ventricular tachycardia)

Question 21

Who is indicated for TTM (Target Temperature Management)?

Answer 21

any patient who doesn’t awake after following ROSC

Question 22

Absolute contraindications for TTM (Target Temperature Management):

Answer 22

pre-existing hypotermia (<34st)

major bleeding

cryoglobulinemia

Question 23

Relative contraindications for TTM (Target Temperature Management):

Answer 23

hemodynamic instability

cardiogenic shock

Question 24

How is goal defined for TTM (Targeted Temperature Management):

Answer 24

body temperature: 32 - 34 st. (mild hypotermia)

meri se termistorem na katetru v moc.mechyri

Question 25

TTM (Targeted Temperature Management) - Induction:

Answer 25

FR 500ml 4st. á 10min. (max.30 ml/kg)

goal: 34st. in bladder

Shivering -> deep sedation, muscle relaxants

Question 26

Complications when TTM (Targeted Temperature Management) goes:

Answer 26

bradycardia (usually no intervention)
hypotension (cardiac depression, cold-induced diuresis)
hypokalemia (cave when rewarming -> hyperkalemia)

noncolvusive status epilepticus (10% of patients -> ECG)

Question 27

Rewarmig from TTM (Targeted Temperature Management):

Answer 27

0.25 - 0.5 st/hod (slow rewarming)

CAVE: hyperkalemia

Question 28

Post CPR predictive signs of poor outcome:

Answer 28

No pupillary reflex on day 3

No corneal reflex on day 3

Myoclonic status epilepticus on day 1 (repetitive irregular movements)

Question 29

Is time to awaken post CPR a good predictor of neurologic outcome?

Answer 29

No

Question 30

Is time to awaken post CPR a good predictor of neurologic outcome?

Answer 30

No