ECG/CPCR Flashcards
CPCR
CABDE
Cardiopulmonary Cerebrovascular Resuscitation
Bag patient every 10-12 seconds
Pump chest at 100 bpm until ROSC (return of spontaneous circulation)
CABDE
Circulation - most important
Airway
Breathing
Drugs
ECG
CPR
- Cardiac arrest (absent QRS)
- No corneal reflex (last reflex to go)
- No heart beat
Respiratory arrest leads to cardiac arrest
Types of Emergencies due Equipment failure
- CO2 absorbent exhaustion
- Empty oxygen tank
- ET blockage
- incorrect assembly of anesthetic machine
- Vaporizer issues
- Pop-off valve issues
Drugs used cardiac arrest
- Epinephrine or Vasopressin for cardiac arrest
- Atropine if anesthesia related cardiac arrest
- Dopamine to increase force and rate of cardiac contraction
Cable placement
Right Left
White Black
Green Red
Use alcohol
Shave
ECG is well grounded
Place patient on rubber mat
place leads on elbow and stifle region
Lead 1
Lead 2
Lead 3
Lead 1
Right forearm: -
Left forearm: +
Lead 2
Right forearm: -
Left hindelimb: +
Lead 3
Left hindelimb: +
Left Forearm: -
PQRST
P: Depolarization of atria
- Atrial dysfunction
- heart block degree
QRS: Depolarization of ventricle
- Ventricular fibrillation
- Premature Ventricular contraction
- heart block degree
T: Repolarization of ventricle
- Mycardial hypoxia
- electrolyte disturbances
PR Interval: delay in AV node depolarization due to blood filling ventricles. (no waves produced)
Tachycardia
Normal Sinus rhythm
> 160bpm (Dogs)
>240 bpm (Cats)
Drug Causes: ketamine, atropine, epinephrine
Surgical Stimulation