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CE COURSES > CPR > Flashcards

CPR Flashcards

CPR 2019

1
Q

how do you check for responsiveness for an adult

A

shout-tap-shout

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2
Q

walk through the steps for an unresponsive adult

A

1) Perform visual survey
2) Check for responsiveness
3) Activate EMS, call for AED
4) Pt-supine
5) Open Airway
6) check for breathing and pulse for 5-10 seconds

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3
Q

how long to check for breathing and pulse in unresponsive pt

A

5-10 seconds

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4
Q

if an unresponsive adult has a normal breathing and pulse present. what to do?

A

1) Place in age-appropriate recovery position if no suspected head, neck, spinal or pelvic injury.’
• Monitor until EMS, rapid response or resuscitation team arrives.

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5
Q

what is respiratory arrest

A

No normal breathing/ pulse present

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6
Q

what is cardia rest

A

no normal breathing/no pulse

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7
Q

what is used to open airway if you suspect a head, neck, or spinal injury

A

head-tilt/chin-lift technique

modified jaw-thrust maneuver to open airway

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8
Q

refers to the ability to use readily available resources to find solutions to challenging situations or issues that arise.

A

Problem solving

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9
Q

refers to thinking clearly and rationally to identify the connection between information and actions.

A

Critical thinking

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10
Q 
CPR for adults 
all steps (9)
A

1) Conduct a rapid assessment
2) Place pt on firm, flat surface
3) position hands correctly 4) Position body correctly
5) Perform 30 chest compressions
6) Seal the mask/open airway
7) provide 2 ventilations
8) Switch positions every 2 minutes
9) Continue CPR

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11
Q

If the patient is unresponsive, isn’t breathing normally and doesn’t have
a pulse, begin

A

CPR

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12
Q

what is done during the rapid assessment?

4

A

1) Perform a quick visual survey,
2) check for responsiveness,
3) open the
airway
4) simultaneously check for breathing and a carotid pulse for
at least 5 seconds but no more than 10.

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13
Q

where do you check for a plse in an adult

A

carotid

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14
Q

where do you position your hands for an adult for CPR

A

Place the heel of one hand in the center of the patient’s chest on the
lower half of the sternum.
interlace other hand on top of other

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15
Q

If drowning or another hypoxic event is the suspected cause of cardiac arrest, deliver

A

If drowning or another hypoxic event is the suspected cause of cardiac arrest, deliver 2 initial ventilations before starting CPR.

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16
Q

how should your body be positioned for CPR

A

shoulders directly over hands with elbows locked

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17
Q

how deep to compress for adults

A

2-2.4 inches (5-6cm)

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18
Q

how fast should compressions be for CPR

A

100-120 per minute

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19
Q

what type of mask is used for single-provider for CPR

A

adult pocket mask

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20
Q

what type of mask is used for multiple-proivder CPR

A

BVM

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21
Q

how should you open the airway for an adult

A

open the airway to a past-neutral

position using the head-tilt/chin-lift technique.

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22
Q

how many compressions to ventilations in an adult for CPR

A

30:2

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23
Q

Each ventilation should last about ______ and

make the_______ for adult CPR

A

Each ventilation should last about 1 second and

make the chest begin to rise.

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24
Q

If an advanced airway is in place, one provider delivers _____ ventilation every ______ seconds.

A

If an advanced airway is in place, one provider delivers 1 ventilation every 6 seconds.

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25
Q

When providing CPR with multiple providers, smoothly switch positions
about every ______ This should take less than _____

A

When providing CPR with multiple providers, smoothly switch positions
about every 2 minutes. This should take less than 10 seconds.

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26
Q

Upon achieving ______, ________ should be used based on your facility’s protocols to maintain a normal oxygen saturation level while avoiding hyperoxygenation.

A

Upon achieving ROSC, supplemental oxygen should be used based on your facility’s protocols to maintain a normal oxygen saturation level while avoiding hyperoxygenation.

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27
Q

Providers should use a _______ to monitor oxygen saturation.

A

Providers should use a pulse oximeter to monitor oxygen saturation.

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28
Q

Steps for AED use in adults

A

1) Turn on the AED-follow prompts
2) expose the chest
3) attach the pads
4) Analyze the rhythm
5) Deliver the shock if necessary
6) After the shock or if no shock is needed

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29
Q

describe the anterior/lateral AED pad placement

A

R side: right pad below right clavicle to r. of sternum

left side: place pad along the mixaxillary line a few inches below the armpit

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30
Q

what is the anterior posterior pad placement for adults

A

one pad on the sternum

one pad on the pt’s back between the scapulae

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31
Q

Alert
Do not use pediatric AED pads or pediatric levels of energy on an adult or on a child older than ____ years or weighing more than ____ pounds.

