CPR

Question 1

CPA

Answer 1

Cardiopulmonary arrest

Question 2

What is the indication for CPR?

Answer 2

Cardiopulmonary arrest

Respiratory arrest

Question 3

Why do you not use Doxapram?

Answer 3

increased cerebral O2 demand

Question 4

What is the underlying cause for cardiac arrest?

Answer 4

Inadequate cardiac oxygenation

Question 5

What are the mechanisms of cardiac arrest?

Answer 5

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

Question 6

DNR

Answer 6

Do Not Resuscitate

Question 7

What supplies should the Crash Cart contain?

Answer 7

O2 source
Endotracheal tubes
laryngoscope 
IV catheters
Fluids 
drugs 
Defibrillator

Question 8

What is the most important part of basic life support?

Answer 8

Chest Compressions

Question 9

How much cardiac output does chest compressions achieve?

Answer 9

25-30%

Question 10

How long should one person perform chest compressions?

Answer 10

2 minutes

Question 11

What are the two theories of chest compressions?

Answer 11

Cardiac pump theory

Thoracic pump theory

Question 12

Cardiac pump theory

Answer 12

Direct compression of the ventricles

Question 13

Thoracic pump theory

Answer 13

Compressions cause increase intrathoracic pressure which causes blood flow

Question 14

How many chest compressions per minute?

Answer 14

100-120

Question 15

When is internal cardiac massage indicated?

Answer 15

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

Question 16

How many breaths per minute should you ventilate at?

Answer 16

10 breaths per minute

Question 17

ITD

Answer 17

Impedance Threshold Device

Question 18

Impedance Threshold Device

Answer 18

creates negative intrathoracic pressure to increase venous return (preload)

Question 19

PEA

Answer 19

Pulseless Electrical Activity

Question 20

What are the three main arrest rhythms?

Answer 20

Asystole
PEA
Ventricular fibrillation

Question 21

What are shockable rhythms?

Answer 21

V fib/ Pulseless Vtach

Question 22

What is used for torsades de pointes?

Answer 22

Magnesium

Question 23

What is the reversal agent for Opioids?

Answer 23

Naloxone

Question 24

What is the reversal agent for Alpha 2 agonists?

Answer 24

Atipemazole

Question 25

What is the reversal agent for Benzodiazepines?

Answer 25

Flumazenil

Question 26

PCA

Answer 26

Post-cardiac arrest

Question 27

What does PCA syndrome include?

Answer 27

Multiorgan failure Cardiogenic shock Anoxic brain injury

Question 28

How should you monitor PCA?

Answer 28

``` Continuous ECG Direct arterial blood pressure Arterial blood gas oxygenation ventilation electrolytes blood glucose lactate body temperature ```

Question 29

What is the treatment of PCA?

Answer 29

``` IV fludis Blood products vasopressors inotropes mechanical ventilation ```

Question 30

What is the hyperosmotic therapy for cerebral edema?

Answer 30

Mannitol | Hypertonic saline