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RUSVM Anesthesiology 2016 > CPR > Flashcards

CPR Flashcards

1
Q

CPA

A

Cardiopulmonary arrest

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2
Q

What is the indication for CPR?

A

Cardiopulmonary arrest

Respiratory arrest

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3
Q

Why do you not use Doxapram?

A

increased cerebral O2 demand

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4
Q

What is the underlying cause for cardiac arrest?

A

Inadequate cardiac oxygenation

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5
Q

What are the mechanisms of cardiac arrest?

A 
Arrhythmia
pulmonary or airway dysfunction 
anesthesia 
electrolyte abnormalities
severe trauma
intracranial disease 
sepsis
multiple organ dysfunction
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6
Q

DNR

A

Do Not Resuscitate

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7
Q

What supplies should the Crash Cart contain?

A 
O2 source
Endotracheal tubes
laryngoscope 
IV catheters
Fluids 
drugs 
Defibrillator
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8
Q

What is the most important part of basic life support?

A

Chest Compressions

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9
Q

How much cardiac output does chest compressions achieve?

A

25-30%

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10
Q

How long should one person perform chest compressions?

A

2 minutes

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11
Q

What are the two theories of chest compressions?

A

Cardiac pump theory

Thoracic pump theory

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12
Q

Cardiac pump theory

A

Direct compression of the ventricles

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13
Q

Thoracic pump theory

A

Compressions cause increase intrathoracic pressure which causes blood flow

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14
Q

How many chest compressions per minute?

A

100-120

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15
Q

When is internal cardiac massage indicated?

A

Conditions that prevent effective external cardiac compressions such as pericardial effusion or pleural space disease

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16
Q

How many breaths per minute should you ventilate at?

A

10 breaths per minute

17
Q

ITD

A

Impedance Threshold Device

18
Q

Impedance Threshold Device

A

creates negative intrathoracic pressure to increase venous return (preload)

19
Q

PEA

A

Pulseless Electrical Activity

20
Q

What are the three main arrest rhythms?

A

Asystole
PEA
Ventricular fibrillation

21
Q

What are shockable rhythms?

A

V fib/ Pulseless Vtach

22
Q

What is used for torsades de pointes?

23
Q

What is the reversal agent for Opioids?

24
Q

What is the reversal agent for Alpha 2 agonists?

A

Atipemazole

25
Q

What is the reversal agent for Benzodiazepines?

A

Flumazenil

26
Q

PCA

A

Post-cardiac arrest

27
Q

What does PCA syndrome include?

A

Multiorgan failure
Cardiogenic shock
Anoxic brain injury

28
Q

How should you monitor PCA?

A 
Continuous ECG
Direct arterial blood pressure
Arterial blood gas 
oxygenation 
ventilation 
electrolytes 
blood glucose
lactate
body temperature
29
Q

What is the treatment of PCA?

A 
IV fludis 
Blood products 
vasopressors 
inotropes
mechanical ventilation
30
Q

What is the hyperosmotic therapy for cerebral edema?

A

Mannitol

Hypertonic saline

RUSVM Anesthesiology 2016 (38 decks)

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