A

Alert
Do not use pediatric AED pads or pediatric levels of energy on an adult or on a child older than 8 years or weighing more than 55 pounds.

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32
Q

should anyone be touching the AED while it is analyzing the rhythm?

A

Instruct everyone to stand clear while the AED analyzes. No one,
including you, should be touching the patient.

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33
Q

As the AED analyzes, ___________.

The provider giving compressions should __________

A

As the AED analyzes, switch positions if you are working with a team.
The provider giving compressions should hover their hands above the
patient’s chest.

34
Q

After the AED delivers the shock, or if no shock is needed

• Immediately begin______. You do not need to wait for the______

A

After the AED delivers the shock, or if no shock is needed

• Immediately begin CPR. You do not need to wait for the AED prompt.

35
Q

when to switch CPR compressors

A
  • Every 2 minutes
  • During AED analysis
  • If provider is fatigued
36
Q

You come across an adult who has no normal breathing but has a pulse. What should you do next?

A

Deliver ventilations: 1 every 5–6 seconds

37
Q

In a patient in respiratory arrest, how often should the breathing and pulse be checked

A

every 2 minutes

38
Q

if a pt has no pulse or no normal breathing, what should be begun

A

CPR 30: 2

39
Q

Joanne correctly applied the AED pads using the anterior/lateral position. However, if Mr. Goodman had a pacemaker or ICD, she would adjust pad placement as necessary to avoid placing the AED pads directly over the pacemaker or ICD. True or false?

A

When a patient has a pacemaker or ICD, adjust pad placement as necessary to avoid placing the AED pads directly over the device. Note: A pacemaker or ICD may be placed in the right upper chest near the clavicle or in the abdomen. True

40
Q

what is a BVM

A

bag-valve-mask resuscitator

41
Q

Joanne and Valerie switched to operating the BVM. While Joanne sealed the mask, Valerie depressed the bag. What is the correct volume of air to deliver during ventilations?

A

You answered this question correctly. When using the bag-valve-mask resuscitator, depress the bag about halfway to deliver a volume of 400 to 700 mL.

42
Q

If capnography were in use, an ETCO2level of ___ would indicate to the team that there could be a problem with the quality of chest compressions.

A

below 10 mmHg

43
Q

After the resuscitation event, the BLS team conducted a debriefing session to ensure continuous CPR quality improvement. Which observation or data point suggests a need for improvement?

A

According to expert consensus, a CCF of at least 60% is needed to promote optimal outcomes, and the goal should be 80%.

44
Q

AED pads should touch eachother. T/F

A

AED PADS SHOULD NEVER TOUCH EACHOTHER False

45
Q

describe the four steps for rapid assessment for children and infants

A

1) Perform a visual survey
2) Check for resonsiveness
3) Simultaneously check for breathing and pulse
4) Provide care based on the conditions found

46
Q

If you see severe life-threatening bleeding, immediately

A

If you see severe life-threatening bleeding, immediately use any available resources to control the hemorrhage, including a tourniquet or hemostatic dressing if one is available.

47
Q

how do you check for responsiveness in an infant

A

tap the bottom of the infant’s foot

48
Q

If the child or infant is unresponsive and you are alone, ______________

A

If the child or infant is unresponsive and you are alone, call for help to
activate EMS, the rapid response team or the resuscitation team, as
appropriate, and call for an AED.

49
Q

If the child or infant is unresponsive and you are with another
provider, the irst provider stays with the child or infant. Other
providers ______, as appropriate, and retrieve the _______

A

If the child or infant is unresponsive and you are with another
provider, the irst provider stays with the child or infant. Other
providers activate EMS, the rapid response team or the
resuscitation team, as appropriate, and retrieve the AED,
BVM and other emergency equipment.

50
Q

how should the airway be opened for a child

A

slightly past-neutral

51
Q

how should the airway be opened for an infant

A

neutral

52
Q

where do you check the pulse in a child and infant

A

child-carotid

infant-brachial

53
Q

8 steps for infants cpr

A

1) Rapid assessment
2) Place pt on firm, flat surface
3) Position hands correclty
4) Deliver compressions
5) Seal mask, open airway
6) 2 ventilations
7) Switch Providers every 2 minutes
8) Continue CPR

54
Q

how do you position your hands for infant CPR with a single provider

A

If you are a single provider, use the two-inger technique:

55
Q

what technique do you use for infant CPR with a single provider

A

two-finger technique
Place the two ingers of your hand closest to the infant’s feet in
the center of the exposed chest just below the nipple line on the sternum.

56
Q

CPR for Infants (continued)
• If you are working with a team of multiple providers, use the
_______

A

CPR for Infants (continued)
• If you are working with a team of multiple providers, use the
encircling thumbs technique:

57
Q

how do you position hands for encircling thumbs technqiue for infant CPR

A

• Place both thumbs (side-by-side) on the center of the infant’s chest
just below the nipple line.
• Then use the other ingers to encircle the infant’s chest toward the
back, providing support.

58
Q

how deep do you compress for an infant for compressions

A

1½ inches (3.8 cm) or one-third the

anterior-posterior diameter of the chest.

59
Q

If you are working with a team of

providers, perform ___chest compressions for an infant.

A

If you are working with a team of

providers, perform 15 chest compressions for an infant.

60
Q

how far should the neck be opened for an infant during CPR

A

neutral position

61
Q

for infants up to 1 year old how should AED pads be placed

A

Always use an anterior/posterior pad placement. To do this, apply
one pad to the center of the infant’s chest—on the sternum—and one pad to the infant’s back between the scapulae.

62
Q

when should pediatric pads be used

A

For children 8 or younger or weighing 55 pounds (25 kg)

or less:

63
Q

In a child, the AED pads are touching eachother, what should be done?

A

anterior-posterior pad placmeent

64
Q

For an unresponsive infant or child whom you did not see collapse:

A

Provide 2 minutes of care based on the conditions found.
Then, call for help to activate EMS, the rapid response team or the resuscitation team, as appropriate, and call for an AED.

65
Q

for an unresponsive adult and you are alone should you perform CPR first or call for help

A

call for help

66
Q

For a child or an infant whom you witnessed suddenly collapse, or for an unresponsive child or infant with a known cardiac condition:

A

Call for help to activate EMS, the rapid response team or the resuscitation team, as appropriate, and call for an AED.
Then, provide care based on the conditions found.

67
Q

how often should ventilations be delivered in a pediatric/infant pt who is not breathing but has a pulse

A

every 3 to 5 seconds

68
Q

multiple provider compressions to breath ratio

A

15: 2

69
Q

for all patients in respiratory rest how often should you check breathing and pulse

A

every 2 minutes

70
Q

when should you check for an object during cpr

A

after compressions, before ventilations

71
Q

for chest thrusts for choking patients how should you pull back

A

For chest thrusts, pull straight back, performing quick inward thrusts into the patient’s chest, as you would with abdominal thrusts. Donotthrust upward.

72
Q

Steps for Choking patients

A

1) Verify Pt is Choking
2) Obtain consent
3) Perform abdominal thrusts
3B) Alternative -back blows, chest thrusts
4) Continue to clear the airway

73
Q

how to place hands for abdominal thrusts

A

Then, get your hands in place. Using one or two ingers to ind
the patient’s navel, make a ist with your other hand and place the
thumb side of your ist against the middle of the abdomen, just
above the navel. • Grab your ist with your other hand.

74
Q

If back blows do not dislodge the object, use a series o________

A

If back blows do not dislodge the object, use a series of 5 back
blows and 5 abdominal or chest thrusts.

75
Q

where should hands be placed for chest thrusts

A

Place the thumb side of your ist against the center of the
patient’s chest on the lower half of the sternum.
Then cover your ist with your other hand and pull straight back,
providing a quick inward thrust into the patient’s chest.

76
Q

obstructed airway care for infants

A

1) Verify that the infant is choking
2) Obtain Consent
3) position the infant for back blows
4) Deliver 5 back blows
5) 5 Chest Thrusts
6) Continue to clear the airway

77
Q

opioid overdose triad:

A

Pinpoint pupils

Respiratory depression

Unconsciousness or severe sleepiness

78
Q

Remember, ______ is the priority over administering naloxone during respiratory arrest.

A

Remember, delivering ventilations is the priority over administering naloxone during respiratory arrest.

79
Q

intranasal

adult dose for naloxone

A

2mg

80
Q

intramuscular dose of naloxone

A

0.4mg

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